Evidence map›Paper›PMID 29204523›Full record

ArticleAdvances in radiation oncology

Fractionated stereotactic radiation therapy for intact brain metastases.

Samuel R Marcrom, Andrew M McDonald, Jonathan W Thompson, Richard A Popple, Kristen O Riley, James M Markert, Christopher D Willey, Markus Bredel, John B Fiveash

Open access · goldAbstract read
In one paragraph

Article in Advances in radiation oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 4% 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 81 citations in OpenAlex.

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  20. Feasibility and potential advantages using VMAT in SRS metastasis treatments.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2021
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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

9 authors at 1 institution in 1 country.

Samuel R MarcromDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, Alabama.
Andrew M McDonaldDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, Alabama.
Jonathan W ThompsonDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, Alabama.
Richard A PoppleDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, Alabama.
Kristen O RileyDepartment of Neurosurgery, University of Alabama at Birmingham, Birmingham, Alabama.
James M MarkertDepartment of Neurosurgery, University of Alabama at Birmingham, Birmingham, Alabama.
Christopher D WilleyDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, Alabama.
Markus BredelDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, Alabama.
John B FiveashDepartment of Radiation Oncology, University of Alabama at Birmingham, Birmingham, Alabama.
University of Alabama at Birmingham · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLimited data exist on fractionated stereotactic radiation therapy (FSRT) for brain metastases. We sought to evaluate the safety and efficacy of FSRT and further define its role in brain metastasis management. METHODS AND MATERIALS: A total of 72 patients were treated with linear accelerator-based FSRT to 182 previously untreated, intact brain metastases. Targets received 25 or 30 Gy in 5 fractions. All targets within the same course received the same prescription regardless of size. Toxicity was recorded per Radiation Therapy Oncology Group central nervous system toxicity criteria.

resultsThe median follow-up was 5 months (range, 1-71 months). The Kaplan-Meier estimate of 12-month local control was 86%. Tumors <3 cm in diameter demonstrated improved 12-month local control of 95% compared with 61% in tumors ≥3 cm (

conclusionsFSRT for brain metastases appears to demonstrate a high rate of local control with minimal risk of severe toxicity. Local control appears to be associated with smaller tumor sizeand a higher prescription dose. FSRT is a viable option for those who are poor single-fraction candidates.

Identifiers

PMID29204523
PMCPMC5707424
OpenAlexW2738113322

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.