Evidence map›Paper›PMID 40690188›Full record

SynthesisJournal of neuro-oncology2025

Stereotactic radiosurgery for recurrent high-grade gliomas: a systematic review.

Trent Kite, Bryce Bossinger, Vineetha Yadlapalli, Stephen Jaffee, John Herbst, Stephen Karlovits, Rodney E Wegner, Matthew J Shepard

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of neuro-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. 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.

Trent KiteDepartment of Neurosurgery, Allegheny Health Network Neuroscience Institute, Pittsburgh, PA, USA.
Bryce BossingerEdward Via College of Osteopathic Medicine, Blacksburg, VA, USA.
Vineetha YadlapalliDrexel University College of Medicine, Philadelphia, PA, USA.
Stephen JaffeeDepartment of Neurosurgery, Allegheny Health Network Neuroscience Institute, Pittsburgh, PA, USA.
John HerbstDivision of Medical Oncology, Allegheny Health Network Cancer Institute, Pittsburgh, PA, USA.
Stephen KarlovitsDivision of Radiation Oncology, Allegheny Health Network Cancer Insitute, Pittsburgh, PA, USA.
Rodney E WegnerDivision of Radiation Oncology, Allegheny Health Network Cancer Insitute, Pittsburgh, PA, USA.
Matthew J ShepardDepartment of Neurosurgery, Allegheny Health Network Neuroscience Institute, Pittsburgh, PA, USA. Matthew.shepard@ahn.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeManagement of recurrent high-grade glioma (rHGG) is challenging. Contemporary therapeutic approaches include systemic chemotherapy, resection, conventional radiation, and stereotactic radiosurgery (SRS). Stereotactic radiosurgery is increasingly utilized given its low toxicity rates and relative efficacy. As the pace of research on this topic is rapidly evolving, a comprehensive review of the existing literature is necessary.

methodsA systematic review in accordance with the preferred reporting in systematic review and meta-analysis guidelines (PRISMA) was conducted. PubMed and Science Direct databases were queried for articles which reported a primary analysis on a cohort of patients with recurrent gliomas (WHO grade III and IV) treated with SRS. Articles meeting the inclusion criteria and satisfying the quality threshold were included in the final review.

resultsIn total 22 articles representing 1,191 patients satisfied the inclusion criteria and quality threshold. The articles spanned a time frame from 1999 to March 2025. Tumor subtypes were distributed as 245 (20.6%) grade III and 946 (79.4%) grade IV. Linear accelerator (LINAC) based SRS was the most frequently utilized SRS platform treating a median tumor volume of 9.9cm

conclusionsFor patients undergoing SRS for rHGG, overall survival times are consistent with alternative salvage therapies (chemotherapy, resection, and conventional radiotherapy) with relatively low treatment-related toxicity. Certain factors such as age, Karnofsky performance status (KPS), WHO grade, and interval between primary tumor treatment and reccurence/salvage SRS may be important in predicting treatment response.

Indexed as

Brain NeoplasmsGliomaNeoplasm Recurrence, LocalRadiosurgeryHumansNeoplasm GradingGlioblastomaHigh grade gliomaStereotactic radiosurgerySystematic-review

Identifiers

PMID40690188
PMCPMC12420728

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.