Evidence map›Paper›PMID 38310488›Full record

ArticlePractical radiation oncology

Intraoperative Radiation Therapy for Relapsed or Refractory High-Risk Neuroblastoma: A 27-Year Experience.

Brianna Conte, Dana L Casey, Kathryn R Tringale, Joshua Honeyman, Nicole J C Narayan, Michael P LaQuaglia, Justin Ted Gerstle, Shakeel Modak, Brian H Kushner, Kim Kramer and 1 more

Open access · greenAbstract read
In one paragraph

Article in Practical radiation oncology. 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
0.4field-weighted citation impact, top 43% 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. Role and practical guidelines for the use of radiotherapy in neuroblastoma - a narrative review of literature and clinical trial protocols.Reports of practical oncology and radiotherapy : journal of Greatpoland Cancer Center in Poznan and Polish Society of Radiation Oncology · 2025
    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

11 authors at 3 institutions in 1 country.

Brianna ConteUniversity of Miami Miller School of Medicine, Miami, Florida. Electronic address: bxc661@miami.edu.
Dana L CaseyDepartment of Radiation Oncology, University of North Carolina, Chapel Hill, North Carolina.
Kathryn R TringaleDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.
Joshua HoneymanDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
Nicole J C NarayanDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
Michael P LaQuagliaDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
Justin Ted GerstleDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, New York.
Shakeel ModakDepartment of Pediatrics, Neuroblastoma Service, Memorial Sloan Kettering Cancer Center, New York, New York.
Brian H KushnerDepartment of Pediatrics, Neuroblastoma Service, Memorial Sloan Kettering Cancer Center, New York, New York.
Kim KramerDepartment of Pediatrics, Neuroblastoma Service, Memorial Sloan Kettering Cancer Center, New York, New York.
Suzanne L WoldenDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, New York.
Memorial Sloan Kettering Cancer Center · USUniversity of Miami · USUniversity of North Carolina at Chapel Hill · US

Funding

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

Abstract

purposeTo evaluate outcomes after intraoperative radiation therapy (IORT) in high-risk neuroblastoma (NB), including local control, overall survival, and toxicity. METHODS AND MATERIALS: This was a single institution retrospective study of 92 pediatric patients with NB treated with IORT from 1995 to 2022. Each IORT application was considered a separate event for a total of 110 sites treated. Local failure was calculated using the cumulative incidence function and survival by Kaplan-Meier method from the day of surgery.

resultsAll patients had high-risk relapsed or treatment refractory disease. Median age was 6 years (range, 2-34 years). Median follow-up for all patients and surviving patients was 16 months and 4 years, respectively. All patients previously received chemotherapy, 93% had prior external beam radiation therapy to the site of IORT (median dose, 21.6 Gy; range, 10-36 Gy), and 94% had a prior surgery for tumor resection. The median IORT dose was 12 Gy (range, 8-18 Gy) and median area treated was 18 cm

conclusionsOur study represents the largest, most recent analysis of the efficacy and safety of IORT in patients with relapsed or refractory NB. Less than one-third of patients failed locally at 5 years, and achieving local control affected overall survival. Minimal toxicities directly related to IORT were observed. Overall, IORT is an effective and safe technique to achieve local control in high-risk relapsed or refractory neuroblastoma.

Indexed as

Neoplasm Recurrence, LocalNeuroblastomaAdolescentAdultChildChild, PreschoolFemaleHumansIntraoperative CareMaleRetrospective StudiesYoung Adult

Identifiers

PMID38310488
PMCPMC11948304
OpenAlexW4391485438

What OpenQuestion holds

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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.