Evidence map›Paper›PMID 27769279›Full record

ArticleRadiation oncology (London, England)2016

Suspected recurrence of brain metastases after focused high dose radiotherapy: can [

Alexander Romagna, Marcus Unterrainer, Christine Schmid-Tannwald, Matthias Brendel, Jörg-Christian Tonn, Silke Birgit Nachbichler, Alexander Muacevic, Peter Bartenstein, Friedrich-Wilhelm Kreth, Nathalie Lisa Albert

Open access · goldAbstract read
In one paragraph

Article in Radiation oncology (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
6.4field-weighted citation impact, top 3% 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

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 68 citations in OpenAlex.

  1. Guideline
  2. DEGRO practical guideline for central nervous system radiation necrosis part 1: classification and a multistep approach for diagnosis.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2022
    Guideline
  3. Pooled it
  4. Trial
  5. Comparison ofClinical and translational radiation oncology · 2025
    Article
  6. Review
  7. Review
  8. EJNMMI reports · 2024
    Article
  9. Journal of neuro-oncology · 2023
    Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Treatment Monitoring of Immunotherapy and Targeted Therapy UsingJournal of nuclear medicine : official publication, Society of Nuclear Medicine · 2021
    Article
  17. Article
  18. Review
  19. [Cancers · 2021
    Article
  20. Article
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

10 authors at 1 institution in 1 country.

Alexander RomagnaDepartment of Neurosurgery, Ludwig-Maximilians-University of Munich, Munich, Germany.
Marcus UnterrainerDepartment of Nuclear Medicine, Ludwig-Maximilians-University of Munich, Marchioninistr. 15, 81377, Munich, Germany.
Christine Schmid-TannwaldInstitute of Clinical Radiology, Ludwig-Maximilians-University of Munich, Munich, Germany.
Matthias BrendelDepartment of Nuclear Medicine, Ludwig-Maximilians-University of Munich, Marchioninistr. 15, 81377, Munich, Germany.
Jörg-Christian TonnDepartment of Neurosurgery, Ludwig-Maximilians-University of Munich, Munich, Germany.
Silke Birgit NachbichlerDepartment of Radiation Oncology, Hospital of the University of Munich, Campus Grosshadern, Ludwig-Maximilians-University of Munich, Munich, Germany.
Alexander MuacevicEuropean CyberKnife Center Munich, Munich, Germany.
Peter BartensteinDepartment of Nuclear Medicine, Ludwig-Maximilians-University of Munich, Marchioninistr. 15, 81377, Munich, Germany.
Friedrich-Wilhelm KrethDepartment of Neurosurgery, Ludwig-Maximilians-University of Munich, Munich, Germany.
Nathalie Lisa AlbertDepartment of Nuclear Medicine, Ludwig-Maximilians-University of Munich, Marchioninistr. 15, 81377, Munich, Germany. Nathalie.Albert@med.uni-muenchen.de.
Ludwig-Maximilians-Universität München · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAfter focused high dose radiotherapy of brain metastases, differentiation between tumor recurrence and radiation-induced lesions by conventional MRI is challenging. This study investigates the usefulness of dynamic O-(2-

methodsTwenty-two patients with 34 brain metastases (median age 61.9 years) were included. Due to follow-up scan evaluations after repeated treatment in a subset of patients, a total of 50 lesions with MRI-based suspicion of tumor recurrence after focused high dose radiotherapy could be evaluated.

resultsTumor recurrence was found in 21/50 cases (15/21 verified by histology, 6/21 by radiological-clinical follow-up) and radiation-induced changes in 29/50 cases (5/29 verified by histology, 24/29 by radiological-clinical follow-up). Median clinical-radiological follow-up was 28.3 months (range 4.2-99.1 months).

conclusionsIn patients with MRI-suspected tumor recurrence after focused high dose radiotherapy,

Indexed as

Positron-Emission TomographyBrachytherapyBrain NeoplasmsFemaleHumansMaleMiddle AgedNeoplasm Recurrence, LocalRadiosurgeryROC CurveTyrosineO-(2-fluoroethyl)tyrosineTyrosine18F-FET PETBrain metastasesKinetic analysisRadionecrosisRadiosurgery

Identifiers

PMID27769279
PMCPMC5073742
OpenAlexW2536503259

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.