Journal Article DKFZ-2025-01070

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European practice on neurovascular late effects after pediatric radiotherapy: considerations on dose planning and follow-up - a HARMONIC/SIOPE ROWG survey.

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2025
Taylor & Francis Group Abingdon

Acta oncologica 64, 703 - 707 () [10.2340/1651-226X.2025.43028]
 GO

Abstract: The risk of developing neurovascular late effects after radiotherapy is an area of concern when treating pediatric brain tumor patients. However, knowledge is sparse regarding best practice for clinical management during the radiotherapy (RT) planning process and follow-up examinations. This study therefore aimed at mapping how the risk of neurovascular late effects is considered for pediatric brain or skull base tumor patients treated with radiotherapy in Europe.Two web-based surveys ‑ a RT and a pediatric oncology (PO) survey - were distributed to members of the SIOPE radiotherapy working group or PANCARE and SIOPE brain tumor group, respectively.The RT survey was completed by 47 participants from 18 different European countries and the PO survey by 33 participants (mostly pediatric (neuro)oncologists) from 15 countries. Overall, the answers highlighted that neurovascular late effects are currently not well included in European clinical practice, neither at the time of radiotherapy nor in the follow-up process.There is a need for raising general awareness about the topic, as well as for potential risk-stratified prevention measures and follow-up guidelines.

Keyword(s): Humans (MeSH) ; Europe (MeSH) ; Child (MeSH) ; Follow-Up Studies (MeSH) ; Brain Neoplasms: radiotherapy (MeSH) ; Radiotherapy Planning, Computer-Assisted: methods (MeSH) ; Radiation Injuries: etiology (MeSH) ; Radiation Injuries: prevention & control (MeSH) ; Radiation Injuries: epidemiology (MeSH) ; Surveys and Questionnaires (MeSH) ; Radiotherapy Dosage (MeSH) ; Skull Base Neoplasms: radiotherapy (MeSH) ; Practice Patterns, Physicians': statistics & numerical data (MeSH) ; Female (MeSH) ; Male (MeSH)

Classification:

Contributing Institute(s):
  1. DKTK Koordinierungsstelle Essen/Düsseldorf (ED01)
Research Program(s):
  1. 899 - ohne Topic (POF4-899) (POF4-899)

Appears in the scientific report 2025
Database coverage:
Medline ; Creative Commons Attribution CC BY (No Version) ; DOAJ ; Article Processing Charges ; BIOSIS Previews ; Biological Abstracts ; Clarivate Analytics Master Journal List ; Current Contents - Life Sciences ; DOAJ Seal ; Ebsco Academic Search ; Essential Science Indicators ; Fees ; IF < 5 ; JCR ; NationallizenzNationallizenz ; SCOPUS ; Science Citation Index Expanded ; Web of Science Core Collection
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 Record created 2025-05-23, last modified 2025-05-24



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