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Acute toxicity profile of craniospinal irradiation with intensity-modulated radiation therapy in children with medulloblastoma: A prospective analysis

Overview of attention for article published in Radiation Oncology, November 2015
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Title
Acute toxicity profile of craniospinal irradiation with intensity-modulated radiation therapy in children with medulloblastoma: A prospective analysis
Published in
Radiation Oncology, November 2015
DOI 10.1186/s13014-015-0547-9
Pubmed ID
Authors

Maurice C. Cox, Johannes M. Kusters, Corrie E. Gidding, Jolanda H. Schieving, Erik J. van Lindert, Johannes H. Kaanders, Geert O. Janssens

Abstract

To report on the acute toxicity in children with medulloblastoma undergoing intensity-modulated radiation therapy (IMRT) with daily intrafractionally modulated junctions. Newly diagnosed patients, aged 3-21, with standard-risk (SR) or high-risk (HR) medulloblastoma were eligible. A dose of 23.4 or 36.0Gy in daily fractions of 1.8Gy was prescribed to the craniospinal axis, followed by a boost to the primary tumor bed (54 or 55.8Gy) and metastases (39.6-55.8Gy), when indicated. Weekly, an intravenous bolus of vincristine was combined for patients with SR medulloblastoma and patients participating in the COG-ACNS-0332 study. Common toxicity criteria (CTC, version 2.0) focusing on skin, alopecia, voice changes, conjunctivitis, anorexia, dysphagia, gastro-intestinal symptoms, headache, fatigue and hematological changes were scored weekly during radiotherapy. From 2010 to 2014, data from 15 consecutive patients (SR, n = 7; HR, n = 8) were collected. Within 72 h from onset of treatment, vomiting (66 %) and headache (46 %) occurred. During week 3 of treatment, a peak incidence in constipation (33 %) and abdominal pain/cramping (40 %) was observed, but only in the subgroup of patients (n = 9) receiving vincristine (constipation: 56 vs 0 %, P = .04; pain/cramping: 67 vs 0 %, P = .03). At week 6, 73 % of the patients developed faint erythema of the cranial skin with dry desquamation (40 %) or moist desquamation confined to the skin folds of the auricle (33 %). No reaction of the skin overlying the spinal target volume was observed. Headache at onset and gastro-intestinal toxicity, especially in patients receiving weekly vincristine, were the major complaints of patients with medulloblastoma undergoing craniospinal irradiation with IMRT.

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Mendeley readers

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The data shown below were compiled from readership statistics for 64 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 64 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 9 14%
Student > Bachelor 9 14%
Student > Master 6 9%
Other 5 8%
Student > Ph. D. Student 5 8%
Other 11 17%
Unknown 19 30%
Readers by discipline Count As %
Medicine and Dentistry 26 41%
Nursing and Health Professions 8 13%
Biochemistry, Genetics and Molecular Biology 2 3%
Neuroscience 2 3%
Engineering 2 3%
Other 5 8%
Unknown 19 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 24 November 2015.
All research outputs
#20,296,405
of 22,833,393 outputs
Outputs from Radiation Oncology
#1,678
of 2,057 outputs
Outputs of similar age
#324,050
of 386,693 outputs
Outputs of similar age from Radiation Oncology
#42
of 58 outputs
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