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SCI-Expanded JCR Q2 Özgün Makale Scopus
Investigation of the effects of Gamma Knife radiosurgery on optic pathways using diffusion tensor MRI within the first year after treatment
Neuroradiology 2024 Cilt 66
Scopus Eşleşmesi Bulundu
66
Cilt
609-620
Sayfa
Scopus Yazarları: Gökhan Kurt, Merve Yazol, Halil Özer, Berrak Barutcu Asfuroğlu, Ali Yusuf Öner, Ömer Hakan Emmez
Özet
Purpose: To investigate the radiation-induced effects of Gamma Knife radiosurgery (GKRS) for sellar-parasellar tumors on optic pathways using DTI parameters within the first year after treatment. Methods: Twenty-five patients with sellar-parasellar tumors underwent MRI before and 3 months after GKRS, including T1WI, DTI, T2WI. Moreover, 21 patients underwent follow-up DTI 6–8 months after radiosurgery. ROIs were set on optic nerves, optic radiations, and control localizations; DTI parameters for each were calculated. Pre- and post-radiosurgery differences in DTI values were statistically compared and assessed with respect to tumor size changes. Results: Following GKRS, DTI parameters, notably ADC, FA, and RD, showed statistically significant changes in optic nerves and anterior optic radiations. DTI changes were more significant in the group of cases with tumor shrinkage. In this group, DTI of the anterior optic radiations further deteriorated 3 months post-GKRS, whereas acute changes in DTI parameters of the optic nerves resolved within 6–8 months. DTI of central and posterior optic radiations did not differ significantly following radiosurgery; 6–8 months after radiosurgery, visual function was stable in 14 (56%) patients and improved in 11 (44%), showing no correlation with tumor size changes or DTI parameters. Conclusion: White Matter (WM) injury in the optic pathways can be induced by Gamma Knife radiosurgery targeted to sellar and parasellar tumors. Following GKRS, microstructural abnormalities occurred in the optic radiations as well as the optic nerves within the first post-treatment year. Our findings could support modifications to radiosurgical treatment strategies to minimize the risk of permanent WM injury.
Anahtar Kelimeler (Scopus)
Diffusion tensor imaging Radiation-induced optic injury Optic pathways Gamma Knife radiosurgery Sellar-parasellar tumors

Anahtar Kelimeler

DTI gamma knife optic pathways sellar-parasellar Diffusion tensor imaging Radiation-induced optic injury Gamma Knife radiosurgery Sellar-parasellar tumors
mavi = YÖKSİS   yeşil = Scopus

Makale Bilgileri

Dergi Neuroradiology
ISSN 0028-3940
Yıl 2024 / 2. ay
Cilt / Sayı 66
Sayfalar 609 – 620
Makale Türü Özgün Makale
Hakemlik Hakemli
Endeks SCI-Expanded
JCR Quartile Q2
TEŞV Puanı 24,00
Yayın Dili İngilizce
Kapsam Uluslararası
Toplam Yazar 6 kişi
Erişim Türü Basılı+Elektronik
Erişim Linki Makaleye Git
Alan Sağlık Bilimleri Temel Alanı Radyoloji DTI,gamma knife,optic pathways,sellar-parasellar

YÖKSİS Yazar Kaydı

Yazar Adı YAZOL MERVE,ÖZER HALİL,BARUTCU BERRAK,KURT GÖKHAN,EMMEZ ÖMER HAKAN,ÖNER ALİ YUSUF
YÖKSİS ID 7814446

Metrikler

JCR Quartile Q2
TEŞV Puanı 24,00
Yazar Sayısı 6