Evidence map›Paper›PMID 37114245›Full record

ArticleNeuro-oncology advances

Efficacy of laser interstitial thermal therapy for biopsy-proven radiation necrosis in radiographically recurrent brain metastases.

Michael Chan, Steven Tatter, Veronica Chiang, Peter Fecci, Roy Strowd, Sujit Prabhu, Constantinos Hadjipanayis, John Kirkpatrick, David Sun, Kaylyn Sinicrope and 14 more

Open access · goldAbstract read
In one paragraph

Article in Neuro-oncology advances. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
7.8field-weighted citation impact, top 2% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Laser Interstitial Thermal Therapy for Brain Tumors: A Prospective Multicenter Analysis of Patients From the LAANTERN Study.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
    Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Adapting Laser Interstitial Thermal Therapy for the Treatment of Naturally Occurring Intracranial Tumors in Dogs.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Laser interstitial thermal therapy (LITT) for pediatric low-grade glioma-case presentations and lessons learned.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024
    Article
  15. Treatment Options for Brain Metastases.Current treatment options in oncology · 2024
    Review
  16. Article
  17. Article
  18. Review
  19. Article
  20. 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

24 authors at 14 institutions in 1 country.

Michael ChanWake Forest Baptist Health, Winston-Salem, North Carolina, USA.ORCID https://orcid.org/0000-0002-5278-6709
Steven TatterWake Forest Baptist Health, Winston-Salem, North Carolina, USA.
Veronica ChiangYale School of Medicine, New Haven, Connecticut, USA.
Peter FecciDuke University Medical Center, Durham, North Carolina, USA.
Roy StrowdWake Forest Baptist Health, Winston-Salem, North Carolina, USA.
Sujit PrabhuThe University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Constantinos HadjipanayisUniversity of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
John KirkpatrickDuke University Medical Center, Durham, North Carolina, USA.
David SunNorton Neuroscience Institute, Louisville, Kentucky, USA.
Kaylyn SinicropeNorton Neuroscience Institute, Louisville, Kentucky, USA.
Alireza M MohammadiCleveland Clinic Lerner College of Medicine at CWRU, Cleveland, Ohio, USA.
Parag SevakNorton Neuroscience Institute, Louisville, Kentucky, USA.
Steven AbramAscension St. Thomas Hospital West, Nashville, Tennessee, USA.
Albert H KimWashington University School of Medicine, St. Louis, Missouri, USA.
Eric LeuthardtWashington University School of Medicine, St. Louis, Missouri, USA.
Samuel ChaoCleveland Clinic Lerner College of Medicine at CWRU, Cleveland, Ohio, USA.
John PhillipsAscension St. Thomas Hospital West, Nashville, Tennessee, USA.
Michel LacroixGeisinger Medical Center, Danville, Pennsylvania, USA.
Brian WilliamsUniversity of Louisville Health, Louisville, Kentucky, USA.
Dimitris PlacantonakisNYU Grossman School of Medicine, New York, New York, USA.
Joshua SilvermanNYU Grossman School of Medicine, New York, New York, USA.
James BaumgartnerAdventHealth Medical Group, Orlando, Florida, USA.
David PiccioniUniversity of California San Diego Health, La Jolla, California, USA.
Adrian LaxtonWake Forest Baptist Health, Winston-Salem, North Carolina, USA.
Atrium Health Wake Forest Baptist · USNorton Healthcare · USCleveland Clinic Lerner College of Medicine · USDuke Medical Center · USNew York University · USSaint Thomas Health · USWashington University in St. Louis · USFlorida Hospital Medical Group · USGeisinger Medical Center · USThe University of Texas MD Anderson Cancer Center · USUniversity of California San Diego · USUniversity of Louisville · USUniversity of Pittsburgh · USYale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Laser interstitial thermal therapy (LITT) in the setting of post-SRS radiation necrosis (RN) for patients with brain metastases has growing evidence for efficacy. However, questions remain regarding hospitalization, local control, symptom control, and concurrent use of therapies. Methods: Demographics, intraprocedural data, safety, Karnofsky performance status (KPS), and survival data were prospectively collected and then analyzed on patients who consented between 2016-2020 and who were undergoing LITT for biopsy-proven RN at one of 14 US centers. Data were monitored for accuracy. Statistical analysis included individual variable summaries, multivariable Fine and Gray analysis, and Kaplan-Meier estimated survival. Results: Ninety patients met the inclusion criteria. Four patients underwent 2 ablations on the same day. Median hospitalization time was 32.5 hours. The median time to corticosteroid cessation after LITT was 13.0 days (0.0, 1229.0) and cumulative incidence of lesional progression was 19% at 1 year. Median post-procedure overall survival was 2.55 years [1.66, infinity] and 77.1% at one year as estimated by KaplanMeier. Median KPS remained at 80 through 2-year follow-up. Seizure prevalence was 12% within 1-month post-LITT and 7.9% at 3 months; down from 34.4% within 60-day prior to procedure. Conclusions: LITT for RN was not only again found to be safe with low patient morbidity but was also a highly effective treatment for RN for both local control and symptom management (including seizures). In addition to averting expected neurological death, LITT facilitates ongoing systemic therapy (in particular immunotherapy) by enabling the rapid cessation of steroids, thereby facilitating maximal possible survival for these patients.

Indexed as

brain metastasisLaser interstitial thermal therapy (LITT)radiation necrosis (RN)radiographic progressionstereotactic laser ablation (SLA)

Identifiers

PMID37114245
PMCPMC10129388
OpenAlexW4361225490

What OpenQuestion holds

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LicenceCC BY
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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.