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  4. Remote assessment of cognition and quality of life following radiotherapy for glioma: deep-learning-based predictive models and MRI correlates

Remote assessment of cognition and quality of life following radiotherapy for glioma: deep-learning-based predictive models and MRI correlates

Journal of Neuro-Oncology, 2023 · DOI: 10.1007/s11060-023-04303-9 · Published: April 4, 2023

OncologyNeurology

Simple Explanation

This study assesses the impact of radiotherapy on cognitive functions and quality of life in glioma patients using remote assessments. The researchers also examined how brain volume changes and radiation dosage correlate with cognitive performance. Deep learning models were used to predict cognitive impairment following radiotherapy, potentially aiding in early identification and treatment interventions.

Study Duration
6 months to 1 year
Participants
30 glioma patients (16–76 aged)
Evidence Level
Not specified

Key Findings

  • 1
    Cognitive assessments were highly inter-correlated, and impairment was shown between pre- and post-RT findings.
  • 2
    Brain volume atrophy was shown post-RT, and cognitive impairments were correlated with radiotherapy-associated volume atrophy and dose-dependent in specific brain regions.
  • 3
    Deep neural networks showed good accuracy in predicting cognitive decline based on remote cognitive assessments.

Research Summary

This study evaluated the relationship between remote cognitive assessments, quality of life, and MRI changes in irradiated glioma patients. Cognitive impairments were correlated with radiotherapy-associated volume atrophy and dose-dependent effects in the left temporal lobe, corpus callosum, cerebellum and amygdala. Prediction models, particularly deep neural networks, can assist in early identification of patients at risk for neurocognitive decline following RT for glioma.

Practical Implications

Early Identification of Cognitive Decline

Prediction models can help identify patients at risk for neurocognitive decline early on.

Remote Monitoring

Cognitive function can be effectively evaluated remotely, allowing for convenient monitoring of patients.

Potential Treatment Interventions

Early identification of cognitive decline facilitates timely treatment interventions to manage cognitive changes.

Study Limitations

  • 1
    Cross-sectional study without pre-treatment cognitive data, limiting the assessment of changes over time.
  • 2
    Small sample size could be a deterrent in concluding the study outcome.
  • 3
    Patients might have experienced other health issues between the treatment and study participation, which could impact their neurocognitive function and QoL.

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