Evidence map›Paper›PMID 40710005›Full record

ReviewDiseases (Basel, Switzerland)2025

Optimizing Stereotactic Intracranial Neoplasm Treatment: A Systematic Review of PET Integration with Gamma Knife Radiosurgery.

Robert C Subtirelu, Eric M Teichner, Milo Writer, Kevin Bryan, Shiv Patil, Talha Khan, Lancelot Herpin, Raj N Patel, Emily Christner, Chitra Parikh and 3 more

Abstract readReview
In one paragraph

Review in Diseases (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Robert C SubtireluDepartment of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
Eric M TeichnerSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA 19107, USA.ORCID 0000-0001-6627-6550
Milo WriterDepartment of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
Kevin BryanDepartment of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
Shiv PatilSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Talha KhanDepartment of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
Lancelot HerpinDepartment of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
Raj N PatelDepartment of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
Emily ChristnerDepartment of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
Chitra ParikhSidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Thomas WernerDepartment of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
Abass AlaviDepartment of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.ORCID 0000-0002-2442-7901
Mona-Elisabeth RevheimThe Intervention Centre, Division of Technology and Innovation, Oslo University Hospital, 0372 Oslo, Norway.ORCID 0000-0003-3300-7420

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTraditional imaging modalities for the planning of Gamma Knife radiosurgery (GKRS) are non-specific and do not accurately delineate intracranial neoplasms. This study aimed to evaluate the utility of positron emission tomography (PET) for the planning of GKRS for intracranial neoplasms (ICNs) and the post-GKRS applications of PET for patient care.

methodsPubMed, Scopus, and ScienceDirect were searched in order to assemble relevant studies regarding the uses of PET in conjunction with GKRS for ICN treatment. PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines were followed to identify relevant studies on the use of PET in conjunction with GKRS. Particular emphasis was placed on review articles and medical research investigating tumor delineation and post-operative care. Relevant studies were selected and assessed based on quality measures, including study design, sample size, and significance. Inclusion and exclusion criteria were used to examine the yield of the initial search (n = 105). After a secondary review, the included results were identified (n = 50).

resultsThis study revealed that PET imaging is highly accurate for the planning of GKRS. In fact, many cases indicate that it is more specific than traditional imaging modalities. PET is also capable of complementing traditional imaging techniques through combination imaging. This showed significant efficacy for the planning of GKRS for ICNs.

conclusionsWhile PET shows a multitude of applications for the treatment of ICNs with GKRS, further research is necessary to assemble a complete set of clinical guidelines for treatment specifications. Importantly, future studies need a greater standardization of methods and expanded trials with a multitude of radiotracers.

Indexed as

18F-FAZA68Ga-DOTATOCblood–brain barrier (BBB)combination imaging (PET/CTFRP-170)gamma knife radiosurgery (GKRS)intracranial neoplasmslesion recurrencemetabolic tumor volume (MTV)microscopic infiltrationsneuro-oncologyPET/MR)positron emission tomography (PET)post-operative monitoringradiation necrosisradiosurgical outcomesradiotracers (18F-FDG, 11C-MET, 18F-FET, and 18F-DOPAradiotracer uptaketumor delineation

Identifiers

PMID40710005
PMCPMC12293858

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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.