Evidence map›Paper›PMID 33858474›Full record

ReviewRadiation oncology (London, England)2021

Current status and recent advances in resection cavity irradiation of brain metastases.

Giuseppe Minniti, Maximilian Niyazi, Nicolaus Andratschke, Matthias Guckenberger, Joshua D Palmer, Helen A Shih, Simon S Lo, Scott Soltys, Ivana Russo, Paul D Brown and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Radiation oncology (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 pooled it
7.2field-weighted citation impact, top 2% 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

48 citing papers in PubMed, 2 syntheses or guidelines pooled it, 66 citations in OpenAlex.

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  9. Radiotherapeutic management of brain metastases in patients with breast cancer: a narrative review.Translational breast cancer research : a journal focusing on translational research in breast cancer · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 4 countries.

Giuseppe MinnitiDepartment of Medicine, Surgery and Neurosciences, University of Siena, Policlinico Le Scotte, 53100, Siena, Italy. giuseppe.minniti@unisi.it.
Maximilian NiyaziDepartment of Radiation Oncology, University Hospital, LMU Munich, Munich, Germany.
Nicolaus AndratschkeDepartment of Radiation Oncology, University Hospital of Zurich, University of Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.
Matthias GuckenbergerDepartment of Radiation Oncology, University Hospital of Zurich, University of Zurich, Raemistrasse 100, 8091, Zurich, Switzerland.
Joshua D PalmerDepartment of Radiation Oncology, Arthur G. James Cancer Hospital, The Ohio State University, Columbus, OH, USA.
Helen A ShihDepartment of Radiation Oncology, Massachusetts General Hospital, Boston, MA, USA.
Simon S LoDepartment of Radiation Oncology, University of Washington School of Medicine, Seattle, WA, USA.
Scott SoltysDepartment of Radiation Oncology, Stanford University, Stanford, CA, USA.
Ivana RussoRadiation Oncology Unit, University of Pittsburgh Medical Center Hillman Cancer Center, San Pietro Hospital FBF, Rome, and Villa Maria Hospital, Mirabella, AV, Italy.
Paul D BrownDepartment of Radiation Oncology, Mayo Clinic, Rochester, MN, USA.
Claus BelkaDepartment of Radiation Oncology, University Hospital, LMU Munich, Munich, Germany.
Ludwig-Maximilians-Universität München · DEUniversity Hospital of Zurich · CHMassachusetts General Hospital · USMayo Clinic in Arizona · USStanford University · USThe Ohio State University Comprehensive Cancer Center – Arthur G. James Cancer Hospital and Richard J. Solove Research Institute · USUniversity of Siena · ITUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite complete surgical resection brain metastases are at significant risk of local recurrence without additional radiation therapy. Traditionally, the addition of postoperative whole brain radiotherapy (WBRT) has been considered the standard of care on the basis of randomized studies demonstrating its efficacy in reducing the risk of recurrence in the surgical bed as well as the incidence of new distant metastases. More recently, postoperative stereotactic radiosurgery (SRS) to the surgical bed has emerged as an effective and safe treatment option for resected brain metastases. Published randomized trials have demonstrated that postoperative SRS to the resection cavity provides superior local control compared to surgery alone, and significantly decreases the risk of neurocognitive decline compared to WBRT, without detrimental effects on survival. While studies support the use of postoperative SRS to the resection cavity as the standard of care after surgery, there are several issues that need to be investigated further with the aim of improving local control and reducing the risk of leptomeningeal disease and radiation necrosis, including the optimal dose prescription/fractionation, the timing of postoperative SRS treatment, and surgical cavity target delineation. We provide a clinical overview on current status and recent advances in resection cavity irradiation of brain metastases, focusing on relevant strategies that can improve local control and minimize the risk of radiation-induced toxicity.

Indexed as

BrainBrain NeoplasmsCranial IrradiationDisease ProgressionDose Fractionation, RadiationHumansNecrosisNeoplasm MetastasisNeoplasm Recurrence, LocalRadiosurgeryRadiotherapyRadiotherapy, AdjuvantRiskTreatment OutcomeBrain metastasesHypofractionated stereotactic radiotherapyRadiation necrosisResection cavityStereotactic radiosurgery

Identifiers

PMID33858474
PMCPMC8051036
OpenAlexW3153992511

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.