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Late effect of radiation

MedGen UID:
57870
Concept ID:
C0160814
Pathologic Function
Synonyms: Delayed effect of radiation; Late Radiation Injury
SNOMED CT: Late effect of radiation (78523004); Delayed effect of radiation (78523004)

Definition

Late radiation injury (LRI) is the damage to the soft tissue and bone following radiation therapy that occurs weeks and years after the radiation exposure. Pathogenesis of LRI stems from ischemia, interruption of the blood supply and direct cell damage. LRIs include but not limited to the skin atrophy, ulceration and non-healing wounds; cystitis, proctosigmoiditis, resulting to fistulas, abscesses, fibrosis and scaring; laryngitis, osteoradionecrosis; central nervous system injury, optic neuropathy. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVLate effect of radiation

Professional guidelines

PubMed

Wang K, Tepper JE
CA Cancer J Clin 2021 Sep;71(5):437-454. Epub 2021 Jul 13 doi: 10.3322/caac.21689. PMID: 34255347
de Blank P, Bandopadhayay P, Haas-Kogan D, Fouladi M, Fangusaro J
Curr Opin Pediatr 2019 Feb;31(1):21-27. doi: 10.1097/MOP.0000000000000717. PMID: 30531227Free PMC Article
Smit SG, Heyns CF
Nat Rev Urol 2010 Apr;7(4):206-14. Epub 2010 Mar 9 doi: 10.1038/nrurol.2010.23. PMID: 20212517

Recent clinical studies

Etiology

Gramatyka M, Sokół M
Int J Radiat Biol 2020 Mar;96(3):349-359. Epub 2020 Jan 24 doi: 10.1080/09553002.2020.1704299. PMID: 31976800
Feen Rønjom M
Dan Med J 2016 Mar;63(3) PMID: 26931197
Moteabbed M, Yock TI, Paganetti H
Phys Med Biol 2014 Jun 21;59(12):2883-99. Epub 2014 May 15 doi: 10.1088/0031-9155/59/12/2883. PMID: 24828559
Hsu WL, Preston DL, Soda M, Sugiyama H, Funamoto S, Kodama K, Kimura A, Kamada N, Dohy H, Tomonaga M, Iwanaga M, Miyazaki Y, Cullings HM, Suyama A, Ozasa K, Shore RE, Mabuchi K
Radiat Res 2013 Mar;179(3):361-82. Epub 2013 Feb 11 doi: 10.1667/RR2892.1. PMID: 23398354Free PMC Article
Bakhshandeh M, Hashemi B, Mahdavi SR, Nikoofar A, Edraki HR, Kazemnejad A
Int J Radiat Oncol Biol Phys 2012 May 1;83(1):198-203. Epub 2011 Oct 12 doi: 10.1016/j.ijrobp.2011.05.064. PMID: 22000746

Diagnosis

Wong JN, Lenzen AC, Stockman J, Garcia Sosa RM
Pediatr Neurol 2022 Feb;127:56-59. Epub 2021 Nov 19 doi: 10.1016/j.pediatrneurol.2021.11.006. PMID: 34971847
Gramatyka M, Sokół M
Int J Radiat Biol 2020 Mar;96(3):349-359. Epub 2020 Jan 24 doi: 10.1080/09553002.2020.1704299. PMID: 31976800
Scaringi C, Minniti G, Bozzao A, Giangaspero F, Falco T, Greco A, De Sanctis V, Romano A, Enrici RM
J Clin Neurosci 2015 Jun;22(6):1036-7. Epub 2015 Apr 7 doi: 10.1016/j.jocn.2014.12.021. PMID: 25861886
Clarke JL, Chang S
Curr Neurol Neurosci Rep 2009 May;9(3):241-6. doi: 10.1007/s11910-009-0035-4. PMID: 19348713
Oi S, Kokunai T, Ijichi A, Matsumoto S, Raimondi AJ
Neurol Med Chir (Tokyo) 1990 Jan;30(1):36-42. doi: 10.2176/nmc.30.36. PMID: 1694271

Therapy

Andrews RN, Metheny-Barlow LJ, Peiffer AM, Hanbury DB, Tooze JA, Bourland JD, Hampson RE, Deadwyler SA, Cline JM
Radiat Res 2017 May;187(5):599-611. Epub 2017 Mar 6 doi: 10.1667/RR14616.1. PMID: 28398880Free PMC Article
Feen Rønjom M
Dan Med J 2016 Mar;63(3) PMID: 26931197
Wong CS, Fehlings MG, Sahgal A
Spinal Cord 2015 Aug;53(8):574-80. Epub 2015 Mar 24 doi: 10.1038/sc.2015.43. PMID: 25800695
Kma L
Asian Pac J Cancer Prev 2014;15(6):2405-25. doi: 10.7314/apjcp.2014.15.6.2405. PMID: 24761841
Clarke JL, Chang S
Curr Neurol Neurosci Rep 2009 May;9(3):241-6. doi: 10.1007/s11910-009-0035-4. PMID: 19348713

Prognosis

Feen Rønjom M
Dan Med J 2016 Mar;63(3) PMID: 26931197
Hsu WL, Preston DL, Soda M, Sugiyama H, Funamoto S, Kodama K, Kimura A, Kamada N, Dohy H, Tomonaga M, Iwanaga M, Miyazaki Y, Cullings HM, Suyama A, Ozasa K, Shore RE, Mabuchi K
Radiat Res 2013 Mar;179(3):361-82. Epub 2013 Feb 11 doi: 10.1667/RR2892.1. PMID: 23398354Free PMC Article
Bakhshandeh M, Hashemi B, Mahdavi SR, Nikoofar A, Edraki HR, Kazemnejad A
Int J Radiat Oncol Biol Phys 2012 May 1;83(1):198-203. Epub 2011 Oct 12 doi: 10.1016/j.ijrobp.2011.05.064. PMID: 22000746
Stewart AM, Kneale GW
Int J Epidemiol 2000 Aug;29(4):708-14. doi: 10.1093/ije/29.4.708. PMID: 10922349
Van Calenbergh F, D'Haen B, Dom R, Menten J, Plets C
Eur J Paediatr Neurol 1999;3(4):177-80. doi: 10.1016/s1090-3798(99)90053-3. PMID: 10476368

Clinical prediction guides

Andrews RN, Metheny-Barlow LJ, Peiffer AM, Hanbury DB, Tooze JA, Bourland JD, Hampson RE, Deadwyler SA, Cline JM
Radiat Res 2017 May;187(5):599-611. Epub 2017 Mar 6 doi: 10.1667/RR14616.1. PMID: 28398880Free PMC Article
Feen Rønjom M
Dan Med J 2016 Mar;63(3) PMID: 26931197
Moteabbed M, Yock TI, Paganetti H
Phys Med Biol 2014 Jun 21;59(12):2883-99. Epub 2014 May 15 doi: 10.1088/0031-9155/59/12/2883. PMID: 24828559
Bakhshandeh M, Hashemi B, Mahdavi SR, Nikoofar A, Edraki HR, Kazemnejad A
Int J Radiat Oncol Biol Phys 2012 May 1;83(1):198-203. Epub 2011 Oct 12 doi: 10.1016/j.ijrobp.2011.05.064. PMID: 22000746
Oi S, Kokunai T, Ijichi A, Matsumoto S, Raimondi AJ
Neurol Med Chir (Tokyo) 1990 Jan;30(1):36-42. doi: 10.2176/nmc.30.36. PMID: 1694271

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