ReviewCancers2026
Radiotherapy Strategies for WHO Grade 1 Meningioma: A Systematic Review and Meta-Analysis Comparing Proton Therapy, Conventional Radiotherapy, and Radiosurgery.
Review in Cancers, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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11 authors.
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Abstract
BACKGROUND/
objectivesThe optimal radiotherapy modality for World Health Organization (WHO) Grade 1 meningioma remains uncertain. Proton therapy offers dosimetric advantages through reduced radiation exposure to normal brain tissue, but comparative clinical data across contemporary radiotherapy modalities are limited. We performed a systematic review and meta-analysis comparing local control (LC) outcomes among conventionally fractionated proton therapy (CF-PT), conventionally fractionated photon radiotherapy (CF-Photon RT), Linac-based stereotactic radiosurgery/radiotherapy (Linac-based SRS/SRT), and Gamma Knife radiosurgery (GKRS).
methodsA systematic literature search of PubMed (2000-2024) was conducted to identify studies reporting LC for WHO Grade 1 meningioma treated with CF-PT, CF-Photon RT, Linac-based SRS/SRT, or GKRS. Random-effects meta-analyses were performed to estimate pooled 1- to 5-year LC rates. Random-effects meta-regression analyses were conducted using modality, age, sex, and gross tumor volume (GTV) as covariates.
resultsTwenty-four studies comprising 4673 patients were included in the meta-analysis. Median GTVs were larger in the CF-PT and CF-Photon RT cohorts than in the Linac-based SRS/SRT and GKRS cohorts. All modalities achieved excellent LC: 5-year LC rates were 95.9% for CF-PT, 93.0% for CF-Photon RT, 95.3% for Linac-based SRS/SRT, and 89.8% for GKRS. Meta-regression showed no significant association between modality or GTV and LC. In the CF-PT cohort, 5-year overall survival was 93.1%.
conclusionsMajor radiotherapy modalities achieved excellent and comparable LC. Notably, CF-PT and CF-Photon RT maintained favorable LC despite being used for larger tumors than stereotactic approaches. Future studies are needed to evaluate long-term tumor control and treatment-related toxicity to define optimal treatment strategies.
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