Evidence map›Paper›PMID 40332507›Full record

ReviewInternational journal of molecular sciences2025

Current Treatment Paradigms for Advanced Melanoma with Brain Metastases.

Elisabetta Bonzano, Stefania Barruscotti, Silvia Chiellino, Benedetta Montagna, Chiara Bonzano, Ilaria Imarisio, Sara Colombo, Francesco Guerrini, Jessica Saddi, Salvatore La Mattina and 4 more

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
  4. Review
  5. 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

14 authors.

Elisabetta BonzanoDepartment of Radiation Oncology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0002-1349-5853
Stefania BarruscottiDermatology Clinic, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Silvia ChiellinoUnit of Oncology, Department of Oncology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Benedetta MontagnaUnit of Oncology, Department of Oncology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Chiara BonzanoDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, IRCCS Ospedale Policlinico San Martino, University Eye Clinic, 16132 Genoa, Italy.
Ilaria ImarisioUnit of Oncology, Department of Oncology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Sara ColomboDepartment of Radiation Oncology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Francesco GuerriniUnit of Neurosurgery, Department of Head & Neck Surgery, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0001-8568-9692
Jessica SaddiDepartment of Radiation Oncology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Salvatore La MattinaDepartment of Radiation Oncology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0009-0008-0137-5142
Carlo Francesco TomasiniDermatology Clinic, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Giannantonio SpenaUnit of Neurosurgery, Department of Head & Neck Surgery, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.
Paolo PedrazzoliUnit of Oncology, Department of Oncology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0002-9419-7160
Andrea LanciaDepartment of Radiation Oncology, Fondazione IRCCS Policlinico San Matteo, 27100 Pavia, Italy.ORCID 0000-0001-6106-7725

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The therapeutic management of melanoma brain metastases has undergone a profound revolution during recent decades. Optimal integration of systemic therapies with local treatments seems to represent the strategy to pursue in order to maximize clinical outcomes, stressing the need for real multidisciplinary care in this setting of patients. However, the current approach in the clinics does not necessarily reflect what the current guidelines state, and several pending issues are present, from the ideal therapeutic sequence between stereotactic radiosurgery (SRS) and drug administration to the current role of surgery and whole brain radiotherapy (WBRT), all of which need to be addressed. This narrative review aims to provide practical help for navigating the current controversies, with an eye towards possible future advancements in the field, which could help to obtain a comprehensive molecular characterization of the tumor and a more personalized patient-centered therapeutic approach.

Indexed as

Brain NeoplasmsMelanomaCombined Modality TherapyHumansRadiosurgerybrain metastasesimmunotherapymelanomamultidisciplinary treatmentradiotherapystereotactic radiosurgerytargeted therapy

Identifiers

PMID40332507
PMCPMC12027546

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.