Evidence map›Paper›PMID 36532509›Full record

ReviewNeuro-oncology advances

A multidisciplinary management algorithm for brain metastases.

Alexander Ramos, Alexandra Giantini-Larsen, Susan C Pannullo, Andrew Brandmaier, Jonathan Knisely, Rajiv Magge, Jessica A Wilcox, Anna C Pavlick, Barbara Ma, David Pisapia and 2 more

Open access · goldAbstract readReview
In one paragraph

Review in Neuro-oncology advances. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.4field-weighted citation impact, top 10% 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

11 citing papers in PubMed, 17 citations in OpenAlex.

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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

12 authors at 3 institutions in 1 country.

Alexander RamosDepartment of Neurological Surgery, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New York, USA.
Alexandra Giantini-LarsenDepartment of Neurological Surgery, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New York, USA.ORCID https://orcid.org/0000-0002-9545-8502
Susan C PannulloDepartment of Neurological Surgery, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New York, USA.ORCID https://orcid.org/0000-0001-6947-1837
Andrew BrandmaierDepartment of Radiation Oncology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New York, USA.
Jonathan KniselyDepartment of Radiation Oncology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New York, USA.
Rajiv MaggeDepartment of Neurology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New York, USA.
Jessica A WilcoxDepartment of Neurology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New York, USA.
Anna C PavlickDepartment of Oncology, Weill Cornell Medicine, New York Presbyterian, New York, New York, USA.
Barbara MaDepartment of Oncology, Weill Cornell Medicine, New York Presbyterian, New York, New York, USA.
David PisapiaDepartment of Pathology, Weill Cornell Medicine, New York Presbyterian, New York, New York, USA.
Hani AshamallaDepartment of Neurology, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New York, USA.
Rohan RamakrishnaDepartment of Neurological Surgery, Weill Cornell Medicine, New York Presbyterian Hospital, New York, New York, USA.ORCID https://orcid.org/0000-0002-1166-6073
NewYork–Presbyterian Hospital · USCornell University · USMemorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

The incidence of brain metastases continues to present a management issue despite the advent of improved systemic control and overall survival. While the management of oligometastatic disease (ie, 1-4 brain metastases) with surgery and radiation has become fairly straightforward in the era of radiosurgery, the management of patients with multiple metastatic brain lesions can be challenging. Here we review the available evidence and provide a multidisciplinary management algorithm for brain metastases that incorporates the latest advances in surgery, radiation therapy, and systemic therapy while taking into account the latest in precision medicine-guided therapies. In particular, we argue that whole-brain radiation therapy can likely be omitted in most patients as up-front therapy.

Indexed as

brain metastasesoligometastaticprecision medicinestereotactic radiosurgerywhole-brain radiation therapy

Identifiers

PMID36532509
PMCPMC9749403
OpenAlexW4311013934

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.