Meta-analysis of altered gray matter volume in acute lymphoblastic leukemia patients’ postchemotherapy via the AES–SDM

Abstract Background Voxel-based morphometry (VBM) reveals diverse alterations in gray matter volume in acute lymphoblastic leukemia (ALL) patients after chemotherapy. However, the reported results are inconsistent. Therefore, our objective was to conduct a meta-analysis to synthesize findings from e...

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Main Authors: Xuelian Zong, Huiping Liu, Xiaoyun Zhao
Format: Article
Language:English
Published: BMC 2025-04-01
Series:European Journal of Medical Research
Subjects:
Online Access:https://doi.org/10.1186/s40001-025-02461-2
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author Xuelian Zong
Huiping Liu
Xiaoyun Zhao
author_facet Xuelian Zong
Huiping Liu
Xiaoyun Zhao
author_sort Xuelian Zong
collection DOAJ
description Abstract Background Voxel-based morphometry (VBM) reveals diverse alterations in gray matter volume in acute lymphoblastic leukemia (ALL) patients after chemotherapy. However, the reported results are inconsistent. Therefore, our objective was to conduct a meta-analysis to synthesize findings from existing VBM studies and identify consistent patterns of altered gray matter volume in ALL patients post-chemotherapy. Materials and methods A systematic search was conducted across PubMed, Web of Knowledge, Embase, Google Scholar, and CNKI for VBM studies that compared ALL patients post-chemotherapy with healthy controls (HCs) up to April 1, 2024. Significant cluster coordinates were extracted for comprehensive analysis. Results We included 7 studies involving 143 ALL patients post-chemotherapy and 140 HCs. ALL patients who underwent chemotherapy presented decreased gray matter volume in the left caudate nucleus, left calcarine fissure/surrounding cortex, left precentral gyrus and right anterior thalamic projections. Jackknife sensitivity analysis validated the robustness of these findings. Conclusions This meta-analysis revealed consistent gray matter volume alterations in ALL patients post-chemotherapy, emphasizing the need to explore their underlying mechanisms and long-term effects on cognitive and neurological health.
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spelling doaj-art-d66c8b936f64420d883f24caa8e76b0b2025-08-20T03:08:05ZengBMCEuropean Journal of Medical Research2047-783X2025-04-013011910.1186/s40001-025-02461-2Meta-analysis of altered gray matter volume in acute lymphoblastic leukemia patients’ postchemotherapy via the AES–SDMXuelian Zong0Huiping Liu1Xiaoyun Zhao2Department of Hematology, The 940th Hospital of Joint Logistics Support Force of Chinese People’S Liberation ArmyDepartment of Pediatrics, The 940th Hospital of Joint Logistics Support Force of Chinese People’S Liberation ArmyDepartment of Pediatrics, The 940th Hospital of Joint Logistics Support Force of Chinese People’S Liberation ArmyAbstract Background Voxel-based morphometry (VBM) reveals diverse alterations in gray matter volume in acute lymphoblastic leukemia (ALL) patients after chemotherapy. However, the reported results are inconsistent. Therefore, our objective was to conduct a meta-analysis to synthesize findings from existing VBM studies and identify consistent patterns of altered gray matter volume in ALL patients post-chemotherapy. Materials and methods A systematic search was conducted across PubMed, Web of Knowledge, Embase, Google Scholar, and CNKI for VBM studies that compared ALL patients post-chemotherapy with healthy controls (HCs) up to April 1, 2024. Significant cluster coordinates were extracted for comprehensive analysis. Results We included 7 studies involving 143 ALL patients post-chemotherapy and 140 HCs. ALL patients who underwent chemotherapy presented decreased gray matter volume in the left caudate nucleus, left calcarine fissure/surrounding cortex, left precentral gyrus and right anterior thalamic projections. Jackknife sensitivity analysis validated the robustness of these findings. Conclusions This meta-analysis revealed consistent gray matter volume alterations in ALL patients post-chemotherapy, emphasizing the need to explore their underlying mechanisms and long-term effects on cognitive and neurological health.https://doi.org/10.1186/s40001-025-02461-2Acute lymphoblastic leukemiaVoxel-based morphometryAES–SDMMeta-analysis
spellingShingle Xuelian Zong
Huiping Liu
Xiaoyun Zhao
Meta-analysis of altered gray matter volume in acute lymphoblastic leukemia patients’ postchemotherapy via the AES–SDM
European Journal of Medical Research
Acute lymphoblastic leukemia
Voxel-based morphometry
AES–SDM
Meta-analysis
title Meta-analysis of altered gray matter volume in acute lymphoblastic leukemia patients’ postchemotherapy via the AES–SDM
title_full Meta-analysis of altered gray matter volume in acute lymphoblastic leukemia patients’ postchemotherapy via the AES–SDM
title_fullStr Meta-analysis of altered gray matter volume in acute lymphoblastic leukemia patients’ postchemotherapy via the AES–SDM
title_full_unstemmed Meta-analysis of altered gray matter volume in acute lymphoblastic leukemia patients’ postchemotherapy via the AES–SDM
title_short Meta-analysis of altered gray matter volume in acute lymphoblastic leukemia patients’ postchemotherapy via the AES–SDM
title_sort meta analysis of altered gray matter volume in acute lymphoblastic leukemia patients postchemotherapy via the aes sdm
topic Acute lymphoblastic leukemia
Voxel-based morphometry
AES–SDM
Meta-analysis
url https://doi.org/10.1186/s40001-025-02461-2
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AT xiaoyunzhao metaanalysisofalteredgraymattervolumeinacutelymphoblasticleukemiapatientspostchemotherapyviatheaessdm