1
|
Bates J, Shrestha S, Liu Q, Smith S, Mulrooney D, Leisenring W, Gibson T, Robison L, Chow E, Oeffinger K, Armstrong G, Constine L, Hoppe B, Lee C, Yasui Y, Howell R. OC-0208 Cardiac substructure dosimetry and late cardiac arrhythmia in the Childhood Cancer Survivor Study. Radiother Oncol 2021. [DOI: 10.1016/s0167-8140(21)06823-7] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
2
|
Rubin P, Van Houtte P, Constine L. Radiation sensitivity and organ tolerances in pediatric oncology: a new hypothesis. Front Radiat Ther Oncol 2015; 16:62-82. [PMID: 7333480 DOI: 10.1159/000403093] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
|
3
|
Ronckers C, Constine L, Bentzen S, Dhakal S, Hodgson D, Hua C, Hudson M, Kremer L, Martel M, Milano M, Olch A, Schultheiss T, Stovall M, Ten Haken R, Williams J, Yorke E. SP-0171: Pediatric Normal Tissue Effects in the Clinic (PENTEC): An international collaboration. Radiother Oncol 2015. [DOI: 10.1016/s0167-8140(15)40169-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
4
|
Constine L, Hodgson D, Bentzen S. MO-D-BRF-01: Pediatric Treatment Planning II: The PENTEC Report On Normal Tissue Complications. Med Phys 2014. [DOI: 10.1118/1.4889143] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
|
5
|
Castellino S, Keller F, Voss S, Cho S, Constine L, Thompson J, Dunphy C, McCarten K, Chen L, Schwartz C. Outcomes and Patterns of Failure in Children/Adolescents with Low Risk Hodgkin Lymphoma (HL) who Are FDG-PET (PET3) Positive after AVPC Therapy. Klin Padiatr 2014. [DOI: 10.1055/s-0034-1371113] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
6
|
Keller F, Castellino S, Constine L, Voss S, Thomson J, Dunphy C, McCarten K, Chen L, Schwartz C. Intensive Therapy Free Survival (ITFS) for Early-Stage Hodgkin Lymphoma (cHL) Including Chemotherapy and Radiation Therapy (IFRT) for Recurrence after Chemotherapy alone. Klin Padiatr 2014. [DOI: 10.1055/s-0034-1371119] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
7
|
Appel B, Chen L, Hutchison R, Hodgson D, Ehrlich P, Constine L, Schwartz C. Treatment of Pediatric Lymphocyte Predominant Hodgkin Lymphoma (LPHL): A Report from the Children's Oncology Group. Klin Padiatr 2014. [DOI: 10.1055/s-0034-1371120] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
8
|
Sughosh D, Williams J, Rubin P, Constine L. Differential Rates of Tissue Development in Children: Predicting Periods of Heightened Tissue Vulnerability to Radiation Injury. Int J Radiat Oncol Biol Phys 2013. [DOI: 10.1016/j.ijrobp.2013.04.026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
|
9
|
Marks L, Haken RT, Yorke E, Bentzen S, Deasy J, Constine L, Jackson A, Eisbruch A. WE-E-BRA-03: Therapy Symposium: A Clinicianˈs View of Quantec. Med Phys 2011. [DOI: 10.1118/1.3613367] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
|
10
|
Deasy J, Bentzen S, Constine L, Eisbruch A, Jackson A, Marks L, Haken RT, Yorke E. WE-E-BRA-02: Methodological Issues and Key Results in the QUANTEC 2010 Review of Radiation-Induced Normal Tissue Toxicity. Med Phys 2011. [DOI: 10.1118/1.3613366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
|
11
|
Marks L, Deasy J, Yorke E, Ten Haken R, Jackson A, Bentzen S, Constine L, Eisbruch A. RELATING THREE DIMENSIONAL DOSE/VOLUME DATA TO CLINICAL OUTCOMES: AN OVERVIEW OF THE QUANTEC EFFORT. Radiother Oncol 2011. [DOI: 10.1016/s0167-8140(11)71724-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
|
12
|
Haken RT, Bentzen S, Constine L, Eisbruch A, Deasy J, Jackson A, Marks L, Yorke E. SU-FF-T-499: Quantitative Analysis of Normal Tissue Effects in the Clinic (QUANTEC): Limits and Recommendations for Use in Treatment Planning. Med Phys 2009. [DOI: 10.1118/1.3181997] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
|
13
|
Schell M, Abu-Aita R, Rajecki M, Philip A, Meiler R, Rosenzweig D, Clark D, Constine L, Katz A, Okunieff P, Milano M. SU-FF-T-171: Arc Therapy Comparison of TomoTherapy, RapidArc and Dynamic Conformal Arc. Med Phys 2009. [DOI: 10.1118/1.3181646] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
|
14
|
Usuki K, Boudadi K, Thomas O, Adams J, Milano M, Metcalfe S, Tuli R, Wexler O, Schwartz R, Constine L. Subclinical Cardiac Toxicity in Survivors of Hodgkin and Non-Hodgkin Lymphoma after Radiation and Anthracycline Chemotherapy. Int J Radiat Oncol Biol Phys 2008. [DOI: 10.1016/j.ijrobp.2008.06.424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
|
15
|
Oliva J, Kelly J, Liesveld J, Becker M, Phillips G, Sensenig E, Constine L, Bernstein S, Fisher R, Friedberg J. 179: Allogeneic Stem Cell Transplantation for Post-Autologous Stem Cell Transplant Relapse in Hodgkin Lymphoma: Experience at a Single Center. Biol Blood Marrow Transplant 2008. [DOI: 10.1016/j.bbmt.2007.12.188] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
16
|
|
17
|
Miller TL, Lipsitz S, French C, Hinkle A, Constine L, Kozlowski A, Proukou C, Lipshultz SE. Predictors of bone mineral density in pediatric cancer survivors. J Clin Oncol 2005. [DOI: 10.1200/jco.2005.23.16_suppl.8518] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- T. L. Miller
- Univ of Miami, Miami, FL; Medcl Univ of South Carolina, Charleston, SC; Univ of Rochester, Rochester, NY
| | - S. Lipsitz
- Univ of Miami, Miami, FL; Medcl Univ of South Carolina, Charleston, SC; Univ of Rochester, Rochester, NY
| | - C. French
- Univ of Miami, Miami, FL; Medcl Univ of South Carolina, Charleston, SC; Univ of Rochester, Rochester, NY
| | - A. Hinkle
- Univ of Miami, Miami, FL; Medcl Univ of South Carolina, Charleston, SC; Univ of Rochester, Rochester, NY
| | - L. Constine
- Univ of Miami, Miami, FL; Medcl Univ of South Carolina, Charleston, SC; Univ of Rochester, Rochester, NY
| | - A. Kozlowski
- Univ of Miami, Miami, FL; Medcl Univ of South Carolina, Charleston, SC; Univ of Rochester, Rochester, NY
| | - C. Proukou
- Univ of Miami, Miami, FL; Medcl Univ of South Carolina, Charleston, SC; Univ of Rochester, Rochester, NY
| | - S. E. Lipshultz
- Univ of Miami, Miami, FL; Medcl Univ of South Carolina, Charleston, SC; Univ of Rochester, Rochester, NY
| |
Collapse
|
18
|
Liesveld J, Duerst R, Rapoport A, Constine L, Abboud C, Packman C, Wedow L, Zwetsch L, McKenna B, Linder T, Silverman W, Swift S, Rowe J, DiPersio J. Continuous infusion cyclosporine and nifedipine to day +100 with short methotrexate and steroids as GVHD prophylaxis in unrelated donor transplants. Bone Marrow Transplant 1999; 24:511-6. [PMID: 10482935 DOI: 10.1038/sj.bmt.1701947] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Unrelated donor marrow transplantation is associated with an increased incidence of graft-versus-host disease (GVHD) compared with sibling donor transplants. Forty-one patients undergoing unrelated donor transplants were treated with a GVHD prophylaxis regimen that consisted of continuous infusion cyclosporine from day -1 to 100 days post transplant along with nifedipine, glucocorticoids and short-course methotrexate. The regimen was well-tolerated in this cohort with mostly high risk disease. Fifty-one percent of patients developed acute GVHD, which was grade III-IV in 22% of patients. Six of 22 patients at risk for chronic GVHD developed extensive chronic GVHD, five of whom were adults. In patients <18 years of age, there was a >40% chance of 2 year disease-free survival. Use of continuous infusion cyclosporine with nifedipine as an immunosuppressant and protectant against cyclosporine-induced toxicities in unrelated donor transplants is well-tolerated, and results in acute GVHD incidence favorable to that reported with bolus cyclosporine.
Collapse
Affiliation(s)
- J Liesveld
- Department of Medicine, University of Rochester School of Medicine, Rochester, NY 14642, USA
| | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
19
|
Rapoport AP, Miller Watelet LF, Linder T, Eberly S, Raubertas RF, Lipp J, Duerst R, Abboud CN, Constine L, Andrews J, Etter MA, Spear L, Powley E, Packman CH, Rowe JM, Schwertschlag U, Bedrosian C, Liesveld JL. Analysis of factors that correlate with mucositis in recipients of autologous and allogeneic stem-cell transplants. J Clin Oncol 1999; 17:2446-53. [PMID: 10561308 DOI: 10.1200/jco.1999.17.8.2446] [Citation(s) in RCA: 128] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
PURPOSE To identify predictors of oral mucositis and gastrointestinal toxicity after high-dose therapy. PATIENTS AND METHODS Mucositis and gastrointestinal toxicity were prospectively evaluated in 202 recipients of high-dose therapy and autologous or allogeneic stem-cell rescue. Of 10 outcome variables, three were selected as end points: the peak value for the University of Nebraska Oral Assessment Score (MUCPEAK), the duration of parenteral nutritional support, and the peak daily output of diarrhea. Potential covariates included patient age, sex, diagnosis, treatment protocol, transplantation type, stem-cell source, and rate of neutrophil recovery. The three selected end points were also examined for correlation with blood infections and transplant-related mortality. RESULTS A diagnosis of leukemia, use of total body irradiation, allogeneic transplantation, and delayed neutrophil recovery were associated with increased oral mucositis and longer parenteral nutritional support. No factors were associated with diarrhea. Also, moderate to severe oral mucositis (MUCPEAK > or = 18 on a scale of 8 to 24) was correlated with blood infections and transplant-related mortality: 60% of patients with MUCPEAK > or = 18 had positive blood cultures versus 30% of patients with MUCPEAK less than 18 (P =.001); 24% of patients with MUCPEAK > or = 8 died during the transplantation procedure versus 4% of patients with MUCPEAK less than 18 (P =.001). CONCLUSION Gastrointestinal toxicity is a major cause of transplant-related morbidity and mortality, emphasizing the need for corrective strategies. The peak oral mucositis score and the duration of parenteral nutritional support are useful indices of gastrointestinal toxicity because these end points are correlated with clinically significant events, including blood infections and treatment-related mortality.
Collapse
Affiliation(s)
- A P Rapoport
- University of Rochester Medical Center, Rochester, NY.
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
20
|
Abstract
When the hypothalamic-pituitary axis (HPA) is included in the treatment field in children and adults, a variety of neuroendocrine disturbances are more common than has been appreciated in the past. Clinical damage to the pituitary and thyroid glands usually occurs months to years after treatment, and is preceded by a long subclinical phase. Primary brain tumors represent the largest group of malignant solid tumors in children. The survival rates of 50% reported in the literature are achieved at the expense of late occurring effects. Radiation-induced abnormalities are generally dose-dependent. Growth hormone deficiency and premature sexual development can occur at doses as low as 18 Gy in conventional fractionation, and is the most common neuroendocrine problem in children. In patients treated with > 40 Gy on the HPA, deficiency of gonadotropins, thyroid stimulating hormone, and adrenocorticotropin can be found. Following high-dose radiotherapy (> 50 Gy), hyperprolactinemia can be seen, especially among young women. Most neuroendocrine disturbances that develop as a result of HPA can be treated efficiently, provided that an early detection of these endocrine dysfunctions abnormalities is done.
Collapse
Affiliation(s)
- S Bieri
- Département cantonal de radio-oncologie, Ospedale San Giovanni, Bellinzona, Suisse
| | | | | | | |
Collapse
|
21
|
Karayalcin G, Behm FG, Gieser PW, Kung F, Weiner M, Tebbi CK, Ferree C, Marcus R, Constine L, Mendenhall NP, Chauvenet A, Murphy SB. Lymphocyte predominant Hodgkin disease: clinico-pathologic features and results of treatment--the Pediatric Oncology Group experience. Med Pediatr Oncol 1997; 29:519-25. [PMID: 9324338 DOI: 10.1002/(sici)1096-911x(199712)29:6<519::aid-mpo1>3.0.co;2-n] [Citation(s) in RCA: 42] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
PURPOSE In this report, the Pediatric Oncology Group (POG) experience with lymphocyte predominant Hodgkin Disease (LPHD) in children is reviewed. MATERIALS AND METHODS From 1984-1993, the POG conducted 3 clinical trials for advanced stage HD and 2 for early stage HD. There were 26 cases of LPHD in 613 patients in these trials. Patients' ages ranged from 3.1-17.8 years (mean of 12.9 years). There was a marked male predominance. RESULTS Histologic subtypes were 17 nodular, 8 diffuse pattern; 1 was indeterminant. The sites involved at diagnosis were primarily the peripheral lymph nodes. Fourteen patients had stage (S) I disease; 9 had SII; 3 had SIII; there was no SIV disease. Only 4 of 26 patients had B symptoms. All 26 patients achieved complete remission, 10 with radiotherapy, 6 with chemotherapy and 10 with combined modality therapy. Treatment was not uniform since patients were registered on different protocols. Event-free survival after 5 years was 86.5 percent. Two patients developed and succumbed to large cell, T-cell type, non-Hodgkin lymphoma (NHL). CONCLUSIONS Optimal treatment for LPHD should focus on efforts to limit the risk of second malignancy.
Collapse
Affiliation(s)
- G Karayalcin
- Schneider Children's Hospital, Albert Einstein College of Medicine, New Hyde Park, New York 11040, USA
| | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
22
|
Brasacchio R, Constine L, Rapoport A, Rowe J, Liesveld J, Muhs A, Rubin P. 25 Dose escalation of consolidation radiation therapy (involved field) following autologous bone marrow transplant for recurrent Hodgkin's disease and lymphoma. Int J Radiat Oncol Biol Phys 1996. [DOI: 10.1016/s0360-3016(97)85367-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
|
23
|
Mauch P, Constine L, Greenberger J, Knospe W, Sullivan J, Liesveld JL, Deeg HJ. Hematopoietic stem cell compartment: acute and late effects of radiation therapy and chemotherapy. Int J Radiat Oncol Biol Phys 1995; 31:1319-39. [PMID: 7713791 DOI: 10.1016/0360-3016(94)00430-s] [Citation(s) in RCA: 351] [Impact Index Per Article: 12.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
The bone marrow is an important dose-limiting cell renewal tissue for chemotherapy, wide-field irradiation, and autologous bone marrow transplantation. Over the past 5-10 years a great deal has been discovered about the hematopoietic stem cell compartment. Although the toxicity associated with prolonged myelosuppression continues to limit the wider use of chemotherapy and irradiation, ways are being discovered to circumvent this toxicity such as with the increasing use of cytokines. This review describes what is known of how chemotherapy and irradiation damage stem cells and the microenvironment, how cytokines protect hematopoietic cells from radiation damage and speed marrow recovery after chemotherapy or marrow transplantation, and how various types of blood marrow cells contribute to engraftment and long-term hematopoiesis after high doses of cytotoxic agents and/or total body irradiation.
Collapse
Affiliation(s)
- P Mauch
- Joint Center for Radiation Therapy, Department of Radiation Oncology, Harvard Medical School, Boston, MA 02115, USA
| | | | | | | | | | | | | |
Collapse
|
24
|
Brasacchio R, Constine L, Rapoport A, Rowe J, Eberly S, Muhs A, Rubin P. Involved field radiotherapy following auto-transplantation for lymphoma and Hodgkin's disease. Int J Radiat Oncol Biol Phys 1994. [DOI: 10.1016/0360-3016(94)90821-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
25
|
Constine L, Liesveld J, Martin B, Rubin P. Radiation-induced release of select cytokines from human bone marrow. Int J Radiat Oncol Biol Phys 1994. [DOI: 10.1016/0360-3016(94)90878-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
26
|
Sandhu A, Constine L, Muhs A, Schwartz C, Nelson D, Rubin P. Spinal growth in children irradiated to the craniospinal axis for brain tumors. Int J Radiat Oncol Biol Phys 1994. [DOI: 10.1016/0360-3016(94)90654-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
27
|
Clark D, Rubin P, Hutson A, McDermott M, Constine L, Nelson D. Increased incidence of second malignant neoplasms (SMN) in Hodgkin's disease: 30 year followup. Int J Radiat Oncol Biol Phys 1993. [DOI: 10.1016/0360-3016(93)90801-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
28
|
Constine L, Woolf P, Cann D, Mick G, McCormick K, Raubertas R, Rubin P. Hypothalamic hypothyroidism and other neuroendocrine sequelae in children and adults irradiated for brain tumors. Int J Radiat Oncol Biol Phys 1991. [DOI: 10.1016/0360-3016(91)90447-c] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
|
29
|
Bleyer WA, Fallavollita J, Robison L, Balsom W, Meadows A, Heyn R, Sitarz A, Ortega J, Miller D, Constine L. Influence of age, sex, and concurrent intrathecal methotrexate therapy on intellectual function after cranial irradiation during childhood: a report from the Children's Cancer Study Group. Pediatr Hematol Oncol 1990; 7:329-38. [PMID: 2268533 DOI: 10.3109/08880019009033410] [Citation(s) in RCA: 66] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Standard IQ tests were performed in 70 children and adolescents 3.5-10 years (median 5 yrs) after 24 Gy cranial irradiation, with or without concurrent intrathecal methotrexate, for central nervous system prophylaxis of acute lymphoblastic leukemia. Lower IQ scores correlated with younger age, female gender, and concomitant intrathecal methotrexate therapy. Multivariate analysis identified age as the most important determinant of the three factors. The lowest IQ scores were observed in girls who were less than 5 years old at the time of irradiation and who received concurrent intrathecal methotrexate. The observed adverse contribution of simultaneous intrathecal methotrexate therapy on IQ outcome may have significant implications for school performance, peer relationships, and occupational expectations.
Collapse
Affiliation(s)
- W A Bleyer
- Childrens Cancer Study Group, Pasadena, California 91101
| | | | | | | | | | | | | | | | | | | |
Collapse
|
30
|
Rubin P, Hagenmeyer-Hauser S, Gash D, Nelson D, Constine L. The restoration of radiation induced brain damage by fetal donor tissues. Int J Radiat Oncol Biol Phys 1989. [DOI: 10.1016/0360-3016(89)90748-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
|
31
|
Constine L, Konski A, Ekholm S, McDonald S, Rubin P. Adverse effects of brain irradiation correlated with MR and CT imaging. Int J Radiat Oncol Biol Phys 1987. [DOI: 10.1016/0360-3016(87)91025-x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
|
32
|
Rubin P, Constine L, Bennett JM. Hodgkin's disease. IIB or not to be--using irradiation alone or in combination with chemotherapy? That is the question! J Clin Oncol 1986; 4:455-7. [PMID: 3958760 DOI: 10.1200/jco.1986.4.4.455] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023] Open
|
33
|
Abstract
A survey of joint mobility was conducted in 295 healthy children between the ages of 5 and 10 years who attended a London primary school. Estimates of the commonly used measurements, that is passive dorsiflexion of the wirsts and ankles, passive hypertension of the elbows and knee, were too insensitive to detect any age effect. However, a method of estimating extensibility of the 5th metacarpophalangeal joint in response to a standard load detected a highly significant inverse correlation between joint mobility and age in the samples significant inverse correlation between joint mobility and age in the samples tested ( r = -0.586; P less than 0.0001). There was no apparement sex difference. Skinfold thickness using the Harpenden caliper over the 3rd metacarpal bone and the in vivo skin elasticity measured using a suction cup device performed on a sample of 78 of the children revealed no influence of either age or sex on these parameters. This is in sharp contradistinction to the effect of both age and sex in these two parameters in adults...
Collapse
|
34
|
Silverman S, Constine L, Harvey W, Grahame R. Proceedings: Survey of joint mobility and in vivo skin elasticity in London school children. Ann Rheum Dis 1973; 32:588. [PMID: 4760484 PMCID: PMC1006175 DOI: 10.1136/ard.32.6.588-a] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
|