Evidence map›Paper›PMID 27936894›Full record

SynthesisThe British journal of radiology2017

Fractionated stereotactic radiation therapy for brain metastases: a systematic review with tumour control probability modelling.

Sujith Baliga, Madhur K Garg, Jana Fox, Shalom Kalnicki, Patrick A Lasala, Mary R Welch, Wolfgang A Tomé, Nitin Ohri

5 registry-linked trialsAbstract readSystematic Review
In one paragraph

Synthesis in The British journal of radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT03726359 narecruitingnot on this map

Phase I TITE-CREM Dose Escalation Study of Fractionated Stereotactic Radiation Therapy (FSRT) in Unresected Brain Metastases

TypeinterventionalSponsorAlbert Einstein College of MedicineRan2017 to 2027Enrolled43ConditionsBrain MetastasesArmsFractionated Stereotactic Radiation Therapy (FSRT)
NCT04345146 phase2completednot on this mapstarted 2020, after this paper: background citation

A Prospective, Phase II Study of Bevacizumab Combined With Fractionated Stereotactic Radiotherapy in Patients With 1 to 10 Brain Metastases From Non-small Cell Lung Cancer

TypeinterventionalSponsorSun Yat-sen UniversityRan2020 to 2023Enrolled100ConditionsNon-small Cell Lung CancerArmsFSRT combined with Bevacizumab
NCT04946019 phase2completednot on this mapstarted 2021, after this paper: background citation

A Prospective, Phase II Study of MR-Linac Guided Adaptive Fractionated Stereotactic Radiotherapy for Brain Metastases From Non-small Cell Lung Cancer

TypeinterventionalSponsorSun Yat-sen UniversityRan2021 to 2024Enrolled55ConditionsNon-small Cell Lung CancerArmsUnity-based MR-Linac guided FSRT
NCT06582940 phase2recruitingnot on this mapstarted 2024, after this paper: background citation

Elimination of PTV Margins Based on MRI-guided Adaptive Stereotactic Radiotherapy for Non-small Cell Lung Cancer With Brain Metastasis

TypeinterventionalSponsorSun Yat-sen UniversityRan2024 to 2026Enrolled168ConditionsMRI-guided Adaptive Radiotherapy, Non-small Cell Lung Cancer, Brain MetastasisArmsMRI-guided adaptive SRT, Conventional SRT
NCT07058428 phase3recruitingnot on this mapstarted 2025, after this paper: background citation

Fractionated Stereotactic Radiotherapy Combines With Bevacizumab for the Treatment of Multiple Brain Metastases in Lung Adenocarcinoma: a Prospective Controlled Phase III Study

TypeinterventionalSponsorSun Yat-Sen University Cancer CenterRan2025 to 2028Enrolled258ConditionsMultiple Brain Metastases in Lung AdenocarcinomaArmsBevacizumab, FSRT, Whole brain radiotherapy
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. CyberknifeJournal of cancer research and clinical oncology · 2021
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Advances in Management of Brain and Leptomeningeal Metastases.Current neurology and neuroscience reports · 2020
    Review
  18. Article
  19. 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

8 authors.

Sujith Baliga1 Department of Radiation Oncology, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY, USA.
Madhur K Garg1 Department of Radiation Oncology, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY, USA.
Jana Fox1 Department of Radiation Oncology, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY, USA.
Shalom Kalnicki1 Department of Radiation Oncology, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY, USA.
Patrick A Lasala2 Department of Neurosurgery, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY, USA.
Mary R Welch3 Department of Oncology, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY, USA.
Wolfgang A Tomé1 Department of Radiation Oncology, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY, USA.
Nitin Ohri1 Department of Radiation Oncology, Montefiore Medical Center, Albert Einstein College of Medicine, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFractionated stereotactic radiotherapy (FSRT) is a relatively new option for the treatment of brain metastases. We performed a quantitative systematic review to determine if local control (LC) following is affected by FSRT dosing regimen.

methodsWe reviewed articles describing LC following FSRT for brain metastases. LC data from each study were extracted from actuarial survival curves and aggregated to form a single data set. LC curves were generated using the Kaplan-Meier method. Log-rank testing and Cox proportional hazards modelling were utilized to test for associations between the biologically effective dose (BED) and LC. Tumour control probability modelling was performed to illustrate the relationship between the BED and the likelihood of LC after FSRT.

results10 studies (720 metastases) met inclusion criteria. Prescription doses ranged from 18 to 42 Gy, delivered in 3-12 fractions (BED range: 29-100 Gy

conclusionFSRT provides high rates of LC for patients with brain metastases. We found evidence for a dose-response relationship that should be explored in prospective trials. Advances in knowledge: This review identified a dose-response relationship for LC in patients treated with FSRT for brain metastases.

Indexed as

Dose Fractionation, RadiationModels, StatisticalBrain NeoplasmsHumansKaplan-Meier EstimateProbabilityProportional Hazards ModelsRadiosurgeryTreatment Outcome

Identifiers

PMID27936894
PMCPMC5685131

What OpenQuestion holds

Textmetadata
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Registered trials

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.