Evidence map›Paper›PMID 29632751›Full record

ArticleCureus2018

Staged Image-guided Robotic Radiosurgery and Deferred Chemotherapy to Treat a Malignant Glioma During and After Pregnancy.

Pantaleo Romanelli, Milena Paiano, Veronica Crocamo, Giancarlo Beltramo, Achille Bergantin, Evaggelos Pantelis, Christos Antypas, Anna Clerico

Open access · diamondAbstract readCase Reports
In one paragraph

Article in Cureus, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

8 authors at 5 institutions in 2 countries.

Pantaleo RomanelliCyberknife Center, Centro diagnostico italiano.
Milena PaianoPediatria, Policlinico Umberto I Roma.
Veronica CrocamoPediatrics Sapienza Rome, Sapienza Rome.
Giancarlo BeltramoCyberknife Center, Centro diagnostico italiano.
Achille BergantinCyberknife Center, Cyberknife Center, Centro Diagnostico Italiano.
Evaggelos PantelisCyberKnife and TomoTherapy department, Iatropolis Clinic.
Christos AntypasIatropolis Cyberknife Center.
Anna ClericoPediatria, Policlinico Umberto I Roma.
Sapienza University of Rome · ITPoliclinico Umberto I · ITCentro Diagnostico Italiano · ITCyber Laser (Japan) · JPUnitelma Sapienza University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A 26-year-old pregnant woman with a fast-growing malignant deep-seated brain glioma was offered a therapeutic abortion to allow subsequent surgical resection. This option was refused by the mother, but the fast tumor growth placed the life of both mother and child at risk. A staged CyberKnife radiosurgery treatment was then planned, aiming to provide at least temporary tumor growth control and allow a safe delivery while keeping the doses received by the fetus well below the allowed doses. Growth control and the safe delivery of a healthy child were achieved after this first treatment. An intensive chemotherapy program based on the combination of Avastin, irinotecan, and Temodal was then started. Recurring tumor growth was treated with a second CyberKnife procedure while continuing the above chemotherapy protocol. At 43 months after the second CyberKnife procedure, the tumor had disappeared on magnetic resonance imaging. Neither mother nor child showed the neurological sequelae. Staged radiosurgery and deferred chemotherapy proved to be a safe and effective treatment to allow the delivery of a healthy child and the long-term control of an aggressive brain glioma.

Indexed as

cyberknifehigh-grade gliomapregnancyradiosurgery

Identifiers

PMID29632751
PMCPMC5880588
OpenAlexW2787049507

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.