Evidence map›Paper›PMID 39169220›Full record

ArticleNature medicine2024

Molecular classification to refine surgical and radiotherapeutic decision-making in meningioma.

Justin Z Wang, Vikas Patil, Alexander P Landry, Chloe Gui, Andrew Ajisebutu, Jeff Liu, Olli Saarela, Stephanie L Pugh, Minhee Won, Zeel Patel and 28 more

Abstract read
In one paragraph

Article in Nature medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 3 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

52 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Molecular features in gangliogliomas: a systematic review.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Pooled it
  2. Guideline
  3. Pooled it
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  20. Combined SSTR2-targeted Analogue withFrontiers in oncology · 2026
    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

38 authors.

Justin Z WangMacFeeters Hamilton Neuro-Oncology Program, Princess Margaret Cancer Centre, University Health Network and University of Toronto, Toronto, Ontario, Canada.
Vikas PatilMacFeeters Hamilton Neuro-Oncology Program, Princess Margaret Cancer Centre, University Health Network and University of Toronto, Toronto, Ontario, Canada.
Alexander P Landry *MacFeeters Hamilton Neuro-Oncology Program, Princess Margaret Cancer Centre, University Health Network and University of Toronto, Toronto, Ontario, Canada.
Chloe Gui *MacFeeters Hamilton Neuro-Oncology Program, Princess Margaret Cancer Centre, University Health Network and University of Toronto, Toronto, Ontario, Canada.
Andrew Ajisebutu *MacFeeters Hamilton Neuro-Oncology Program, Princess Margaret Cancer Centre, University Health Network and University of Toronto, Toronto, Ontario, Canada.
Jeff LiuMacFeeters Hamilton Neuro-Oncology Program, Princess Margaret Cancer Centre, University Health Network and University of Toronto, Toronto, Ontario, Canada.
Olli SaarelaDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Stephanie L PughNRG Oncology Statistics and Data Management Center, Philadelphia, PA, USA.
Minhee WonNRG Oncology Statistics and Data Management Center, Philadelphia, PA, USA.
Zeel PatelTemerty School of Medicine, University of Toronto, Toronto, Ontario, Canada.
Rebeca YakubovMacFeeters Hamilton Neuro-Oncology Program, Princess Margaret Cancer Centre, University Health Network and University of Toronto, Toronto, Ontario, Canada.
Ramneet KalotiMacFeeters Hamilton Neuro-Oncology Program, Princess Margaret Cancer Centre, University Health Network and University of Toronto, Toronto, Ontario, Canada.
Christopher WilsonNeurosurgery Specialists of Tulsa, Tulsa, OK, USA.
Aaron Cohen-GadolDepartment of Neurological Surgery, Keck School of Medicine of the University of Southern California, Los Angeles, CA, USA.
Mohamed A ZaazoueDepartment of Neurological Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
Ghazaleh TabatabaiGerman Cancer Consortium (DKTK), DKFZ Partner Site Tübingen, Tübingen, Germany.
Marcos TatagibaDepartment of Neurosurgery, Center for Neuro-Oncology, Comprehensive Cancer Center, Eberhard Karls University Tübingen, Tübingen, Germany.
Felix BehlingDepartment of Neurosurgery, Center for Neuro-Oncology, Comprehensive Cancer Center, Eberhard Karls University Tübingen, Tübingen, Germany.
Damian A Almiron BonninDepartment of Pathology, University of San Francisco, San Francisco, CA, USA.
Eric C HollandHuman Biology Division, Fred Hutchinson Cancer Center, Seattle, WA, USA.ORCID http://orcid.org/0000-0002-3792-7120
Tim J KruserDepartment of Human Oncology, University of Wisconsin Hospitals and Clinics, Madison, WI, USA.
Jill S Barnholtz-SloanCentral Brain Tumor Registry of the United States, Hinsdale, IL, USA.ORCID http://orcid.org/0000-0001-6190-9304
Andrew E SloanPiedmont Brain Tumor Center, Piedmonth Healthcare System, Atlanta, GA, USA.
Craig HorbinskiDepartment of Pathology, Northwestern University, Evanston, IL, USA.ORCID http://orcid.org/0000-0001-8340-9992
Silky ChotaiDepartment of Neurosurgery, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID http://orcid.org/0000-0001-5981-3231
Lola B ChamblessDepartment of Neurosurgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Andrew GaoDepartment of Laboratory Medicine and Pathobiology, University of Toronto, Toronto, Ontario, Canada.
Alexander D RebchukDivision of Neurosurgery, University of British Columbia, Vancouver, British Columbia, Canada.ORCID http://orcid.org/0000-0001-5553-346X
Serge MakarenkoDivision of Neurosurgery, University of British Columbia, Vancouver, British Columbia, Canada.
Stephen YipDepartment of Pathology & Laboratory Medicine, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Felix SahmDepartment of Neuropathology, Institute of Pathology, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0001-5441-1962
Sybren L N MaasDepartment of Pathology, Leiden University Medical Center, Leiden, The Netherlands.
Derek S TsangRadiation Medicine Program, Princess Margaret Cancer Centre, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-9762-6901
International Consortium on Meningiomas (ICOM)
C Leland RogersRadiation Oncology, Utah Cancer Specialists, Salt Lake City, UT, USA.ORCID http://orcid.org/0000-0002-5978-8838
Kenneth AldapeCenter for Cancer Research, National Cancer Institute, Bethesda, MD, USA.ORCID http://orcid.org/0000-0001-5119-7550
Farshad NassiriMacFeeters Hamilton Neuro-Oncology Program, Princess Margaret Cancer Centre, University Health Network and University of Toronto, Toronto, Ontario, Canada. farshad.nassiri@uhn.ca.ORCID http://orcid.org/0000-0002-0797-3425
Gelareh ZadehMacFeeters Hamilton Neuro-Oncology Program, Princess Margaret Cancer Centre, University Health Network and University of Toronto, Toronto, Ontario, Canada. gelareh.zadeh@uhn.ca.ORCID http://orcid.org/0000-0002-6637-4502

Funding

NRG Oncology Network Group Operations Center - GY9 BIQSFP Reports/BudgetsU10CA180868 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI NORMAN WOLMARK · 2014 to 2026
$206.8M
Statistics CoreU10CA180822 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Elaina Harper · 2014 to 2026
$146.4M
NRG Oncology Biospecimen BankU24CA196067 · NCI · NRG ONCOLOGY FOUNDATION, INC. · PI Tanner J. Freeman, Nilsa Del Carmen Ramirez Milan · 2015 to 2026
$42.6M
The role and mechanism of alternative RNA splice variants and gene fusions as drivers of cancerR35CA253119 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Eric C. Holland · 2021 to 2026
$6.5M
Understanding druggable drivers of meningioma tumorigenesisR01CA262311 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI RALEIGH, DAVID R · 2021 to 2025
$2.7M
Establishing the clinical utility of cell-free tumor DNA methylation profiling as a reliable liquid biopsy approach in brain tumorsR01CA263196 · NCI · UNIVERSITY HEALTH NETWORK · PI Daniel De Carvalho, Gelareh Zadeh · 2022 to 2026
$1.9M
NCI NIH HHS HHSN261201500003CNCI NIH HHS HHSN261201500003INCI NIH HHS R01 CA262311NCI NIH HHS R01 CA263196NCI NIH HHS R35 CA253119NCI NIH HHS U10 CA180822NCI NIH HHS U10 CA180868NCI NIH HHS U24 CA196067
6 · The paper itself

Abstract

Treatment of the tumor and dural margin with surgery and sometimes radiation are cornerstones of therapy for meningioma. Molecular classifications have provided insights into the biology of disease; however, response to treatment remains heterogeneous. In this study, we used retrospective data on 2,824 meningiomas, including molecular data on 1,686 tumors and 100 prospective meningiomas, from the RTOG-0539 phase 2 trial to define molecular biomarkers of treatment response. Using propensity score matching, we found that gross tumor resection was associated with longer progression-free survival (PFS) across all molecular groups and longer overall survival in proliferative meningiomas. Dural margin treatment (Simpson grade 1/2) prolonged PFS compared to no treatment (Simpson grade 3). Molecular group classification predicted response to radiotherapy, including in the RTOG-0539 cohort. We subsequently developed a molecular model to predict response to radiotherapy that discriminates outcome better than standard-of-care classification. This study highlights the potential for molecular profiling to refine surgical and radiotherapy decision-making.

Indexed as

Meningeal NeoplasmsMeningiomaAdultAgedBiomarkers, TumorClinical Decision-MakingDecision MakingFemaleHumansMaleMiddle AgedProgression-Free SurvivalRetrospective StudiesTreatment OutcomeBiomarkers, Tumor

Identifiers

PMID39169220
PMCPMC11564112

What OpenQuestion holds

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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.