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URL http://www.rockymountainbmt.com/news/Smaller-white-matter-volumes-were-linked-to-deficits-in-neurocognitive-performance-among-long-term-survivors-of-acute-lymphoblastic-leukemia-ALL-1085.html

Smaller white-matter volumes were linked to deficits in neurocognitive performance among long-term survivors of acute lymphoblastic leukemia (ALL)

06-20-2006

"The primary objective of this study was to test the hypothesis that survivors of childhood ALL have deficits in neurocognitive performance, and smaller white-matter volumes are associated with these deficits. The patients studied included 112 ALL survivors (84 patients who had received chemotherapy only, 28 patients who had received chemotherapy and irradiation; 63 males, 49 females; mean age+/-standard deviation, 4.1 yrs+/-2.6 yrs at diagnosis; mean standard deviation yrs since diagnosis, 6.0+/-3.5 yrs), and 33 healthy siblings who participated as a control group," scientists in the United States reported.

"Neurocognitive tests of attention, intelligence, and academic achievement were performed; and magnetic resonance images were obtained and subsequently were segmented to yield tissue volume measurements," explained W.E. Reddick and colleagues, St. Jude Children's Research Hospital. "Comparisons of neurocognitive measures and tissue volumes between groups were performed, and the correlations between volumes and neurocognitive performance measures were assessed. Most performance measures demonstrated statistically significant differences from the normative test scores, but only attention measures exceeded 1.0 standard deviation from normal.

"Patients who had received chemotherapy alone had significantly larger volumes of white matter than patients who had received treatment that also included cranial irradiation, but their volumes remained significantly smaller than the volumes in the control group."

The researchers concluded, "Smaller white-matter volumes were associated significantly with larger deficits in attention, intelligence, and academic achievement. Survivors of childhood ALL had significant deficits in attention and smaller white-matter volumes that were associated directly with impaired neurocognitive performance. Cranial irradiation exacerbated these deficits."

Reddick and colleagues published their study in Cancer (Smaller white-matter volumes are associated with larger deficits in attention and learning among long-term survivors of acute lymphoblastic leukemia. Cancer, 2006;106(4):941-949).

For additional information, contact W.E. Reddick, St. Jude Children's Research Hospital, Division Translat Imaging Research, Dept. Radiol Science, MS 210, 332 N Lauderdale St., Memphis, TN 38105, USA.