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Abstract #2398

Changes in Working Memory Structural Connectomes During Reduced Intensity Therapy for WNT-subtype Medulloblastoma

Wilburn E Reddick1, Rajikha Raja1, Ruitian Song1, John O Glass1, Asim K Bag1, Noah Sabin1, Tushar Patni2, Yimei Li2, Heather Conklin3, Jason Ashford3, Arzu Onar-Thomas2, Thomas E Merchant4, Amar Gajjar5, and Giles W Robinson5
1Diagnostic Imaging, St Jude Children's Research Hospital, Memphis, TN, United States, 2Biostatistics, St Jude Children's Research Hospital, Memphis, TN, United States, 3Psychology and Biobehavioral Sciences, St Jude Children's Research Hospital, Memphis, TN, United States, 4Radiation Oncology, St Jude Children's Research Hospital, Memphis, TN, United States, 5Oncology, St Jude Children's Research Hospital, Memphis, TN, United States

Synopsis

Keywords: Structural Connectivity, Cancer

Motivation: Cognitive impairment following treatment of medulloblastoma has been associated with white matter structural changes and altered structural brain connectivity.

Goal(s): We hypothesized that decreased intensity therapy would reduce acute change in the working memory structural connectome.

Approach: Working memory structural connectomes were assessed relative to baseline after 15 Gy craniospinal irradiation (RT), after subsequent reduced-intensity chemotherapy, and during follow-up for 24 children treated for WNT-subtype (WNT) medulloblastoma.

Results: Changes after RT or chemotherapy showed small increases in connectivity strength in frontal striatal edges indicating little acute change. Follow-up revealed significant decreases in connectivity of the bilateral connections between caudate/thalamus.

Impact: Increased connectivity of frontal striatal edges after therapy and decreased connectivity of caudate/thalamus edges in follow-up for patients receiving reduced intensity therapy for WNT medulloblastoma may indicate a low incidence of acute changes.

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