Evidence map›Paper›PMID 33004849›Full record

ArticleScientific reports2020

Radionecrosis and cellular changes in small volume stereotactic brain radiosurgery in a porcine model.

Hamed Zaer, Andreas Nørgaard Glud, Bret M Schneider, Slávka Lukacova, Kim Vang Hansen, John R Adler, Morten Høyer, Morten Bjørn Jensen, Rune Hansen, Lone Hoffmann and 3 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
0.6field-weighted citation impact, top 26% 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

13 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Ex vivo brain MRI to assess conventional and FLASH brain irradiation effects.Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology · 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

13 authors at 3 institutions in 2 countries.

Hamed ZaerCentre for Experimental Neuroscience (CENSE), Department of Neurosurgery, Aarhus University Hospital, Palle Juul-Jensens Boulevard 165, indgang J, Plan 1, J118-125, (Krydspunkt 116), 8200, Aarhus N, Denmark. hz@clin.au.dk.
Andreas Nørgaard GludCentre for Experimental Neuroscience (CENSE), Department of Neurosurgery, Aarhus University Hospital, Palle Juul-Jensens Boulevard 165, indgang J, Plan 1, J118-125, (Krydspunkt 116), 8200, Aarhus N, Denmark.
Bret M SchneiderZap Surgical Systems, Inc., San Carlos, CA, USA.
Slávka LukacovaDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Kim Vang HansenDepartment of Nuclear Medicine and PET Center, Institute of Clinical Medicine, Aarhus University and Hospital, Aarhus, Denmark.
John R AdlerZap Surgical Systems, Inc., San Carlos, CA, USA.
Morten HøyerDanish Center for Particle Therapy, Aarhus University Hospital, Aarhus, Denmark.
Morten Bjørn JensenDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Rune HansenDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Lone HoffmannDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Esben Schjødt WormDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Jens Chr Hedemann SørensenCentre for Experimental Neuroscience (CENSE), Department of Neurosurgery, Aarhus University Hospital, Palle Juul-Jensens Boulevard 165, indgang J, Plan 1, J118-125, (Krydspunkt 116), 8200, Aarhus N, Denmark.
Dariusz OrlowskiCentre for Experimental Neuroscience (CENSE), Department of Neurosurgery, Aarhus University Hospital, Palle Juul-Jensens Boulevard 165, indgang J, Plan 1, J118-125, (Krydspunkt 116), 8200, Aarhus N, Denmark.
Aarhus University Hospital · DKAarhus University · DKStanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Stereotactic radiosurgery (SRS) has proven an effective tool for the treatment of brain tumors, arteriovenous malformation, and functional conditions. However, radiation-induced therapeutic effect in viable cells in functional SRS is also suggested. Evaluation of the proposed modulatory effect of irradiation on neuronal activity without causing cellular death requires the knowledge of radiation dose tolerance at very small tissue volume. Therefore, we aimed to establish a porcine model to study the effects of ultra-high radiosurgical doses in small volumes of the brain. Five minipigs received focal stereotactic radiosurgery with single large doses of 40-100 Gy to 5-7.5 mm fields in the left primary motor cortex and the right subcortical white matter, and one animal remained as unirradiated control. The animals were followed-up with serial MRI, PET scans, and histology 6 months post-radiation. We observed a dose-dependent relation of the histological and MRI changes at 6 months post-radiation. The necrotic lesions were seen in the grey matter at 100 Gy and in white matter at 60 Gy. Furthermore, small volume radiosurgery at different dose levels induced vascular, as well as neuronal cell changes and glial cell remodeling.

Indexed as

NecrosisAnimalsBrainFemaleImaging, Three-DimensionalPositron Emission Tomography Computed TomographyRadiation InjuriesRadiosurgerySwineSwine, Miniature

Identifiers

PMID33004849
PMCPMC7529917
OpenAlexW3089593296

What OpenQuestion holds

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LicenceCC BY
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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.