Radiotherapy causes chemo brain cognitive impairment
Is it true that Radiotherapy causes chemo brain cognitive impairment?
Yes. Multiple clinical reviews and trials confirm that cranial radiotherapy is a recognized risk factor leading to neurocognitive impairment, often referred to as cognitive decline or chemo brain effects in cancer survivors.
Verdict: SUPPORTED · 10 sources for, 0 against · Last checked
The provided papers consistently demonstrate that cranial radiotherapy causes neurocognitive decline, memory loss, and brain injury across both clinical and animal studies. There are no refuting studies present.
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Rübe, C., Raid, S., Palm, J., & Rübe, C. (2023). Radiation-Induced Brain Injury: Age Dependency of Neurocognitive Dysfunction Following Radiotherapy. doi.org. https://doi.org/10.3390/cancers15112999
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Bovi, J., Pugh, S., Sabsevitz, D., Robinson, C., Paulson, E., Mehta, M., Gondi, V., Kundapur, V., Shahin, M., Chao, S., Machtay, M., Denittis, A., Laack, N., Greenspoon, J., Moore, K., Huang, J., Dominello, M., & Kachnic, L. (2019). Pretreatment Volume of MRI-Determined White Matter Injury Predicts Neurocognitive Decline After Hippocampal Avoidant Whole-Brain Radiation Therapy for Brain Metastases: Secondary Analysis of NRG Oncology Radiation Therapy Oncology Group 0933. doi.org. https://doi.org/10.1016/j.adro.2019.07.006
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Luo, N., Zhu, W., Li, X., Fu, M., Zhang, Y., Yang, F., Zhang, Y., Chen, Z., Zhang, Q., Peng, B., Li, Q., Chen, X., Liu, Y., Hu, G., & Peng, X. (2024). Defective autophagy of pericytes enhances radiation-induced senescence promoting radiation brain injury. doi.org. https://doi.org/10.1093/neuonc/noae153
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Li, X. & Ding, Z. (2024). Cognitive dysfunction induced by cranial radiotherapy: mechanisms and therapeutic methods.. doi.org. https://doi.org/10.1016/j.brainresbull.2024.111106
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Morrison, M., Walter, S., Mueller, S., Felton, E., Jakary, A., Stoller, S., Molinaro, A., Braunstein, S., Hess, C. P., & Lupo, J. (2022). Functional network alterations in young brain tumor patients with radiotherapy-induced memory impairments and vascular injury. doi.org. https://doi.org/10.3389/fneur.2022.921984
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Chammah, S. E., Allenbach, G., Jumeau, R., Boughdad, S., Prior, J. O., Lalonde, M., Schaefer, N., & Meyer, M. (2021). Impact of prophylactic cranial irradiation and hippocampal sparing on 18F-FDG brain metabolism in small cell lung cancer patients.. doi.org. https://doi.org/10.1016/j.radonc.2021.02.016
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Jairam, V., Park, H. S., Yu, J. B., Bindra, R., Contessa, J., & Jethwa, K. (2021). Practice Patterns Related to Mitigation of Neurocognitive Decline in Patients Receiving Whole-Brain Radiation Therapy.. doi.org. https://doi.org/10.1016/j.ijrobp.2021.07.1536
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Jairam, V., Park, H. S., Yu, J. B., Bindra, R., Contessa, J., & Jethwa, K. (2022). Practice Patterns Related to Mitigation of Neurocognitive Decline in Patients Receiving Whole Brain Radiation Therapy. doi.org. https://doi.org/10.1016/j.adro.2022.100949
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Yan, T., Guo, S., Zhang, S., Wang, Q., Zhang, Z., Zhao, W., Li, X., Lai, N., Jiang, W., Xu, Y., & Yang, L. (2026). Senkyunolide I attenuates radiation-induced cognitive dysfunction by restoring PINK1-Parkin-mediated mitophagy and redox homeostasis.. doi.org. https://doi.org/10.1016/j.phymed.2026.158136
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Rizzo, D., Peruzzi, L., Attina’, G., Triarico, S., Maurizi, P., & Ruggiero, A. (2017). Neurocognitive Outcomes in Pediatric Brain Tumors Survivors. doi.org. https://doi.org/10.20900/MO.20170015
What does the evidence say?
The provided papers consistently demonstrate that cranial radiotherapy causes neurocognitive decline, memory loss, and brain injury across both clinical and animal studies. There are no refuting studies present.
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