Evidence map›Paper›PMID 40087845›Full record

SynthesisCancer medicine2025

Transforming Brain Tumor Care: The Global Impact of Radiosurgery in Multidisciplinary Treatment Over Two Decades.

Zerubbabel K Asfaw, Tirone Young, Cole Brown, Mehek Dehdia, Lily Huo, Kunal K Sindhu, Stanislav Lazarev, Robert Samstein, Sheryl Green, Isabelle M Germano

Abstract readSystematic Review
In one paragraph

Synthesis in Cancer medicine, 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. Article
  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.

Zerubbabel K AsfawDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Tirone YoungDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Cole BrownDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Mehek DehdiaDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Lily HuoDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Kunal K SindhuDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID https://orcid.org/0000-0001-9376-8307
Stanislav LazarevDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID https://orcid.org/0000-0002-4397-9103
Robert SamsteinDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Sheryl GreenDepartment of Radiation Oncology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.
Isabelle M GermanoDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID https://orcid.org/0000-0002-3992-373X

Funding

J: NRSA Training CoreTL1TR004420 · NCATS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI JANICE L GABRILOVE, Robert O Wright · 2022 to 2026
$3.9M
NCATS NIH HHS TL1 TR004420NCATS NIH HHS TL1TR004420 NRSA TL1
6 · The paper itself

Abstract

backgroundStereotactic radiosurgery, a minimally invasive treatment delivering high doses of radiation to a well-defined target, has transformed interdisciplinary treatment paradigms since its inception. This study chronicles its adoption and evolution for brain cancer and tumors globally.

methodsA systematic literature review of SRS-focused articles from 2000 to 2023 was conducted. Literature impact was evaluated using citation counts and relative citation ratio scores. Extracted data were dichotomized between US and international publications.

resultsOut of 5424 articles eligible, 538 met inclusion criteria reporting on 120,756 patients treated with SRS for brain cancer and tumors since 2000. Over time, publication rates grew significantly (p = 0.0016), with 56% of principal investigators based in the United States. Clinical articles accounted for 87% of the publications, with the remainder focused on technological advances. Relative to international studies, US publications had larger median samples (74 vs. 58, p = 0.012), higher median citations (30 vs. 19, p < 0.0001) and higher relative citation ratio scores (1.67 vs. 1.2, p < 0.00001). Gamma Knife and LINAC had roughly equal representation in US and international publications. Neurosurgery specialists authored more Gamma Knife-based articles, and radiation oncology specialists authored more LINAC-based papers (p < 0.0001). The most treated tumors were metastases (58%), skull base tumors (35%), and gliomas (7%). Radiographic control was achieved in 82% of metastatic tumor cases, with a 12% median complication rate.

conclusionsSRS has been widely adopted both nationally and globally and continues to be a growing field. This study corroborates the clinical efficacy of SRS and reinforces its critical role in the multidisciplinary treatment of patients with brain tumors and cancer.

Indexed as

Brain NeoplasmsRadiosurgeryCombined Modality TherapyHumansGamma Knifeglobal neurosurgerylinear acceleratorneuro‐oncologyneurosurgeryradiation oncologystereotactic radiosurgery

Identifiers

PMID40087845
PMCPMC11909010

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.