It is also used in certain types of childhood leukemia.

Purpose of the Procedure

Small cell lung cancer has a strong tendency to spread to the brain.

Because of this, cancer cells that enter the brain have an opportunity to proliferate.

PCI is commonly used in people with limited-stage SCLC who have responded to initial treatment withchemotherapyandradiation therapy.

Sometimes it is also prescribed for people with extensive-stage SCLC if there is no evidence of brain metastases.

The most common short-term side effects include:

The long-term effects can be more profound.

Contraindications

Despite this, PCI has relatively few contraindications.

It is not used on people withepilepsyeither, as it can increase the frequency and severity of seizures.

Before the Procedure

The decision to use prophylactic cranial irradiation is a very personal one.

If more than one radiation dose is required, you will need to wait four hours between doses.

As inconvenient as this may seem, there is evidence that the approach is more effective.

Leave jewelry and other valuables at home.

Eyeglasses and hairpieces will also need to be removed.

Food and Drink

There are no food or drink restrictions associated with PCI.

Larger hospitals are more likely to do so.

The entire process takes around 30 minutes.

Men with facial hair will need to shave their faces completely to ensure that the mold is exact.

Low-dose X-ray beams (beam films) can help record your head position once it is correctly placed.

PCI is typically overseen by the radiation therapist with the aid of a radiology nurse.

A hospital gown will be provided for you to change into.

Throughout the Procedure

Prophylactic cranial irradiation is relatively straightforward.

A two-way intercom allows you to communicate back and forth.

You will hear whirring sounds during the procedure but otherwise feel nothing.

If you are experiencing side effects of any sort, let the nurse or radiation therapist know.

Most people can drive themselves home after undergoing PCI.

There are certain things it’s possible for you to do to manage them.

Your healthcare provider will also monitor for any neurocognitive problems that may arise.

Speak with members of your support web link, including healthcare providers, counselors, friends, and family.

Join an online or in-person support group to meet others who have undergone PCI themselves.

There is neither a “right” nor “wrong” choice.

There is only informed choice, and that begins and ends with you.

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