Evidence map›Paper›PMID 39556284›Full record

SynthesisJournal of neuro-oncology2025

The impact of intraoperative mapping during re-resection in recurrent gliomas: a systematic review.

Mark P van Opijnen, Yasmin Sadigh, Miles E Dijkstra, Jacob S Young, Sandro M Krieg, Sebastian Ille, Nader Sanai, Jordina Rincon-Torroella, Takashi Maruyama, Philippe Schucht and 7 more

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of neuro-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

17 authors.

Mark P van OpijnenDepartment of Neurosurgery, Leiden University Medical Center, Leiden, The Netherlands.
Yasmin SadighDepartment of Neurosurgery, Erasmus Medical Center, Dr. Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands.
Miles E DijkstraDepartment of Neurosurgery, Erasmus Medical Center, Dr. Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands.
Jacob S YoungDepartment of Neurosurgery, University of California, San Francisco, CA, USA.
Sandro M KriegDepartment of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.
Sebastian IlleDepartment of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.
Nader SanaiDepartment of Neurosurgery, Barrow Neurological Institute, Phoenix, AZ, USA.
Jordina Rincon-TorroellaDepartment of Neurosurgery, Johns Hopkins University, Baltimore, MD, USA.
Takashi MaruyamaDepartment of Neurosurgery, Tokyo Women's Medical University Hospital, Tokyo, Japan.
Philippe SchuchtDepartment of Neurosurgery, Inselspital Universitätsspital Bern, Bern, Switzerland.
Timothy R SmithDepartment of Neurosurgery, Brigham and Women's Hospital, Boston, MA, USA.
Brian V NahedDepartment of Neurosurgery, Massachusetts General Hospital, Boston, MA, USA.
Marike L D BroekmanDepartment of Neurosurgery, Leiden University Medical Center, Leiden, The Netherlands.
Steven De VleeschouwerDepartment of Neurosurgery, Leuven Brain Center (LBI), University Hospital Leuven, Louvain, KU, Belgium.
Mitchel S BergerDepartment of Neurosurgery, University of California, San Francisco, CA, USA.
Arnaud J P E Vincent *Department of Neurosurgery, Erasmus Medical Center, Dr. Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands.
Jasper K W Gerritsen *Department of Neurosurgery, Erasmus Medical Center, Dr. Molewaterplein 40, 3015 GD, Rotterdam, The Netherlands. j.gerritsen@erasmusmc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePrevious evidence suggests that glioma re-resection can be effective in improving clinical outcomes. Furthermore, the use of mapping techniques during surgery has proven beneficial for newly diagnosed glioma patients. However, the effects of these mapping techniques during re-resection are not clear. This systematic review aimed to assess the evidence of using these techniques for recurrent glioma patients.

methodsA systematic search was performed to identify relevant studies. Articles were eligible if they included adult patients with recurrent gliomas (WHO grade 2-4) who underwent re-resection. Study characteristics, application of mapping, and surgical outcome data on survival, patient functioning, and complications were extracted.

resultsThe literature strategy identified 6372 articles, of which 125 were screened for eligibility. After full-text evaluation, 58 articles were included in this review, comprising 5311 patients with re-resection for glioma. Of these articles, 17% (10/58) reported the use of awake or asleep intraoperative mapping techniques during re-resection. Mapping was applied in 5% (280/5311) of all patients, and awake craniotomy was used in 3% (142/5311) of the patients.

conclusionMapping techniques can be used during re-resection, with some evidence that it is useful to improve clinical outcomes. However, there is a lack of high-quality support in the literature for using these techniques. The low number of studies reporting mapping techniques may, next to publication bias, reflect limited application in the recurrent setting. We advocate for future studies to determine their utility in reducing morbidity and increasing extent of resection, similar to their benefits in the primary setting.

Indexed as

Brain MappingBrain NeoplasmsGliomaMonitoring, IntraoperativeNeoplasm Recurrence, LocalNeurosurgical ProceduresHumansReoperationGliomaIntraoperative mappingRecurrenceRe-resectionSurvival

Identifiers

PMID39556284
PMCPMC11729115

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.