Evidence map›Paper›PMID 40198467›Full record

ArticleDiscover oncology2025

Efficacy analysis of brain radiotherapy in EGFR mutation non-small cell lung cancer with brain metastasis: a retrospective study.

Kaicheng Pan, Bing Wang, Xiao Xu, Yi Tang, Jiafeng Liang, Shenglin Ma, Bing Xia, Lucheng Zhu

Abstract read
In one paragraph

Article in Discover 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. Radiation therapy plus osimertinibWorld journal of methodology · 2026
    Article
  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

8 authors.

Kaicheng PanDepartment of Radiotherapy, Affiliated Hangzhou First People's Hospital, Westlake University School of Medicine, Hangzhou, China.
Bing WangDepartment of Radiotherapy, Affiliated Hangzhou First People's Hospital, Westlake University School of Medicine, Hangzhou, China.
Xiao XuDepartment of Radiotherapy, Affiliated Hangzhou First People's Hospital, Westlake University School of Medicine, Hangzhou, China.
Yi TangDepartment of Radiotherapy, Affiliated Hangzhou First People's Hospital, Westlake University School of Medicine, Hangzhou, China.
Jiafeng LiangDepartment of Radiotherapy, Affiliated Hangzhou First People's Hospital, Westlake University School of Medicine, Hangzhou, China.
Shenglin MaDepartment of Radiotherapy, Affiliated Hangzhou First People's Hospital, Westlake University School of Medicine, Hangzhou, China.
Bing XiaDepartment of Radiotherapy, Affiliated Hangzhou First People's Hospital, Westlake University School of Medicine, Hangzhou, China. bingxia_hzch@163.com.
Lucheng ZhuDepartment of Radiotherapy, Affiliated Hangzhou First People's Hospital, Westlake University School of Medicine, Hangzhou, China. zhulucheng1@outlook.com.

Funding

Hangzhou Municipal Health Commission NO.20220919Y050Hangzhou Science and Technology Development Plan Project NO.202004A19Medical and Health Technology Plan of Zhejiang Province NO.2022KY978
6 · The paper itself

Abstract

objectivesPatients with epidermal growth factor receptor (EGFR)-mutant non-small cell lung cancer (NSCLC) are at a heightened risk of developing brain metastases (BM). EGFR-tyrosine kinase inhibitors (TKI) are standard treatment for EGFR-mutated NSCLC. However, the necessity and optimal approach of brain radiotherapy for NSCLC patients with EGFR mutation remain inconclusive. We aimed to answer these questions by retrospectively analyzing the efficacy of radiotherapy in patients with BM from NSCLC with EGFR mutations.

methodsPatients with EGFR- mutant NSCLC and BMs who were diagnosed between January 1, 2018 and December 31, 2022 were included. According to treatment methods those patients were divided into whole brain radiotherapy (WBRT) plus EGFR-TKI (WBRT group), stereotactic radiotherapy (SRT) plus EGFR-TKI (SRT group) and EGFR-TKI alone (TKI-only group). Propensity-score-matching (PSM) was performed to minimize the effect of possible confounding factors and to balance treatment groups.

resultsA total of 142 patients were included in this study. The median follow-up time was 22 months (range, 3.0-43.0 months). In the PSM cohort, the median intracranial progression free survival (iPFS) was 14, 30, 12 months and the median overall survival (OS) was 27 months, not reach and 33 months in WBRT group, SRT group and TKI-only group, respectively. Compared with the other two groups, SRT group significantly improved iPFS and OS (p < 0.05). And the local progression rate of intracranial lesions in SRT group was significantly reduced (p < 0.05).

conclusionThis study showed that SRT combined with TKI may improve iPFS and prolong survival in patients with EGFR mutations in BMs from NSCLC.

Indexed as

Brain metastasesEGFRNon-small cell lung cancerRadiotherapy

Identifiers

PMID40198467
PMCPMC11979049

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.