Evidence map›Paper›PMID 40261558›Full record

Observational studyJournal of neuro-oncology2025

Integrating a novel tablet-based digital neurocognitive assessment tool in brain metastases patients.

Eyub Y Akdemir, Selin Gurdikyan, Thailin Companioni Reyes, Yazmin Odia, Miguel A Ramirez Menendez, Sreenija Yarlagadda, Omer Gal, Matthew D Hall, Robert H Press, D Jay Wieczorek and 7 more

Registry-linked trialAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of neuro-oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05504681 (Integration of Neurocognitive Biomarkers Into a Neuro-Oncology Clinic), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT05504681 recruitingnot on this map

Integration of Neurocognitive Biomarkers Into a Neuro-Oncology Clinic

TypeobservationalSponsorBaptist Health South FloridaRan2021 to 2032Enrolled200ConditionsNeurocognitive DisordersArmsObservational study
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. 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

17 authors.

Eyub Y AkdemirDepartment of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, 33176, USA.
Selin GurdikyanDepartment of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, 33176, USA.
Thailin Companioni ReyesDepartment of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, 33176, USA.
Yazmin OdiaHerbert Wertheim College of Medicine, Florida International University, Miami, FL, USA.
Miguel A Ramirez MenendezDepartment of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, 33176, USA.
Sreenija YarlagaddaDepartment of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, 33176, USA.
Omer GalDepartment of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, 33176, USA.
Matthew D HallDepartment of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, 33176, USA.
Robert H PressDepartment of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, 33176, USA.
D Jay WieczorekDepartment of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, 33176, USA.
Yongsook C LeeDepartment of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, 33176, USA.
Ranjini TolakanahalliDepartment of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, 33176, USA.
Alonso N GutierrezDepartment of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, 33176, USA.
Michael W McDermottHerbert Wertheim College of Medicine, Florida International University, Miami, FL, USA.
Manmeet S AhluwaliaHerbert Wertheim College of Medicine, Florida International University, Miami, FL, USA.
Minesh P MehtaDepartment of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, 33176, USA.
Rupesh KotechaDepartment of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, 33176, USA. RupeshK@baptisthealth.net.

Funding

Brainlab Inc. 2020-KOT-004
6 · The paper itself

Abstract

purposePatients with brain metastasis frequently exhibit baseline neurocognitive decline (NCD), which can be further exacerbated by CNS-directed interventions. Despite efforts to measure and preserve neurocognitive function (NCF), the practicality of traditional methods remains a concern. As a contemporary alternative, this study evaluates the feasibility and patient feedback of a novel digital neurocognitive assessment (NCA) tool.

methodsAdult patients undergoing stereotactic radiosurgery (SRS), fractionated SRS (FSRS), or whole-brain radiotherapy (WBRT) from December 2021 to March 2024 were enrolled onto a prospective registry (NCT05504681), which formed the basis for this work. The multi-dimensional, multi-language digital NCA battery was administered at baseline and follow-up, and a feedback survey was collected to assess the tool's usability and patient satisfaction.

resultsA "high risk" cohort of 74 patients with brain metastases and a "low risk" cohort of 14 patients with small benign extra-axial tumors were evaluated. The high risk cohort had higher rates of NCD compared to the low risk cohort (36.5% vs. 7.1%, p = 0.032); driven by patients treated with WBRT vs. SRS/FSRS (73.3% vs. 27.1%, p = 0.001). Notably, 50.0% completed the NCAs in their native language (non-English). Patient feedback indicated that 94% found the NCAs easy to understand, 96% found it easy to use, and 74% found it relevant to their care.

conclusionThis multi-dimensional, multi-language tablet-based NCA tool demonstrated feasibility and patient acceptance in a diverse patient population as well as the ability to discriminate NCD among patients treated with SRS/FSRS vs. WBRT. This approach shows promise for broader implementation, warranting further validation to confirm its efficacy.

Indexed as

Brain NeoplasmsComputers, HandheldNeuropsychological TestsAdultAgedFeasibility StudiesFemaleFollow-Up StudiesHumansMaleMiddle AgedProspective StudiesRadiosurgeryBrain metastasisDigitalNeurocognitive assessmentRadiotherapyTablet-based

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.