Evidence map›Paper›PMID 40028224›Full record

ArticleAdvances in radiation oncology2025

Reduced Treatment Volumes for Glioblastoma Associated With Lower Rates of Radionecrosis and Lymphopenia: A Pooled Analysis.

Jennifer K Matsui, David Swanson, Pamela Allen, Haley K Perlow, Jared Bradshaw, Thomas H Beckham, Martin C Tom, Chenyang Wang, Subha Perni, Debra N Yeboa and 5 more

Abstract read
In one paragraph

Article in Advances in radiation oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Obstacles and Trials in Treating Primary Brain Tumors.International journal of molecular sciences · 2026
    Review
  4. 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

15 authors.

Jennifer K MatsuiDepartment of Radiation Oncology, Stanford University, Stanford, California.
David SwansonDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.
Pamela AllenDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.
Haley K PerlowDepartment of Radiation Oncology, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Jared BradshawDepartment of Radiation Oncology, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Thomas H BeckhamDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.
Martin C TomDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.
Chenyang WangDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.
Subha PerniDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.
Debra N YeboaDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.
Amol J GhiaDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.
Mary Frances McAleerDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.
Jing LiDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.
Joshua D PalmerDepartment of Radiation Oncology, The Ohio State University Wexner Medical Center, Columbus, Ohio.
Susan L McGovernDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

Purpose: There is marked variability in treatment fields for glioblastoma. We performed a retrospective study comparing outcomes of patients treated according to MD Anderson Cancer Center (MDACC) or Radiation Therapy Oncology Group (RTOG) guidelines and identified differences in treatment-related toxicity. Methods and Materials: Adult patients with glioblastoma treated with surgery and adjuvant radiation treatment were included in this study. Primary outcomes were local control, progression-free survival (PFS), overall survival (OS), and radiation-related toxicity. PFS and OS were estimated using the Kaplan-Meier estimator. Univariate and multivariate analyses were conducted using Cox regression models. Results: In total, 257 patients met the inclusion criteria with a median age of 60.1 years at diagnosis. There were 162 and 95 patients treated according to the MDACC or RTOG guidelines, respectively. Despite having similar gross tumor volumes, the RTOG cohort had a larger median planning target volume (303.2 cm³ vs 430.7 cm³, Conclusions: Patients treated according to MDACC guidelines had smaller treatment volumes, improved PFS, and lower rates of radionecrosis and severe lymphopenia. However, when adjusting for prognostic factors, treatment type was not associated with PFS in multivariate analysis. Prospective investigation is warranted to confirm these differences in outcomes.

Identifiers

PMID40028224
PMCPMC11871440

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.