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
Hızlı Erişim
Metrikler
JCR Quartile
Q2
TEŞV Puanı
24,00
Yazar Sayısı
6