Evidence map›Paper›PMID 41634470›Full record

SynthesisNeurosurgical review2026

Connectome-guided glioma resection: a systematic review of white matter tract preservation and postoperative neurocognition.

Tomasz Tykocki, Łukasz Rakasz

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Neurosurgical review, 2026. 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. 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

2 authors.

Tomasz TykockiDepartment of paediatric neurosurgery, Children's Hospital named after prof. dr med. Jan Bogdanowicz in Warsaw, Warsaw, Poland. ttykocki@gmail.com.
Łukasz RakaszDepartment of paediatric neurosurgery, Children's Hospital named after prof. dr med. Jan Bogdanowicz in Warsaw, Warsaw, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Connectome-guided glioma surgery integrates diffusion tractography and functional network mapping to optimize maximal safe resection while minimizing cognitive morbidity.To synthesize outcome-based evidence evaluating the impact of connectome- and tractography-guided glioma resections on postoperative neurocognition, white matter tract preservation, and oncologic extent of resection (EOR). Following PRISMA-2020 guidelines, we systematically reviewed studies (2017–2025) reporting clinical outcomes after connectome- or tractography-guided glioma surgery. Data included study design, technique, number of patients, and effect sizes. Random-effects meta-analyses (DerSimonian–Laird) pooled odds ratios (OR) and 95% confidence intervals (CIs). Twenty-four studies (n ≈ 1,850) were included. Connectome-guided surgery is associated with fewer permanent postoperative neurocognitive deficits (pooled OR = 0.55, 95% CI 0.40–0.75; I² = 35%), improved white matter tract preservation (pooled OR = 1.25, 95% CI 1.10–1.42; I² = 40%), and maintained or improved EOR (pooled OR = 1.30, 95% CI 1.05–1.60; I² = 29%). Connectome-based surgical planning is associated with improved functional outcomes, while maintaining oncologic efficacy. These results support the adoption of individualized connectomic strategies as a standard in modern neuro-oncological practice.

Indexed as

Brain NeoplasmsConnectomeGliomaNeurosurgical ProceduresSurgery, Computer-AssistedWhite MatterDiffusion Tensor ImagingHumansConnectomeGlioma resectionHodotopic modelNetwork plasticity

Identifiers

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.