Evidence map›Paper›PMID 33305075›Full record

ArticleAdvances in radiation oncology

Moderately Hypofractionated Radiation for Benign Meningiomas and Schwannomas: A Report of 70 Patients Treated Between 2008 and 2018.

Vishal R Dhere, Sibo Tian, Zachary Buchwald, Xiaojun Jiang, Chao Zhang, Zhengjia Chen, Bree R Eaton, Hui-Kuo G Shu, Walter J Curran, Jim Zhong

Open access · goldAbstract read
In one paragraph

Article in Advances in radiation oncology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.1field-weighted citation impact, top 46% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. 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

10 authors at 2 institutions in 1 country.

Vishal R DhereDepartment of Radiation Oncology, Emory University, Winship Cancer Institute, Atlanta, Georgia.
Sibo TianDepartment of Radiation Oncology, Emory University, Winship Cancer Institute, Atlanta, Georgia.
Zachary BuchwaldDepartment of Radiation Oncology, Emory University, Winship Cancer Institute, Atlanta, Georgia.
Xiaojun JiangDepartment of Radiation Oncology, Emory University, Winship Cancer Institute, Atlanta, Georgia.
Chao ZhangDepartment of Biostatistics, Emory University, Winship Cancer Institute, Atlanta, Georgia.
Zhengjia ChenDepartment of Biostatistics, Emory University, Winship Cancer Institute, Atlanta, Georgia.
Bree R EatonDepartment of Radiation Oncology, Emory University, Winship Cancer Institute, Atlanta, Georgia.
Hui-Kuo G ShuDepartment of Radiation Oncology, Emory University, Winship Cancer Institute, Atlanta, Georgia.
Walter J CurranDepartment of Radiation Oncology, Emory University, Winship Cancer Institute, Atlanta, Georgia.
Jim ZhongDepartment of Radiation Oncology, Emory University, Winship Cancer Institute, Atlanta, Georgia.
Winship Cancer InstituteEmory University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRadiosurgery and fractionated intensity modulated radiation therapy (IMRT) are effective treatment modalities for meningiomas and schwannomas. Although fractionated IMRT yields favorable tumor control, daily treatments for 5 to 6 weeks can be burdensome for patients and health care systems. Thus, hypofractionated radiation may be a reasonable alternative. The purpose of this study was to review the results of patients with benign meningiomas or schwannomas treated at our institution with moderately hypofractionated IMRT. METHODS AND MATERIALS: After institutional review board approval, patients treated at a single academic institution between 2008 and 2018 with a primary diagnosis of either meningioma or schwannoma and who received 30 Gy at 3 Gy per fraction were identified. Patient and tumor characteristics, as well as follow-up documentation, were reviewed. Tumor progression was determined by reviewing patient imaging and provider notations.

resultsFrom 2008 to 2018, 70 patients with either meningioma or schwannoma were treated to 30 Gy. The median patient age was 73 years (range, 43-92 years). At the median follow up of 3.2 years, the local control was 92.9%. Two patients (2.9%) had disease progression, which occurred at 9.6 and 6.6 years after treatment. One patient developed asymptomatic radiographic changes consistent with radiation necrosis, which resolved without intervention. All patients completed the prescribed course without interruption. The mean tumor volume was 18.9 cm

conclusionsHypofractionated radiation with 30 Gy at 3 Gy per fraction is an effective, convenient, and well-tolerated alternative for patients with benign meningiomas or schwannomas. Modest hypofractionation provided durable control for a wide range of tumor volumes and should be considered for patients with a limited life expectancy or those unable to receive a more extended fractionated radiation therapy course.

Identifiers

PMID33305075
PMCPMC7718549
OpenAlexW3091451601

What OpenQuestion holds

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Registered trials

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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.