Evidence map›Paper›PMID 36289477›Full record

ArticleBMC cancer2022

Feasibility of fractionated gamma knife radiosurgery in the management of newly diagnosed Glioblastoma.

Matthew Gallitto, Michelle Savacool, Albert Lee, Tony J C Wang, Michael B Sisti

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 34% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

5 authors at 1 institution in 1 country.

Matthew GallittoDepartment of Radiation Oncology, Columbia University Irving Medical Center, 10032, New York, NY, USA. mg4249@cumc.columbia.edu.
Michelle SavacoolDepartment of Radiation Oncology, Columbia University Irving Medical Center, 10032, New York, NY, USA.
Albert LeeDepartment of Radiation Oncology, Columbia University Irving Medical Center, 10032, New York, NY, USA.
Tony J C WangDepartment of Radiation Oncology, Columbia University Irving Medical Center, 10032, New York, NY, USA.
Michael B SistiDepartment of Neurological Surgery, Columbia University Irving Medical Center, 10032, New York, NY, USA.
Columbia University Irving Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlioblastoma (GBM) is the most common primary malignant brain tumor in adults, with overall survival remaining poor despite ongoing efforts to explore new treatment paradigms. Given these outcomes, efforts have been made to shorten treatment time. Recent data report on the safety of CyberKnife (CK) fractionated stereotactic radiosurgery (SRS) in the management of GBM using a five-fraction regimen. The latest Gamma Knife (GK) model also supports frameless SRS, and outcomes using GK SRS in the management of primary GBM have not yet been reported.

objectiveTo report on the feasibility of five-fraction SRS with the GammaKnife ICON in the management of newly diagnosed GBM.

methodsIn this single institutional study, we retrospectively reviewed all patients from our medical center from January 2017 through December 2021 who received fractionated SRS with Gamma Knife ICON for newly diagnosed GBM. Patient demographics, upfront surgical margins, molecular subtyping, radiation treatment volumes, systemic therapies, and follow-up imaging findings were extracted to report on oncologic outcomes.

resultsWe identified six patients treated within the above time frame. Median age at diagnosis was 73.5 years, 66% were male, and had a median Karnofsky Performance Status (KPS) of 70. All tumors were IDH wild-type, and all but one were MGMT methylated and received concurrent temozolomide (TMZ). Within this group, progression free survival was comparable to that of historical data without significant radiation-induced toxicities.

conclusionGamma Knife ICON may be discussed as a potential treatment option for select GBM patients and warrants further investigation in the prospective setting.

Indexed as

Brain NeoplasmsGlioblastomaRadiation InjuriesRadiosurgeryAdultFeasibility StudiesFemaleHumansMaleProspective StudiesRetrospective StudiesTemozolomideTreatment OutcomeTemozolomideFrameless stereotactic radiosurgeryGamma KnifeGamma Knife ICONGlioblastomaHypofractionationRadiosurgery

Identifiers

PMID36289477
PMCPMC9608921
OpenAlexW4307348962

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.