Evidence map›Paper›PMID 39200256›Full record

ReviewBiomedicines2024

Radiotherapy and Systemic Treatment for Leptomeningeal Disease.

Kelsey M Frechette, William G Breen, Paul D Brown, Ugur T Sener, Lauren M Webb, David M Routman, Nadia N Laack, Anita Mahajan, Eric J Lehrer

Abstract readReview
In one paragraph

Review in Biomedicines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Article
  8. 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.

Kelsey M FrechetteDepartment of Radiation Oncology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0009-0006-5035-3420
William G BreenDepartment of Radiation Oncology, Mayo Clinic, Rochester, MN 55905, USA.
Paul D BrownDepartment of Radiation Oncology, Mayo Clinic, Rochester, MN 55905, USA.
Ugur T SenerDepartment of Neuro-Oncology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0002-3919-7408
Lauren M WebbDepartment of Neuro-Oncology, Mayo Clinic, Rochester, MN 55905, USA.ORCID 0000-0002-4937-6848
David M RoutmanDepartment of Radiation Oncology, Mayo Clinic, Rochester, MN 55905, USA.
Nadia N LaackDepartment of Radiation Oncology, Mayo Clinic, Rochester, MN 55905, USA.
Anita MahajanDepartment of Radiation Oncology, Mayo Clinic, Rochester, MN 55905, USA.
Eric J LehrerDepartment of Radiation Oncology, Mayo Clinic, Rochester, MN 55905, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Leptomeningeal disease (LMD) is a devastating sequelae of metastatic spread that affects approximately 5% of cancer patients. The incidence of LMD is increasing due to advancements in systemic therapy and enhanced detection methods. The purpose of this review is to provide a detailed overview of the evidence in the detection, prognostication, and treatment of LMD. A comprehensive literature search of PUBMED was conducted to identify articles reporting on LMD including existing data and ongoing clinical trials. We found a wide array of treatment options available for LMD including chemotherapy, targeted agents, and immunotherapy as well as several choices for radiotherapy including whole brain radiotherapy (WBRT), stereotactic radiosurgery (SRS), and craniospinal irradiation (CSI). Despite treatment, the prognosis for patients with LMD is dismal, typically 2-4 months on average. Novel therapies and combination approaches are actively under investigation with the aim of improving outcomes and quality of life for patients with LMD. Recent prospective data on the use of proton CSI for patients with LMD have demonstrated its potential survival benefit with follow-up investigations underway. There is a need for validated metrics to predict prognosis and improve patient selection for patients with LMD in order to optimize treatment approaches.

Indexed as

craniospinal irradiationimmune checkpoint inhibitorleptomeningeal diseaseLMDradiotherapy

Identifiers

PMID39200256
PMCPMC11351760

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.