February, 2025
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Gustavo Viani: Hippocampal-Avoidance PCI: Game-Changer or Cognitive Mirage?
Feb 16, 2025, 22:38

Gustavo Viani: Hippocampal-Avoidance PCI: Game-Changer or Cognitive Mirage?

Gustavo Viani, Professor of Radiation Oncology at Ribeirão Preto Medical School, shared an article by Haiyan Zeng, et al. on X:

“Hippocampal-Avoidance PCI: Game-Changer or Cognitive Mirage?

Objective:

  • Evaluate the impact of HA-PCI on self-reported cognitive function and metastases risk in SCLC.

Methods:

  • Pooled data from two phase III RCTs (NCT01780675 & PREMER).
  • Randomized comparison: Standard PCI vs. HA-PCI.

Results:

  • No significant cognitive benefit with HA-PCI (p=0.52).
  • No increased risk of brain metastases (p=0.9).
  • At 4 months, HA-PCI showed cognitive impairment (p*=0.04), but this effect was not sustained over time.

Conclusion:

  • HA-PCI is safe but does Not significantly protect cognition.
  • Future PCI strategies should explore neuroprotective agents to enhance cognitive outcomes!”

Impact of HA-PCI on self-reported cognitive functioning and brain metastases in small-cell lung cancer: Pooled findings of NCT01780675 and PREMER trials.

Authors: Haiyan Zeng, et al.

Gustavo Viani: Hippocampal-Avoidance PCI: Game-Changer or Cognitive Mirage?