Evidence map›Paper›PMID 32463867›Full record

GuidelineNeurosurgery2020

Stereotactic Radiosurgery for Intracranial Noncavernous Sinus Benign Meningioma: International Stereotactic Radiosurgery Society Systematic Review, Meta-Analysis and Practice Guideline.

Marcello Marchetti, Arjun Sahgal, Antonio A F De Salles, Marc Levivier, Lijun Ma, Ian Paddick, Bruce E Pollock, Jean Regis, Jason Sheehan, John H Suh and 2 more

Open access · greenAbstract readMeta-AnalysisPractice GuidelineSystematic Review
In one paragraph

Guideline in Neurosurgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
3.8field-weighted citation impact, top 6% 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 58 citations in OpenAlex.

  1. Pooled it
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  15. Primary Extracranial Meningiomas of the Sinonasal Tract: A Systematic Review.Journal of neurological surgery. Part B, Skull base · 2025
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 9 institutions in 6 countries.

Marcello MarchettiDepartment of Neurosurgery, Unit of Radiotherapy, Fondazione IRCCS Istituto Neurologico C. Besta, Milano, Italia.
Arjun SahgalDepartment of Radiation Oncology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Canada.
Antonio A F De SallesHCor Neuroscience Institute, Heart Hospital (HCor), São Paulo, São Paulo, Brazil.
Marc LevivierNeurosurgery Service and Gamma Knife Center Centre Hospitalier Universitaire Vaudois (CHUV), Lausanne, Switzerland.
Lijun MaDepartment of Radiation Oncology, University of California San Francisco, San Francisco, California.
Ian PaddickMedical Physics Ltd, Queen Square Radiosurgery Centre, London, United Kingdom.
Bruce E PollockDepartment of Radiation Oncology and Department of Neurologic Surgery, Mayo Clinic School of Medicine, Rochester, Minnesota.
Jean RegisStereotactic and Functional Neurosurgery Service and Gamma Knife Unit CHU Timone, Marseille, France.
Jason SheehanDepartment of Neurosurgery, University of Virginia, Charlottesville, Virginia.
John H SuhDepartment of Radiation Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, Ohio.
Shoji YomoDivision of Radiation Oncology, Aizawa Comprehensive Cancer Center, Aizawa Hospital, Matsumoto, Japan.
Laura FariselliDepartment of Neurosurgery, Unit of Radiotherapy, Fondazione IRCCS Istituto Neurologico C. Besta, Milano, Italia.
Fondazione IRCCS Istituto Neurologico Carlo Besta · ITAizawa Hospital · JPCleveland Clinic · USMayo Clinic · USQueen Square Radiosurgery Centre · GBSunnybrook Health Science Centre · CAUniversity Hospital of Lausanne · CHUniversity of California, San Francisco · USUniversity of Virginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStereotactic radiosurgery (SRS) for benign intracranial meningiomas is an established treatment.

objectiveTo summarize the literature and provide evidence-based practice guidelines on behalf of the International Stereotactic Radiosurgery Society (ISRS).

methodsArticles in English specific to SRS for benign intracranial meningioma, published from January 1964 to April 2018, were systematically reviewed. Three electronic databases, PubMed, EMBASE, and the Cochrane Central Register, were searched.

resultsOut of the 2844 studies identified, 305 had a full text evaluation and 27 studies met the criteria to be included in this analysis. All but one were retrospective studies. The 10-yr local control (LC) rate ranged from 71% to 100%. The 10-yr progression-free-survival rate ranged from 55% to 97%. The prescription dose ranged typically between 12 and 15 Gy, delivered in a single fraction. Toxicity rate was generally low.

conclusionThe current literature supporting SRS for benign intracranial meningioma lacks level I and II evidence. However, when summarizing the large number of level III studies, it is clear that SRS can be recommended as an effective evidence-based treatment option (recommendation level II) for grade 1 meningioma.

Indexed as

FemaleHumansMaleMeningeal NeoplasmsMeningiomaRadiosurgeryTreatment OutcomeFractionated radiosurgeryGuidelinesHypofractionated stereotactic radiotherapyMeningiomaMultisession-radiosurgeryRadiosurgerySystematic review

Identifiers

PMID32463867
PMCPMC7566438
OpenAlexW3032082578

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.