Evidence map›Paper›PMID 32642687›Full record

ArticleNeuro-oncology advances

Responses in the diffusivity and vascular function of the irradiated normal brain are seen up until 18 months following SRS of brain metastases.

Line Brennhaug Nilsen, Ingrid Digernes, Endre Grøvik, Cathrine Saxhaug, Anna Latysheva, Oliver Geier, Birger Breivik, Dag Ottar Sætre, Kari Dolven Jacobsen, Åslaug Helland and 1 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Neuro-oncology advances. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03458455 (Improved Therapy Response Assessment in Metastatic Brain Tumors), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 28% 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.

NCT03458455 unknown statusnot on this map

Improved Therapy Response Assessment in Metastatic Brain Tumors

Typeobservational_patient_registrySponsorOslo University HospitalRan2013 to 2024Enrolled200ConditionsBrain MetastasesArmsMagnetic Resonance Imaging, Stereotactic Radiosurgery, Ipilimumab, nivolumab or pembrolizumab
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. A Mechanistic Model of Brain Necrosis Progression Based on Vascular Heterogeneity.International journal of radiation oncology, biology, physics · 2026
    Article
  3. Article
  4. Review
  5. 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

11 authors at 3 institutions in 1 country.

Line Brennhaug NilsenDepartment of Diagnostic Physics, Oslo University Hospital, Oslo, Norway.
Ingrid DigernesDepartment of Diagnostic Physics, Oslo University Hospital, Oslo, Norway.
Endre GrøvikDepartment of Diagnostic Physics, Oslo University Hospital, Oslo, Norway.
Cathrine SaxhaugDepartment of Radiology and Nuclear Medicine, Oslo University Hospital, Oslo, Norway.
Anna LatyshevaDepartment of Radiology and Nuclear Medicine, Oslo University Hospital, Oslo, Norway.
Oliver GeierDepartment of Diagnostic Physics, Oslo University Hospital, Oslo, Norway.
Birger BreivikDepartment of Radiology, Hospital of Southern Norway, Kristiansand, Norway.
Dag Ottar SætreDepartment of Radiology, Østfold Hospital Trust, Klanes, Norway.
Kari Dolven JacobsenDepartment of Oncology, Oslo University Hospital, Oslo, Norway.
Åslaug HellandDepartment of Oncology, Oslo University Hospital, Oslo, Norway.
Kyrre Eeg EmblemDepartment of Diagnostic Physics, Oslo University Hospital, Oslo, Norway.
Oslo University Hospital · NOHospital of Southern Norway · NOØstfold Hospital Trust · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMRI may provide insights into longitudinal responses in the diffusivity and vascular function of the irradiated normal-appearing brain following stereotactic radiosurgery (SRS) of brain metastases.

methodsForty patients with brain metastases from non-small cell lung cancer (

resultsFollowing SRS, the diffusivity in the LowDose region increased continuously for 1 year (105.1% ± 6.2%;

conclusionsOur results imply that even low doses of radiation to normal-appearing brain following cerebral SRS induce increased diffusivity and reduced vascular function for up until 18 months. In particular, the vascular responses indicate the reduced ability of the normal-appearing brain tissue to form new capillaries. Assessing the potential long-term neurologic effects of SRS on the normal-appearing brain is warranted.

Indexed as

brain metastasesdiffusion-weighted MRInormal-appearing brain tissue responseperfusion MRIstereotactic radiosurgery

Identifiers

PMID32642687
PMCPMC7212876
OpenAlexW3008178065

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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.