Table 4.
Reference | Study Population | Sample Size | Type of Exposure | Age at Exposure | Brain Dose | Outcome | Age at Outcome Measurement |
---|---|---|---|---|---|---|---|
Meadows, Gordon et al., 1981 [36] |
children with ALL (USA) | 41 | WBRT | 2–15 years | 24 Gy, fractionated |
IQ decline; younger children more affected | 1–3 years after RT |
Twaddle, Britton et al., 1983 [55] |
children with ALL (England) | 23 | WBRT | 1–8 years | 24 Gy, fractionated |
IQ decline; younger children more affected | 1–3 years after RT |
Ladavas, Missiroli et al., 1985 [51] |
children with ALL (Italy) | 21 | WBRT | 2–9 years | 24 Gy, fractionated |
IQ decline; younger children (<5 years) more affected |
1–3 years after RT |
Said, Waters et al., 1989 [54] |
children with ALL (Australia) |
106 | WBRT | 1–8 years | 18–24 Gy, fractionated | IQ decline; younger children more affected | 1–13 years after RT |
Chessells, Cox et al., 1990 [49] |
children with ALL (England) | 136 | WBRT | 1–12 years | 18–24 Gy, fractionated | IQ decline, younger children (≤2 years) more affected |
1–5 years after RT |
MacLean, Noll et al., 1995 [52] |
children with ALL (USA) |
74 | WBRT | 3–7 years | 18 Gy, fractionated |
neuropsychological deficits | 1 years after RT |
Iuvone, Mariotti et al., 2002 [50] |
children with ALL (Italy) | 21 | WBRT | 1–12 years | 18–24 Gy, fractionated |
no age-dependent effect | 4–12 years after RT |
Reinhardt, Thiele et al., 2002 [53] |
children with AML (Germany) | 38 | WBRT | 0–18 years | 12–18 Gy, fractionated |
learning deficits, younger children more affected | 4–11 years after RT |