Evidence map›Paper›PMID 35665867›Full record

ReviewNeurosurgical review2022

Radiation therapy for atypical and anaplastic meningiomas: an overview of current results and controversial issues.

Lorenzo Vagnoni, Sami Aburas, Martina Giraffa, Ivana Russo, Vito Chiarella, Sergio Paolini, Paolo Tini, Giuseppe Minniti

Open access · hybridAbstract readReview
In one paragraph

Review in Neurosurgical review, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.7field-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

16 citing papers in PubMed, 24 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Comprehensive assessment of atypical and anaplastic pediatric meningiomas utilizing national cancer database: a retrospective cohort study.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Review
  16. Article
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

8 authors at 3 institutions in 1 country.

Lorenzo VagnoniDepartment of Medicine, Surgery and Neurosciences, University of Siena, 53100, Siena, Italy.
Sami AburasDepartment of Medicine, Surgery and Neurosciences, University of Siena, 53100, Siena, Italy.
Martina GiraffaUPMC Hillman Cancer Center, San Pietro Hospital FBF, Rome, Italy.
Ivana RussoUPMC Hillman Cancer Center, Villa Maria, Mirabella Eclano (AV), Italy.
Vito ChiarellaIRCCS Neuromed, 86077, Pozzilli (IS), Italy.
Sergio PaoliniIRCCS Neuromed, 86077, Pozzilli (IS), Italy.
Paolo TiniDepartment of Medicine, Surgery and Neurosciences, University of Siena, 53100, Siena, Italy.
Giuseppe MinnitiDepartment of Medicine, Surgery and Neurosciences, University of Siena, 53100, Siena, Italy. giuseppe.minniti@unisi.it.ORCID http://orcid.org/0000-0003-1239-1603
University of Siena · ITIstituto Neurologico Mediterraneo · ITOspedale San Pietro Fatebenefratelli · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Meningiomas are the most common intracranial tumors. Most meningiomas are WHO grade 1 tumors whereas less than one-quarter of all meningiomas are classified as atypical (WHO grade 2) and anaplastic (WHO grade 3) tumors, based on local invasiveness and cellular features of atypia. Surgical resection remains the cornerstone of meningioma therapy and represents the definitive treatment for the majority of patients; however, grade 2 and grade 3 meningiomas display more aggressive behavior and are difficult to treat. Several retrospective series have shown the efficacy and safety of postoperative adjuvant external beam radiation therapy (RT) for patients with atypical and anaplastic meningiomas. More recently, two phase II prospective trials by the Radiation Therapy Oncology Group (RTOG 0539) and the European Organisation for Research and Treatment of Cancer (EORTC 2042) have confirmed the potential benefits of fractionated RT for patients with intermediate and high-risk meningiomas; however, several issues remain a matter of debate. Controversial topics include the timing of radiation treatment in patients with totally resected atypical meningiomas, the optimal radiation technique, dose and fractionation, and treatment planning/target delineation. Ongoing randomized trials are evaluating the efficacy of early adjuvant RT over observation in patients undergoing gross total resection.

Indexed as

Brain NeoplasmsMeningeal NeoplasmsMeningiomaChildHumansProspective StudiesRetrospective StudiesAnaplastic meningiomaAtypical meningiomaFractionated radiotherapyRadiation therapyStereotactic radiosurgery

Identifiers

PMID35665867
PMCPMC9492595
OpenAlexW4281689440

What OpenQuestion holds

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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.