Table 1. Evidence for White Matter Damage After Brain Irradiation.
Species | Subject Stage (Adult/Pediatric/Elderly) | Radiation Dose (Gy) WBRT/ PBRT | Fraction (Gy) | Assay | White Matter Changes | Time (mos) | Reference |
---|---|---|---|---|---|---|---|
Human | Adult | 50 – 81 | 1.8 or 2 | DTI | Yes | 1.5 | Nagesh et al, 2008148 |
Human | Adult | 50 - 60 | 1.8 or 2 | Histology | Yes | - | Burger et al, 2006170 |
Human | Adult | 35 | 2.5 or 3 | MRI | Yes | 11-51 | Fuji et al, 2006171 |
Human | Adult | 60 tumor only | 2 | DTI | No | 6 | Prust et al, 2015131 |
Human | Adult | 59 - 60 | 1.8 or 2 | DTI | Yes** | 12 | Connor et al, 201627 |
Human | Adult | 45-59.4 | 1.8 | DTI | Yes** | 36-108 | Ravn et al, 2013146 |
Human | Pediatric | 36 WB; 54 local | Typically 1.8 | DTI | Yes | 30 | Mabbott et al, 2006172 |
Human | Elderly >60 years | 50 | 1.8 or 2 | MRI | Prevalent | 38 | Tsuruda et al, 198777 |
Mouse | Adult | 30 | 30 | Histology | Yes | 8 | Chiang et al, 1993173 |
Rat | Adult | 17.5 | 17.5* | Histology | Yes | 10 | Calvo, et al, 198863,173 |
Rat | Adult | 45 | 5* | Histology | No | 12 | Shi et al, 200929 |
Monkey | Adult (Rhesus) | 40 | 2* | Histology | No | 6, 12 | Nakagaki et al, 1976188 |
Monkey | Adult (Rhesus) | 60 | 2 | Histology | Yes | 6, 12 | Nakagaki et al, 1976188 |
Monkey | Adult (Rhesus) | 80 | 2 | Histology | Yes | 6, 12 | Nakagaki et al, 1976188 |
WBRT = whole brain irradiation
PBRT = partial brain irradiation
DTI = diffusion tensor imaging
MRI = magnetic resonance imaging
Note apparent effect of dose rate; according to histology low dose rate avoided white matter abnormalities, despite cognitive deficits in this model and with this dosing schedule.
Very low total doses elicited white matter DTI changes.