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Abstract #4174

Assessment of changes in structural connectivity of the central executive network during cranial radiotherapy in children treated for medulloblastoma

Wilburn E Reddick1, John O Glass1, Elizabeth C Duncan1, Jung Won Hyun2, Qing Ji1, Yimei Li2, and Amar Gajjar3

1Diagnostic Imaging, St. Jude Children's Research Hospital, Memphis, TN, United States, 2Biostatistics, St. Jude Children's Research Hospital, Memphis, TN, United States, 3Oncology, St. Jude Children's Research Hospital, Memphis, TN, United States

Diffusion tensor imaging from 30 childhood medulloblastoma patients were analyzed to assess changes in structural connectivity of the central executive network (CEN) in response to cranial irradiation. Significant drops in fractional anisotropy and axial diffusivity (AX) were demonstrated in most of the CEN subnetworks after irradiation. Furthermore, patients receiving the highest CRT dose had significantly decreased AX in all subnetworks of the CEN. These findings suggest significant reduction in the microstructural integrity within the CEN immediately after CRT in this population and support the use of the CEN model for evaluating changes in cerebral white matter early in therapy.

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