Evidence map›Paper›PMID 39907804›Full record

SynthesisActa neurochirurgica2025

Gamma knife stereotactic radiosurgery for neurofibromatosis 2 (NF2)-associated meningiomas; a systematic review and meta-analysis.

Mohammad Amin Habibi, Mohammad Sina Mirjani, Muhammad Hussain Ahmadvand, Pouria Delbari, Omid Alasti, Mohammad Taha Akbari Javar, Fatemeh Askari Yazdian, Romina Hamidi Rad, Ali Dinpazhouh, Mahdi Mehmandoost and 5 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Acta neurochirurgica, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

15 authors.

Mohammad Amin HabibiDepartment of Neurosurgery, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. Mohammad.habibi1392@yahoo.com.ORCID 0000-0001-7600-6925
Mohammad Sina MirjaniStudent Research Committee, Qom University of Medical Sciences, Qom, Iran.ORCID 0009-0007-7553-1016
Muhammad Hussain AhmadvandMedical student, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0009-0004-8485-8721
Pouria DelbariMedical student, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0009-0004-6964-8101
Omid AlastiSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.ORCID 0009-0001-2546-1810
Mohammad Taha Akbari JavarStudent Research Committee, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.ORCID 0000-0001-9737-1278
Fatemeh Askari YazdianStudent Research Committee, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.ORCID 0000-0002-5726-6630
Romina Hamidi RadDepartment of Medicine, Tehran Medical Branch, Islamic Azad University, Tehran, Iran.ORCID 0000-0002-8987-9124
Ali DinpazhouhStudent Research Committee, Qom University of Medical Sciences, Qom, Iran.ORCID 0009-0009-4000-4915
Mahdi MehmandoostStudent Research Committee of Qom University of Medical Sciences, Qom, Iran.
Salem M TosStudent Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Bardia HajikarimlooStudent Research Committee, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Amirmohammad BahriDepartment of Neurological Surgery, University of Virginia, Charlottesville, VA, USA.ORCID 0009-0003-0521-8420
Fateme AghaeiStudent Research Committee, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Mohammad Ali Abouei MehriziDepartment of Neurosurgery, Faculty of Medicine, Mashhad University of Medical Science, Mashhad, Iran. drabouei@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeurofibromatosis type 2 (NF2)-related schwannomatosis is a rare genetic disorder associated with meningiomas. Stereotactic radiosurgery (SRS) has emerged as a potential non-invasive method. This study aims to synthesize the available evidence on using SRS to treat these tumors.

methodsPubMed/Medline, Embase, Scopus, and Web of Science were searched until March 21, 2024. This study was prepared by adhering to the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA).

resultsFour studies were included comprising 101 patients with NF2-associated meningiomas treated with SRS. All included studies used gamma knife stereotactic radiosurgery (GKRS) as treatment modality. Overall survival rates remained high (100%) up to 3 years post-treatment, with slight declines at five years of 98% (95% CI: 0.95-1.01) and ten years of 68% (95% CI: 0.48-0.87). Progression-free survival rates were similarly favorable, with 95% (95% CI: 89-101%) at three years, 93% (95% CI: 86-99%) at five years, and 81% (95% CI: 51-111%) at ten years. The pooled radiation necrosis rate was 5% (95% CI: 3-7%), while the overall radiation toxicity rate was 16% (95% CI: 11-21%). Local tumor control rates were high at six months, and at 12 months, they were 100% (95% CI: 1.00-1.00).

conclusionGKRS demonstrates high efficacy and a favorable safety profile for NF2-associated meningiomas, offering a valuable treatment option for this challenging patient population.

Indexed as

Meningeal NeoplasmsMeningiomaNeurofibromatosis 2RadiosurgeryHumansGamma knifeMeningiomaNF2-related schwannomatosisStereotactic radiosurgery

Identifiers

PMID39907804
PMCPMC11799078

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.