Evidence map›Paper›PMID 39747715›Full record

ArticleJournal of neuro-oncology2025

Stereotactic implantation of diffusing alpha-emitters radiation therapy sources in the swine brain: a potential new focal therapy for brain tumors.

Yigal Shoshan, Moshe J Gomori, Lior Moss, Saleem Eben Bari, Nir Edery, Robert B Den, Lior Arazi, Aron Popovtzer, Jon Feldman, Samuel Moscovici

Abstract read
In one paragraph

Article 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. 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

10 authors.

Yigal ShoshanDepartment of Neurosurgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. yigalshoshan@mac.com.
Moshe J GomoriDepartment of Radiology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.
Lior MossDepartment of Pathology, Kimron Veterinary Institute, Bet Dagan, Israel.
Saleem Eben BariDepartment of Pathology, Kimron Veterinary Institute, Bet Dagan, Israel.
Nir EderyDepartment of Pathology, Kimron Veterinary Institute, Bet Dagan, Israel.
Robert B DenAlpha Tau Medical, Jerusalem, Israel.
Lior AraziUnit of Nuclear Engineering, Faculty of Engineering Sciences, Ben-Gurion University of the Negev, Be'er-Sheva, Israel.
Aron PopovtzerSharett Institute of Oncology, Hebrew University-Hadassah Medical Center, Jerusalem, Israel.
Jon FeldmanSharett Institute of Oncology, Hebrew University-Hadassah Medical Center, Jerusalem, Israel.
Samuel MoscoviciDepartment of Neurosurgery, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDiffusing alpha-emitters Radiation Therapy ("Alpha DaRT") is a new cancer treatment modality that employs radium-224-loaded metal sources implanted in solid tumors to disperse alpha-emitting atoms within a therapeutic "kill-zone" of a few millimeters around each source. Preclinical studies have demonstrated tumor growth delay in various cancer types, including glioblastoma multiforme, and the method is used in clinical trials for patients with skin and head and neck cancer. This study aims to assess the safety and feasibility of implementing Alpha DaRT for brain tumor treatment in a large animal model.

methodsAlpha-DaRT sources were delivered via image-guided stereotactic implantation into both hemispheres of eight swine. 1-3 layers of radial deployment of 7 sources were delivered through a single penetration point into each hemisphere. A 90-day follow-up period included clinical evaluation, brain MRI, head CT, blood, CSF, urine, and feces sampling, and an analysis of source location over time. Brain tissue pathology was performed on termination.

resultsAlpha-DaRT sources were reproducibly and efficiently delivered to the brain cortex and subcortex. No unexpected abnormalities were detected in blood or CSF samples. MRI and CT scans revealed no evidence of major bleeding or infection. Measurements of

conclusionAlpha-DaRT sources can be safely delivered into a large animal brain using image-guided stereotactic implantation. These findings support further exploration of Alpha DaRT as a potential treatment modality for brain tumors.

Indexed as

Alpha ParticlesBrainBrain NeoplasmsRadiosurgeryAnimalsDisease Models, AnimalRadiotherapy, Image-GuidedSwineAlpha DaRTBrain tumorsFocal therapyMinimally invasiveStereotactic implantation

Identifiers

PMID39747715
PMCPMC11937107

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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.