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01-10-2018 | Neuro

Remote brain microhaemorrhages may predict haematoma in glioma patients treated with radiation therapy

Authors: Augustin Lecler, Frédérique Charbonneau, Dimitri Psimaras, Marie-Astrid Metten, Antoine Gueguen, Khe Hoang Xuan, Loic Feuvret, Julien Savatovsky

Published in: European Radiology | Issue 10/2018

Abstract

Objectives

To evaluate the prevalence of cerebral remote microhaemorrhages (RMH) and remote haematomas (RH) using magnetic resonance susceptibility-weighted imaging (SWI) among patients treated for gliomas during follow-up.

Methods

We conducted a retrospective single centre longitudinal study on 58 consecutive patients treated for gliomas from January 2009 through December 2010. Our institutional review board approved this study. We evaluated the presence and number of RMH and RH found outside the brain tumour on follow-up MR imaging. We performed univariate and bivariate analyses to identify predictors for RMH and RH and Kaplan–Meier survival analysis techniques.

Results

Twenty-five (43%) and four patients (7%) developed at least one RMH or RH, respectively, during follow-up. The risk was significantly higher for patients who received radiation therapy (49% and 8% versus 0%) (p = 0.02). The risk of developing RH was significantly higher in patients with at least one RMH and a high burden of RMH. The mean age of those presenting with at least one RMH or RH was significantly lower.

Conclusions

RMH were common in adult survivors of gliomas who received radiation therapy and may predict the onset of RH during follow-up, mainly in younger patients.

Key Points

• Brain RMH and RH are significantly more likely to occur after RT.

• RMH occur in almost half of the patients treated with RT.

• RMH and RH are significantly more frequent in younger patients.

• RH occur only in patients with RMH.

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Title: Remote brain microhaemorrhages may predict haematoma in glioma patients treated with radiation therapy
Authors: Augustin Lecler
Frédérique Charbonneau
Dimitri Psimaras
Marie-Astrid Metten
Antoine Gueguen
Khe Hoang Xuan
Loic Feuvret
Julien Savatovsky
Publication date: 01-10-2018
Publisher: Springer Berlin Heidelberg
Published in: European Radiology / Issue 10/2018
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI: https://doi.org/10.1007/s00330-018-5356-8

At a glance: The STEP trials

Springer Medicine

Remote brain microhaemorrhages may predict haematoma in glioma patients treated with radiation therapy

Abstract

Objectives

Methods

Results

Conclusions

Key Points

At a glance: The STEP trials

Springer Medicine

Abstract

Objectives

Methods

Results

Conclusions

Key Points

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