Evidence map›Paper›PMID 30538886›Full record

ArticleJournal of radiosurgery and SBRT2018

Stereotactic body radiotherapy used as a bridge to liver transplant in patients with hepatocellular carcinoma and Child-Pugh score ≥8 cirrhosis.

Steven Gresswell, Rachel Tobillo, Shaakir Hasan, Tadahiro Uemura, Lorenzo Machado, Ngoc Thai, Alexander Kirichenko

Abstract read
In one paragraph

Article in Journal of radiosurgery and SBRT, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.2field-weighted citation impact, top 19% 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

14 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
  2. SBRT for bridging and downstaging HCC before transplant.JHEP reports : innovation in hepatology · 2025
    Article
  3. No disease left behind.Oncotarget · 2025
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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

7 authors at 1 institution in 1 country.

Steven GresswellDivision of Radiation Oncology, Allegheny Health Network, 320 East North Ave, Pittsburgh, PA 15212, USA.
Rachel TobilloCharles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL 33431, USA.
Shaakir HasanDivision of Radiation Oncology, Allegheny Health Network, 320 East North Ave, Pittsburgh, PA 15212, USA.
Tadahiro UemuraDivision of Transplant Surgery, Allegheny Health Network, 320 East North Ave, Pittsburgh, PA 15212, USA.
Lorenzo MachadoDivision of Transplant Surgery, Allegheny Health Network, 320 East North Ave, Pittsburgh, PA 15212, USA.
Ngoc ThaiDivision of Transplant Surgery, Allegheny Health Network, 320 East North Ave, Pittsburgh, PA 15212, USA.
Alexander KirichenkoDivision of Radiation Oncology, Allegheny Health Network, 320 East North Ave, Pittsburgh, PA 15212, USA.
Florida Atlantic University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTo report on SBRT as a bridge to OLT for patients with HCC and Child-Pugh ≥8 cirrhosis.

methodsRetrospective review of 15 patients, treated from 2010-2017. Three patients excluded secondary to delisting from prohibitive substance. Twelve patients (17 lesions) included for final analysis. Hepatic SPECT functional treatment planning utilized.

resultsThe median age of 60 years with a median CP 9 and MELD 14. The median SBRT dose was 40 Gy in 5 fractions, and median tumor size was 2.3cm (1.2-5.3cm). Median follow-up and survival was 40-months and 46-months, respectively. One patient succumbed to renal/hepatic failure before OLT. Radiographic response was 80%. pCR at explant was 46%. No grade ≥ 3 acute toxicities. Median time to progression of CP ≥ 2 was 9.7-months and MELD progression was not met before OLT.

conclusionSBRT with functional treatment planning can be used safely as a bridge to OLT in select patients with CP ≥8 cirrhosis.

Indexed as

bridge to transplantdownsizinghepatic cirrhosishepatocellular carcinomaliver transplantationstereotactic body radiation treatment

Identifiers

PMID30538886
PMCPMC6255717
OpenAlexW2988733147

What OpenQuestion holds

Textmetadata
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.