Evidence map›Paper›PMID 42819216›Full record

SynthesisFrontiers in neurology2026

Neuronavigation-guided precise resection versus conventional glioma surgery: a meta-analysis of clinical outcomes.

Shuanglei Guo, Kang He, Bingjian Yuan, Xiaobing Chen, Honglin Liu, Zhenjiang Li

Abstract readMeta-AnalysisComparative StudyReview
In one paragraph

Synthesis in Frontiers in neurology, 2026. 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

6 authors.

Shuanglei GuoDepartment of Neurosurgery, Huaihe Hospital of Henan University, Kaifeng, China.
Kang HeDepartment of Neurosurgery, Huaihe Hospital of Henan University, Kaifeng, China.
Bingjian YuanDepartment of Neurosurgery, Huaihe Hospital of Henan University, Kaifeng, China.
Xiaobing ChenDepartment of Neurosurgery, Huaihe Hospital of Henan University, Kaifeng, China.
Honglin LiuDepartment of Neurosurgery, Huaihe Hospital of Henan University, Kaifeng, China.
Zhenjiang LiDepartment of Neurosurgery, Huaihe Hospital of Henan University, Kaifeng, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Neuronavigational surgery has become a cutting-edge technique that improves surgical accuracy, increases tumor excision rates, and preserves neurological function in glioma patients. Aim: This meta-analysis was conducted to assess the efficacy of neuronavigational and advanced imaging-assisted surgery compared to traditional glioma surgery. Methods: In total, 30 articles published between 2006 and 2026, including randomized controlled trials, prospective cohort studies, retrospective cohort studies, and case series, were evaluated. The intervention involved intraoperative MRI (iMRI), ultrasound-guided navigation, functional neuronavigation, and other advanced navigational technologies. Meta-analysis was carried out using random effects models with inverse variance to calculate pooled odds ratios (ORs), 95% confidence intervals (CIs), Results: Overall analysis demonstrated significant improvement with neuronavigation-guided surgery (OR = 2.37, 95% CI: 2.05-2.74, Conclusion: Neuronavigation-based and image-enhanced surgical procedures can significantly improve glioma surgery outcomes, with low heterogeneity and strong pooled effects. Large-scale multicenter studies are needed in order to prove their efficacy in the long term.

Indexed as

Brain NeoplasmsGliomaNeuronavigationNeurosurgical ProceduresSurgery, Computer-AssistedHumansTreatment Outcomeadvanced neuroimaging techniquesbrain tumor surgeryextent of resectionglioma surgeryintraoperative MRImultimodal imagingneuronavigationsurgical outcomes

Identifiers

PMID42819216
PMCPMC13625270

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.