Evidence map›Paper›PMID 29799334›Full record

ArticleJournal of neurosurgery. Spine2018

Stereotactic body radiation therapy for benign spine tumors: is dose de-escalation appropriate?

Ronny Kalash, Scott M Glaser, John C Flickinger, Steven Burton, Dwight E Heron, Peter C Gerszten, Johnathan A Engh, Nduka M Amankulor, John A Vargo

Open access · bronzeAbstract read
In one paragraph

Article in Journal of neurosurgery. Spine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Benign Spinal Tumors.Advances in experimental medicine and biology · 2023
    Article
  6. Review
  7. Stereotactic radiotherapy for spinal hemangioblastoma - disease control and volume analysis in long-term follow up.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2022
    Article
  8. Article
  9. 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

9 authors at 2 institutions in 1 country.

Ronny KalashDepartments of1Radiation Oncology and.
Scott M GlaserDepartments of1Radiation Oncology and.
John C FlickingerDepartments of1Radiation Oncology and.
Steven BurtonDepartments of1Radiation Oncology and.
Dwight E HeronDepartments of1Radiation Oncology and.
Peter C Gerszten2Neurosurgery, University of Pittsburgh Medical Center Hillman Cancer Center, Pittsburgh, Pennsylvania.
Johnathan A Engh2Neurosurgery, University of Pittsburgh Medical Center Hillman Cancer Center, Pittsburgh, Pennsylvania.
Nduka M Amankulor2Neurosurgery, University of Pittsburgh Medical Center Hillman Cancer Center, Pittsburgh, Pennsylvania.
John A VargoDepartments of1Radiation Oncology and.
University of Pittsburgh Medical Center · USWest Virginia University · US

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Sally Lynn Hodder · 2012 to 2026
$81.0M
NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

OBJECTIVE Akin to the nonoperative management of benign intracranial tumors, stereotactic body radiation therapy (SBRT) has emerged as a nonoperative treatment option for noninfiltrative primary spine tumors such as meningioma and schwannoma. The majority of initial series used higher doses of 16-24 Gy in 1-3 fractions. The authors hypothesized that lower doses (such as 12-13 Gy in 1 fraction) might provide an efficacy similar to that found with the dose de-escalation commonly used for intracranial radiosurgery to treat acoustic neuroma or meningioma and with a lower risk of toxicity. METHODS The authors identified 38 patients in a prospectively maintained institutional radiosurgery database who were treated with definitive SBRT for a total of 47 benign primary spine tumors between 2004 and 2016. SBRT consisted of 9-21 Gy in 1-3 fractions using the CyberKnife (n = 11 [23%]), Synergy S (n = 21 [45%]), or TrueBeam (n = 15 [32%]) radiosurgery platform. For a comparison of SBRT doses, patients were dichotomized into 1 of 2 groups (low-dose or high-dose SBRT) using a cutoff biologically effective dose (BED

Indexed as

AdultAgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesRadiosurgeryRadiotherapy DosageSpinal NeoplasmsBED10Gy = biologically effective dosebenign tumorsdosehemangioblastomameningiomaoncologySBRTSBRT = stereotactic body radiation therapyschwannomaspineSRS = stereotactic radiosurgery

Identifiers

PMID29799334
PMCPMC7425586
OpenAlexW2804996702

What OpenQuestion holds

Textmetadata
LicenceTDM
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.