Evidence map›Paper›PMID 31998538›Full record

ArticleJournal of radiosurgery and SBRT2019

Predicting intracranial progression following stereotactic radiosurgery for brain metastases: Implications for post SRS imaging.

Brahma D Natarajan, Christel N Rushing, Michael A Cummings, Jessica Ms Jutzy, Kingshuk R Choudhury, Michael J Moravan, Peter E Fecci, Justus Adamson, Steven J Chmura, Michael T Milano and 2 more

Open access · greenAbstract read
In one paragraph

Article in Journal of radiosurgery and SBRT, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.2field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
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

12 authors at 3 institutions in 1 country.

Brahma D NatarajanDepartment of Radiation Oncology, Duke University, Durham, NC, USA.
Christel N RushingDepartment of Biostatistics and Bioinformatics, Duke University, Durham, NC, USA.
Michael A CummingsDepartment of Radiation Oncology, University of Rochester, Rochester, NY, USA.
Jessica Ms JutzyDepartment of Radiation and Cellular Oncology, University of Chicago, Chicago, IL, USA.
Kingshuk R ChoudhuryDepartment of Biostatistics and Bioinformatics, Duke University, Durham, NC, USA.
Michael J MoravanDepartment of Radiation Oncology, Duke University, Durham, NC, USA.
Peter E FecciDepartment of Neurosurgery, Duke University, Durham, NC, USA.
Justus AdamsonDepartment of Radiation Oncology, Duke University, Durham, NC, USA.
Steven J ChmuraDepartment of Radiation and Cellular Oncology, University of Chicago, Chicago, IL, USA.
Michael T MilanoDepartment of Radiation Oncology, University of Rochester, Rochester, NY, USA.
John P KirkpatrickDepartment of Radiation Oncology, Duke University, Durham, NC, USA.
Joseph K SalamaDepartment of Radiation Oncology, Duke University, Durham, NC, USA.
Duke University · USUniversity of Chicago · USUniversity of Rochester · US

Funding

Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI DONNA NIEDZWIECKI · 1985 to 2026
$174.8M
NCI NIH HHS P30 CA014236
6 · The paper itself

Abstract

purposeFollow-up imaging after stereotactic radiosurgery (SRS) is crucial to identify salvageable brain metastases (BM) recurrence. As optimal imaging intervals are poorly understood, we sought to build a predictive model for time to intracranial progression.

methodsConsecutive patients treated with SRS for BM at three institutions from January 1, 2002 to June 30, 2017 were retrospectively reviewed. We developed a model using stepwise regression that identified four prognostic factors and built a predictive nomogram.

resultsWe identified 755 patients with primarily non-small cell lung, breast, and melanoma BMs. Factors such as number of BMs, histology, history of prior whole-brain radiation, and time interval from initial cancer diagnosis to metastases were prognostic for intracranial progression. Per our nomogram, risk of intracranial progression by 3 months post-SRS in the high-risk group was 21% compared to 11% in the low-risk group; at 6 months, it was 43% versus 27%.

conclusionWe present a nomogram estimating time to BM progression following SRS to potentially personalize surveillance imaging.

Indexed as

Brain metastasesnomogramsalvage therapysurveillance imaging

Identifiers

PMID31998538
PMCPMC6774486
OpenAlexW3009705710

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.