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High Incidence of Radiation-Induced Cavernous Hemangioma in Long-Term Survivors Who Underwent Hematopoietic Stem Cell Transplantation with Radiation Therapy during Childhood or Adolescence Takashi Koike, Noriharu Yanagimachi, Hiroyuki Ishiguro, Hiromasa Yabe, Miharu Yabe, Tsuyoshi Morimoto, Takashi Shimizu, Hiromitsu Takakura, Shunichi Kato Biology of Blood and Marrow Transplantation Volume 18, Issue 7, Pages (July 2012) DOI: /j.bbmt Copyright © 2012 American Society for Blood and Marrow Transplantation Terms and Conditions
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Figure 1 CH scoring and grading system. This example case has a total CH score of 6 [a(score 3) + b(score 1) + c(score 2)] and CH grade II. Biology of Blood and Marrow Transplantation , DOI: ( /j.bbmt ) Copyright © 2012 American Society for Blood and Marrow Transplantation Terms and Conditions
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Figure 2 Probabilty of developing CH after HSCT. (A) The probability of developing CH in the 68 study patients was 61.5% ± 9.1% at 25 years after HSCT. (B) Based on total cranial radiation dose, the probability was 0% in the patients who did not receive irradiation to the head before and/or during the conditioning treatment for HSCT, 62.0% ± 10.1% in those with a total cranial radiation dose of 6 to 12 Gy, and 100% in those with a total dose of 18 to 36 Gy. These differences are highly significant (P < .001). Biology of Blood and Marrow Transplantation , DOI: ( /j.bbmt ) Copyright © 2012 American Society for Blood and Marrow Transplantation Terms and Conditions
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Figure 3 Total CH scores according to total cranial radiation dose before and/or during conditioning treatment for HSCT. Total CH scores between 0 Gy and 6-12 Gy, between 0 Gy and Gy, and between 6-12 Gy and Gy were statistically significantly different. ∗P < .001, Mann-Whitney U test. Biology of Blood and Marrow Transplantation , DOI: ( /j.bbmt ) Copyright © 2012 American Society for Blood and Marrow Transplantation Terms and Conditions
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Figure 4 Changes in total CH scores during the 5-year observation period in the patients who developed RICH. Biology of Blood and Marrow Transplantation , DOI: ( /j.bbmt ) Copyright © 2012 American Society for Blood and Marrow Transplantation Terms and Conditions
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Figure 5 MRI and CT images in a patient with a giant CH. (A) T1-weighted MRI. (B) T2-weighted MRI. (C) T2∗-weighted MRI. (D) CT. Biology of Blood and Marrow Transplantation , DOI: ( /j.bbmt ) Copyright © 2012 American Society for Blood and Marrow Transplantation Terms and Conditions
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