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Research on ‘Chemo Brain’: MRI Shows Brain Changes After Chemotherapy

Posted Nov 17 2011 11:14am

‘Chemo Brain’: MRI Shows Brain Changes After Chemotherapy (Medscape):

- “Breast cancer survivors who have been treated with chemotherapy show significant changes in brain activity, measured by functional magnetic resonance imaging (fMRI), according to a  study published in the November issue of the Archives of Neurology.”

- “The finding validates patients’ claims of reduced cognitive function after receiving chemotherapy, a phenomenon referred to as “chemo brain,” said lead author Shelli R. Kesler, PhD, from Stanford University School of Medicine in California.”

Link to study  Prefrontal Cortex and Executive Function Impairments in Primary Breast Cancer (Archives of Neurology):

  • Objectives To examine differences in prefrontal-executive function between breast cancer (BC) survivors with and without a history of chemotherapy treatment compared with healthy control women and to determine the associations between prefrontal cortex deficits and behavioral impairments, as well as certain demographic and disease variables.
  • Design Observational study.
  • Setting University-based research facility.
  • Participants Twenty-five women with BC who had received chemotherapy, 19 women with BC who had not received chemotherapy, and 18 healthy female controls, all matched for age and other demographic variables.
  • Results Women with BC demonstrated significantly reduced activation in the left middle dorsolateral prefrontal cortex and premotor cortex compared with healthy controls. The chemotherapy group also demonstrated significantly reduced left caudal lateral prefrontal cortex activation and increased perseverative errors and reduced processing speed compared with the other 2 groups. Reduced left caudal lateral prefrontal cortex activation was significantly correlated with higher disease severity and elevated subjective executive dysfunction in the chemotherapy-treated women. Older age and lower educational level were associated with increased executive function impairment in the chemotherapy group.
  • Conclusions These findings provide further evidence of neurological impairment associated with primary BC irrespective of treatment history. The left caudal lateral prefrontal region may be particularly vulnerable to the effects of chemotherapy and/or disease severity and may represent a novel biomarker of subjective executive dysfunction in chemotherapy-treated women. Furthermore, negative effects of chemotherapy on brain function may be exacerbated by such factors as increased age and lower educational level.

To learn more, see related articles on Chemo Brain .

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