Evidence map›Paper›PMID 31270629›Full record

ReviewCurrent oncology reports2019

Neoadjuvant Stereotactic Radiosurgery: a Further Evolution in the Management of Brain Metastases.

Cristian Udovicich, Claire Phillips, David L Kok, Damien Tange, Nikki M Plumridge, Roshan S Prabhu, Neda Haghighi

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current oncology reports, 2019. 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
–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.

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.

  1. Pooled it
  2. Review
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  5. Review
  6. Article
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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.

Cristian UdovicichDepartment of Radiation Oncology, Peter MacCallum Cancer Centre, Victorian Comprehensive Cancer Centre, Grattan St, Melbourne, Victoria, 3000, Australia. cristian.udovicich@gmail.com.
Claire PhillipsDepartment of Radiation Oncology, Peter MacCallum Cancer Centre, Victorian Comprehensive Cancer Centre, Grattan St, Melbourne, Victoria, 3000, Australia.
David L KokDepartment of Radiation Oncology, Peter MacCallum Cancer Centre, Victorian Comprehensive Cancer Centre, Grattan St, Melbourne, Victoria, 3000, Australia.
Damien TangeDepartment of Neurosurgery, Peter MacCallum Cancer Centre, Victorian Comprehensive Cancer Centre, Melbourne, Victoria, Australia.
Nikki M PlumridgeDepartment of Radiation Oncology, Peter MacCallum Cancer Centre, Victorian Comprehensive Cancer Centre, Grattan St, Melbourne, Victoria, 3000, Australia.
Roshan S PrabhuLevine Cancer Institute, Atrium Health, and Southeast Radiation Oncology Group, Charlotte, NC, USA.
Neda HaghighiDepartment of Radiation Oncology, Peter MacCallum Cancer Centre, Victorian Comprehensive Cancer Centre, Grattan St, Melbourne, Victoria, 3000, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewRecent randomized evidence has supported the use of resection followed by stereotactic radiosurgery (SRS) as standard of care for patients with a limited number of brain metastases. However, there are known toxicities, including a relatively high incidence of leptomeningeal disease. Neoadjuvant SRS has been proposed to minimize these potential sequalae. This review summarizes the current data and principles for neoadjuvant SRS. RECENT

findingsRecently published studies have demonstrated neoadjuvant SRS to be feasible and to achieve similar oncological outcomes to postoperative SRS. A decreased incidence of leptomeningeal disease and radionecrosis has been observed. Additionally, neoadjuvant SRS can improve accuracy of target volume delineation and decrease the volume of irradiated normal tissue. Neoadjuvant SRS has emerged as a promising sequencing management approach. Its main advantages appear to be in reduction of toxicity. Ongoing trials will further explore this treatment method and establish which patients will benefit most from this technique.

Indexed as

RadiosurgeryBrain NeoplasmsHumansMeningeal NeoplasmsNeoadjuvant TherapyRadiation InjuriesTreatment OutcomeTumor BurdenBrain metastasesLeptomeningeal diseaseNeoadjuvantPostoperativePreoperativeRadionecrosisStereotactic radiosurgery

Identifiers

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.