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Feb 5, 2025, 21:31
Gustavo Viani: Higher radiation in Pediatric Ependymomas – more harm than good?
Gustavo Viani, Professor of Radiation Oncology at Ribeirão Preto Medical School, shared a post on X about a paper by Melanie Rose et al. published in the International Journal of Radiation Oncology, Biology, Physics:
“Higher Radiation in Pediatric Ependymomas: More Harm Than Good?
Objective
- Assess optimal radiation dose (≤54 Gy vs. >54 Gy) for pediatric intracranial ependymomas
- Evaluate Local Control (LC), Event-Free Survival (EFS), Overall Survival (OS), and toxicity
Methods
- Meta-analysis of 7 studies (1321 patients)
- Outcomes: LC, EFS, OS, and late toxicities (necrosis, vasculopathy, cognitive lower)
Results
- No survival benefit for >54 Gy.
- Higher doses = more cognitive toxicity
Conclusion
- ≤54 Gy is effective and may reduce toxicity.
- Future research needed on molecular subtypes and STR.”
Authors: Melanie Rose et al.
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