Evidence map›Paper›PMID 42243447›Full record

ArticleJournal of neuro-oncology2026

Butterfly gliomas: to biopsy or to ablate - a longitudinal cohort study.

Vratko Himic, Morgan Leigh Johnson, Anshul Ratnaparkhi, Roxanne C Mayrand, Jay Chandar, Vaidya Govindarajan, Daniel C Kreatsoulas, Arman Jahangiri, Zachary C Gersey, Daniel M Aaronson and 3 more

Abstract read
In one paragraph

Article in Journal of neuro-oncology, 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. 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

13 authors.

Vratko HimicDepartment of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA. vxh268@miami.edu.ORCID http://orcid.org/0000-0002-3906-5317
Morgan Leigh JohnsonDepartment of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Anshul RatnaparkhiDepartment of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Roxanne C MayrandDepartment of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Jay ChandarDepartment of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Vaidya GovindarajanDepartment of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Daniel C KreatsoulasDepartment of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Arman JahangiriDepartment of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Zachary C GerseyDepartment of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Daniel M AaronsonDepartment of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Ricardo J KomotarDepartment of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Micheal E IvanDepartment of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.
Ashish H ShahDepartment of Neurological Surgery, University of Miami Miller School of Medicine, Miami, FL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeButterfly gliomas are an aggressive subset of high-grade glioma characterized by bilateral hemispheric involvement. These patients often only receive biopsy followed by chemoradiation rather than surgical resection. Laser interstitial thermal therapy (LITT) provides a minimally invasive alternative that can improve survival.

methodsWe retrospectively compare outcomes in biopsy alone versus LITT cohorts. Demographic characteristics, perioperative outcomes, and survival metrics were analyzed. Within the LITT cohort, procedural and volumetric analyses were performed to examine the relationship between extent of ablation (EOA), residual tumor burden (RTB).

resultsOf 44 patients, 15 underwent biopsy only and 29 received LITT. LITT was associated with a longer median overall survival compared to biopsy (14.86 versus 4.93 months, p = 0.0489), and median progression-free survival (4.67 versus 2.53 months, p = 0.0389). Within the LITT cohort, larger preoperative tumor volumes were associated with lower EOA (r²=0.46, p = 0.0002) and a higher RTB (r

conclusionsLITT is associated with improved survival compared with biopsy alone without increased perioperative morbidity. Reliance on volumetric thresholds alone may be insufficient to evaluate treatment adequacy in LITT, particularly in complex and heterogeneous tumors.

Indexed as

Brain NeoplasmsGliomaLaser TherapyAdultAgedBiopsyFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleMiddle AgedRetrospective StudiesSurvival RateTreatment OutcomeBiopsyButterflyGliomaLaserOutcomes

Identifiers

PMID42243447
PMCPMC13236819

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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.