Evidence map›Paper›PMID 26788278›Full record

ArticleRare tumors2015

The Effectiveness of Bevacizumab in Radionecrosis After Radiosurgery of a Single Brain Metastasis.

Durim Delishaj, Stefano Ursino, Francesco Pasqualetti, Ilaria Pesaresi, Ilaria Desideri, Mirco Cosottini, Concetta Laliscia, Fabiola Paiar, Maria Grazia Fabrini

Open access · goldAbstract readCase Reports
In one paragraph

Article in Rare tumors, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Bevacizumab for pediatric radiation necrosis.Neuro-oncology practice · 2020
    Article
  4. Article
  5. Brain metastases: neuroimaging.Handbook of clinical neurology · 2018
    Review
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Durim DelishajDepartment of Radiotherapy, University Hospital of Pisa , Italy.
Stefano UrsinoDepartment of Radiotherapy, University Hospital of Pisa , Italy.
Francesco PasqualettiDepartment of Radiotherapy, University Hospital of Pisa , Italy.
Ilaria PesaresiNeuroradiology Unit, University Hospital of Pisa , Italy.
Ilaria DesideriNeuroradiology Unit, University Hospital of Pisa , Italy.
Mirco CosottiniNeuroradiology Unit, University Hospital of Pisa , Italy.
Concetta LalisciaDepartment of Radiotherapy, University Hospital of Pisa , Italy.
Fabiola PaiarDepartment of Radiotherapy, University Hospital of Pisa , Italy.
Maria Grazia FabriniDepartment of Radiotherapy, University Hospital of Pisa , Italy.
Azienda Ospedaliera Universitaria Pisana · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Radionecrosis (RN) of brain tissue is a serious late complication of brain irradiation and historically has been treated with corticos-teroid therapy and alternatively surgical decompression. Recently, bevacizumab has been suggested for treatment of cerebral radiation necrosis. We present a case of a 73-years-old women affected by a primary non-small cell lung cancer with a single brain metastasis treated with radiosurgery. Two years after radiosurgery the patient referred neurological symptoms and a brain magnetic resonance confirmed the presence of RN. The patient refused surgical decompression so underwent at the treatment with bevacizumab 7.5 mg/kg/2 weeks for a total of 4 cycles. After two months of treatment the patient reported strumental and clinical improvement. Ten months after bevacizumab discontinuation the patient experienced a recurrence of RN with evident clinical manifestation and confirmed by radiological imaging. A new treatment with bevacizumab was not performed due to the systemic progression disease and the worsening of clinical status. Despite limited to only one clinical case, our study suggests the efficacy of bevacizumab to treat RN. Future studies are needed to confirm its mechanism and to properly define the optimal scheduling, dosage and duration of therapy.

Indexed as

Bevacizumabradionecrosisstereotactic radiotherapy

Identifiers

PMID26788278
PMCPMC4703924
OpenAlexW2215645718

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.