Evidence map›Paper›PMID 36765953›Full record

ArticleCancers2023

Re-Irradiation by Stereotactic Radiotherapy of Brain Metastases in the Case of Local Recurrence.

Ruben Touati, Vincent Bourbonne, Gurvan Dissaux, Gaëlle Goasduff, Olivier Pradier, Charles Peltier, Romuald Seizeur, Ulrike Schick, François Lucia

Abstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. 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

9 authors.

Ruben TouatiRadiation Oncology Department, University Hospital, 29200 Brest, France.ORCID 0000-0003-1035-3208
Vincent BourbonneRadiation Oncology Department, University Hospital, 29200 Brest, France.ORCID 0000-0002-2631-0029
Gurvan DissauxRadiation Oncology Department, University Hospital, 29200 Brest, France.ORCID 0000-0002-8536-748X
Gaëlle GoasduffRadiation Oncology Department, University Hospital, 29200 Brest, France.
Olivier PradierRadiation Oncology Department, University Hospital, 29200 Brest, France.
Charles PeltierNeurosurgery Department, University Hospital, 29200 Brest, France.ORCID 0000-0003-3117-513X
Romuald SeizeurNeurosurgery Department, University Hospital, 29200 Brest, France.
Ulrike SchickRadiation Oncology Department, University Hospital, 29200 Brest, France.
François LuciaRadiation Oncology Department, University Hospital, 29200 Brest, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the efficacy and safety of a second course of stereotactic radiotherapy (SRT2) treatment for a local recurrence of brain metastases previously treated with SRT (SRT1), using the Hypofractionated Treatment Effects in the Clinic (HyTEC) reporting standards and the European Society for Radiotherapy and Oncology guidelines.

methodsFrom December 2014 to May 2021, 32 patients with 34 brain metastases received salvage SRT2 after failed SRT1. A total dose of 21 to 27 Gy in 3 fractions or 30 Gy in 5 fractions was prescribed to the periphery of the PTV (99% of the prescribed dose covering 99% of the PTV). After SRT2, multiparametric MRI, sometimes combined with 18F-DOPA PET-CT, was performed every 3 months to determine local control (LC) and radionecrosis (RN).

resultsAfter a median follow-up of 12 months (range: 1-37 months), the crude LC and RN rates were 68% and 12%, respectively, and the median overall survival was 25 months. In a multivariate analysis, the performance of surgery was predictive of a significantly better LC (

conclusionSRT2 is an effective approach for the local recurrence of BM after initial SRT treatment and is a potential salvage therapy option for well-selected people with a good performance status. Surgery was associated with a higher LC.

Indexed as

brain metastaseslocal controlradionecrosisre-irradiationstereotactic radiation therapy

Identifiers

PMID36765953
PMCPMC9913463

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Registered trials

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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.