Evidence map›Paper›PMID 27291894›Full record

ArticleJournal of neuro-oncology2016

Stereotactic biopsy of brainstem lesions: 21 years experiences of a single center.

Johanna Quick-Weller, Stephanie Lescher, Markus Bruder, Nazife Dinc, Bedjan Behmanesh, Volker Seifert, Lutz Weise, Gerhard Marquardt

Abstract read
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In one paragraph

Article in Journal of neuro-oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 3 pooled it
2.4field-weighted citation impact, top 11% 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

22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
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  6. Fluorescence-aided stereotactic needle biopsies for brain tumors: experience on 516 cases.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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  18. Management and outcome of pediatric brainstem and cerebellar peduncular low-grade gliomas: a retrospective analysis of 62 cases.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2022
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  19. Outpatient stereotactic brain biopsies.Neurosurgical review · 2022
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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

8 authors at 1 institution in 1 country.

Johanna Quick-WellerNeurosurgical Clinic, Goethe-University Frankfurt, Schleusenweg 2-16, 60528, Frankfurt, Germany. johanna.quick@gmx.de.
Stephanie LescherInstitute for Neuroradiology, Goethe-University Frankfurt, Frankfurt, Germany.
Markus BruderNeurosurgical Clinic, Goethe-University Frankfurt, Schleusenweg 2-16, 60528, Frankfurt, Germany.
Nazife DincNeurosurgical Clinic, Goethe-University Frankfurt, Schleusenweg 2-16, 60528, Frankfurt, Germany.
Bedjan BehmaneshNeurosurgical Clinic, Goethe-University Frankfurt, Schleusenweg 2-16, 60528, Frankfurt, Germany.
Volker SeifertNeurosurgical Clinic, Goethe-University Frankfurt, Schleusenweg 2-16, 60528, Frankfurt, Germany.
Lutz WeiseNeurosurgical Clinic, Goethe-University Frankfurt, Schleusenweg 2-16, 60528, Frankfurt, Germany.
Gerhard MarquardtNeurosurgical Clinic, Goethe-University Frankfurt, Schleusenweg 2-16, 60528, Frankfurt, Germany.
Goethe University Frankfurt · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stereotactic biopsies are procedures performed to obtain tumor tissue for diagnostic examinations. Cerebral lesions of unknown entities can safely be accessed and tissue can be examined, resulting in correct diagnosis and according treatment. Stereotactic procedures of lesions in highly eloquent regions such as the brainstem have been performed for more than two decades in our department. In this retrospective study we focus on results, approaches, modalities of anesthesia, and complications. We performed a retrospective analysis of our prospective database, including 26 patients who underwent stereotactic biopsy of the brainstem between April 1994 and June 2015. All of the patients underwent preoperative MRI. Riechert-Mundinger-frame was used before 2000, thereafter the Leksell stereotactic frame was used. After 2000 entry and target points were calculated by using BrainLab stereotactic system. We evaluated histopathological results as well as further treatment; additionally we compared complications of local versus general anesthesia and complications of a frontal versus a trans-cerebellar approach. Median age of all patients was 33 years, and median number of tissue samples taken was 12. In all patients a final histopathological diagnosis could be established. 5 patients underwent the procedure under local anesthesia, 21 patients in general anesthesia. In 19 patients a frontal approach was performed, while in 7 patients a trans-cerebellar approach was used. Complications occurred in five patients. Thereby no significant difference was found with regard to approach (frontal versus trans-cerebellar) or anesthesia (local versus general). Stereotactic biopsies even of lesions in the brainstem are a save way to obtain tumor tissue for final diagnosis, resulting in adequate treatment. Approach can be trans-cerebellar or frontal and procedure can be performed either under local or general anesthesia without significant differences concerning complication rate.

Indexed as

AdultAgedAnesthesia, LocalBiopsyBrain NeoplasmsBrain StemChildChild, PreschoolFemaleGliomaHumansInfantMagnetic Resonance ImagingMaleMiddle AgedRetrospective StudiesBrainstem lesionFrontal approachGeneral anesthesiaLocal anesthesiaStereotactic biopsyTrans cerebellar approach

Identifiers

PMID27291894
OpenAlexW2413780172

What OpenQuestion holds

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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.