Evidence map›Paper›PMID 42827525›Full record

ArticleNeuro-oncology advances

How safe and effective is radiosurgical treatment for patients with 10 or more brain metastases?

Anna Cho, Thore Jankowski, Yiru Chen, Lukas Kohlmaier, Brigitte Gatterbauer, Philip Lederer, Lukas Haider, Sonja Tögl, Karl Rössler, Christian Dorfer and 5 more

Abstract read
In one paragraph

Article in Neuro-oncology advances. 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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0cells of the map it votes in
0citing papers in PubMed
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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

15 authors.

Anna ChoDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.
Thore JankowskiDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.
Yiru ChenDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.
Lukas KohlmaierDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.
Brigitte GatterbauerDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.
Philip LedererDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.
Lukas HaiderDepartment of Biomedical Imaging and Image-guided Therapy, Division of Neuroradiology and Musculoskeletal Radiology, Medical University of Vienna, Vienna, Austria.
Sonja TöglDepartment of Radiation Oncology, Medical University of Vienna, Vienna, Austria.
Karl RösslerDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.
Christian DorferDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-1843-7732
Philippe DodierDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.
Christoph HöllerDepartment of Dermatology, Medical University of Vienna, Vienna, Austria.
Rupert BartschDepartment of Medicine I, Division of Oncology, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-4384-6917
Maximilian J HochmairKarl Landsteiner Institute of Lung Research and Pulmonary Oncology, Klinik Floridsdorf, Vienna, Austria.
Josa M FrischerDepartment of Neurosurgery, Medical University of Vienna, Vienna, Austria.ORCID https://orcid.org/0000-0002-6638-3476

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: We evaluated the outcome of radiosurgically treated patients with ≥10 brain metastases (BM), compared to patients <10 BM. Methods: Patients, who underwent at least one Gamma Knife radiosurgical (GKRS) treatment for at least one BM without previous Central Nervous System (CNS) treatments, were retrospectively divided into 2 groups: (1) < 10 or (2) ≥ 10 BM. Results: At GKRS1, 1293 patients had <10 BM and 126 patients had ≥10 BM. The estimated median survival after GKRS1 was significantly longer in patients with <10 BM (9.9 months), compared to patients with ≥10 BM at GKRS1 (5.3 months; Conclusions: In addition to BM count, multiple factors may influence survival and should be considered during the pre-radiosurgery assessment. GKRS represents a safe and effective first-line treatment method even for patients with ≥10 BM, particularly in the era of modern systemic therapies.

Indexed as

brain metastasesGamma Knife radiosurgerymultiple brain metastases

Identifiers

PMID42827525
PMCPMC13630489

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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.