Evidence map›Paper›PMID 36307558›Full record

ReviewJournal of cancer research and clinical oncology2023

A single-center experience with linear accelerator-based stereotactic radiotherapy for meningiomas: hypofractionation and radiosurgery.

Ahmed Gawish, Nurlan Abdulayev, Souhir El-Arayed, Burkard Röllich, Hans-Joachim Ochel, Thomas B Brunner

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of cancer research and clinical oncology, 2023. 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
0.2field-weighted citation impact, top 47% 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, 1 citations in OpenAlex.

  1. Review
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

6 authors at 1 institution in 2 countries.

Ahmed GawishDepartment of Radiation Oncology, University Hospital Magdeburg, Leipziger Str. 44, 39120, Magdeburg, DE, Germany. ahmed.gawish@med.ovgu.de.
Nurlan AbdulayevDepartment of Radiation Oncology, University Hospital Magdeburg, Leipziger Str. 44, 39120, Magdeburg, DE, Germany.
Souhir El-ArayedDepartment of Radiation Oncology, University Hospital Magdeburg, Leipziger Str. 44, 39120, Magdeburg, DE, Germany.
Burkard RöllichDepartment of Radiation Oncology, University Hospital Magdeburg, Leipziger Str. 44, 39120, Magdeburg, DE, Germany.
Hans-Joachim OchelDepartment of Radiation Oncology, University Hospital Magdeburg, Leipziger Str. 44, 39120, Magdeburg, DE, Germany.
Thomas B BrunnerDepartment of Radiation Oncology, University Hospital Magdeburg, Leipziger Str. 44, 39120, Magdeburg, DE, Germany.
University Hospital Magdeburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMeningioma is a common type of benign tumor that can be managed in several ways, ranging from close observation, surgical resection, and various types of radiation. We present here results from a 10 year experience treating meningiomas with a hypofractionated approach. MATERIALS AND

methodsTo define the rate of tumor control and factors associated with the relief of symptoms and radiation-related complications after radiosurgery and hypofractionated radiosurgery for patients with imaging-defined intracranial meningiomas. We reviewed the charts of 48 patients treated with stereotactic radiosurgery (SRS) or hypofractionated stereotactic radiotherapy (SRT) from 2002 to 2018. A total of 37 (82%) patients had WHO Grade 1 disease, and 11 (22%) had Grade 2. Outcomes that were analyzed included local control rates and the rate and grade of any reported toxicity.

resultsOnly 36 patients with 38 lesions, who underwent the follow-up regime, were enrolled in the retrospective analysis. The follow-up mean was 40 months (12-120 months). 25/34 patients had surgery before the radiotherapy. Sixteen underwent SRS with a median dose of 13, 5, and 20 received hypofractionated SBRT with a median dose of 26.9 (22-45 Gy) in median six fractions (5-13 fractions). Local control at 2 and 5 years for all patients was 90 and 70%, respectively. No patient suffered from toxicity > 2 CTC. 21/36 patients showed stable disease, while 8/36 patients showed partial Remission. 7/36 developed recurrent meningioma (five in-field), only one patient with grade 1 meningioma, in a median of 22 months (13-48 months).

conclusionSFRT was superior to SRS for local control in our analysis of Grade I meningiomas. This might be due to a tendency for higher EQD2 in the PTV with SFRT compared to SRS, which was reduced to avoid brain necrosis in large PTVs. Therefore, SFRT appears preferable for typical meningioma PTVs.

Indexed as

Meningeal NeoplasmsMeningiomaRadiosurgeryFollow-Up StudiesHumansNeoplasm Recurrence, LocalParticle AcceleratorsRadiation Dose HypofractionationRetrospective StudiesTreatment OutcomeHypofractionated radiotherapyMeningiomaRadiosurgerySRS

Identifiers

PMID36307558
PMCPMC9889479
OpenAlexW4307585031

What OpenQuestion holds

Textmetadata
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.