Evidence map›Paper›PMID 40361321›Full record

ArticleCancers2025

Microvascular Cortical Dynamics in Minimal Invasive Deep-Seated Brain Tumour Surgery.

José Pedro Lavrador, Oliver Wroe-Wright, Francesco Marchi, Ali Elhag, Andrew O'Keeffe, Pablo De La Fuente, Christos Soumpasis, Andrea Cardia, Ana Mirallave-Pescador, Alba Díaz-Baamonde and 9 more

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

19 authors.

José Pedro LavradorDepartment of Neurosurgery, King's College Hospital Foundation Trust, London SE5 9RS, UK.ORCID 0000-0002-9518-111X
Oliver Wroe-WrightDepartment of Neurosurgery, King's College Hospital Foundation Trust, London SE5 9RS, UK.
Francesco MarchiDepartment of Neurosurgery, King's College Hospital Foundation Trust, London SE5 9RS, UK.ORCID 0000-0001-6532-7168
Ali ElhagDepartment of Neurosurgery, King's College Hospital Foundation Trust, London SE5 9RS, UK.
Andrew O'KeeffeDepartment of Neurosurgery, King's College Hospital Foundation Trust, London SE5 9RS, UK.
Pablo De La FuenteDepartment of Neurosurgery, Araba University Hospital, 01009 Vitoria, Spain.
Christos SoumpasisDepartment of Neurosurgery, The National Hospital for Neurology and Neurosurgery, London WC1N 3BG, UK.
Andrea CardiaDepartment of Neurosurgery, Neurocenter of Southern Switzerland, Ente Ospedaliero Cantonale, 6500 Lugano, Switzerland.ORCID 0000-0002-7349-3753
Ana Mirallave-PescadorDepartment of Neurosurgery, King's College Hospital Foundation Trust, London SE5 9RS, UK.
Alba Díaz-BaamondeDepartment of Neurosurgery, King's College Hospital Foundation Trust, London SE5 9RS, UK.ORCID 0000-0002-1256-516X
Jose Sadio MosqueraDepartment of Neurosurgery, King's College Hospital Foundation Trust, London SE5 9RS, UK.
Domingos CoiteiroUnidade de Saude Local, Hospital Santa Maria, 1649-028 Lisboa, Portugal.ORCID 0009-0004-8955-8533
Sharon JewellDepartment of Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College University, London WC2R 2LS, UK.
Anthony StrongDepartment of Basic and Clinical Neuroscience, Institute of Psychiatry, Psychology and Neuroscience, King's College University, London WC2R 2LS, UK.
Richard GullanDepartment of Neurosurgery, King's College Hospital Foundation Trust, London SE5 9RS, UK.
Keyoumars AshkanDepartment of Neurosurgery, King's College Hospital Foundation Trust, London SE5 9RS, UK.
Francesco VerganiDepartment of Neurosurgery, King's College Hospital Foundation Trust, London SE5 9RS, UK.
Ahilan Kailaya VasanDepartment of Neurosurgery, King's College Hospital Foundation Trust, London SE5 9RS, UK.
Ranjeev BhangooDepartment of Neurosurgery, King's College Hospital Foundation Trust, London SE5 9RS, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe tubular retractor-assisted minimally invasive parafascicular approach (trMIPS) is a transsulcal approach to deep-seated brain tumours. It is a safe surgical approach but its impact on the microvascular dynamics of the retracted cortex and its clinical implications are unknown.

methodsThis was a single-centre prospective study including patients with deep-seated brain tumours operated on with a trMIPS (BrainPath Nico System

resultsThirty-five patients were included, with 144 regions-of-interest (ROIs) selected. The majority of patients were diagnosed with glioblastoma (51.43%), and 37.14% of patients had a preoperative focal neurological deficit (FND) at presentation. A ROI-based analysis concluded that an increase in speed and CBFI was related with a worse neurological outcome when comparing the pre- and post-brain cannulation assessments (speed: deterioration = 43.12 ± 80.60% versus stable = -14.51 ± 57.80% versus improvement = 6.93 ± 31.33%,

conclusionMicrovascular flow dynamics impact trMIPS outcomes as an increase in the speed and CBFI after decannulation was related with worse neurological outcome.

Indexed as

deep-seated lesionsmicrovascularizationminimal invasive parafascicular surgeryneuro-oncologytranssulcal approachtubular retractor

Identifiers

PMID40361321
PMCPMC12070978

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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.