Evidence map›Paper›PMID 42905327›Full record

ReviewJournal of neuro-oncology2026

Artificial intelligence in gamma knife radiosurgery: applications in treatment planning, response prediction, and toxicity assessment.

Ali Zidan, Adham El-Sherbini, Levi Burns, Hany Soliman

Abstract readReview
PubMed Publisher
In one paragraph

Review in Journal of neuro-oncology, 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

4 authors.

Ali ZidanTemerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Adham El-SherbiniTemerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Levi BurnsDepartment of Radiation Oncology, University of Toronto, Toronto, ON, Canada.
Hany SolimanDepartment of Radiation Oncology, University of Toronto, Toronto, ON, Canada. Hany.Soliman@sunnybrook.ca.ORCID http://orcid.org/0000-0003-2824-2100

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeArtificial intelligence (AI) is increasingly being developed across the Gamma Knife radiosurgery (GKRS) workflow, but its current applications and readiness for clinical integration remain underutilized. This narrative review examines the emerging role of AI in GKRS, with emphasis on treatment planning, outcome prediction, and post-treatment assessment.

methodsA structured search of PubMed/MEDLINE, Embase, and Scopus was conducted through September 20, 2026 to identify studies applying learning-based AI approaches specifically to GKRS. Eligible studies evaluated AI models using GKRS clinical, imaging, or treatment-planning data, while non-GKRS and non-learning-based studies were excluded. Included studies were synthesized according to major stages of the GKRS workflow.

resultsAI applications were identified across tumor segmentation, isocenter selection and treatment planning, prescription and dose-distribution prediction, synthetic computed tomography generation, and plan-quality assessment. Post-treatment applications include longitudinal tumor monitoring and prediction of response, functional outcomes, and toxicity including peritumoral edema and radiation necrosis. Several models demonstrate promising performance, but the evidence remains predominantly retrospective and task-specific, with frequent reliance on single-center or small datasets and limited external or prospective validation.

conclusionAI has the potential to improve the consistency, efficiency, and personalization of GKRS by supporting specific technical and clinical decisions. Further multicenter validation, prospective evaluation, workflow integration, and demonstration of meaningful clinical benefit are required before routine adoption. AI currently remains a decision-support tool rather than a replacement for radiosurgical expertise.

Indexed as

Artificial IntelligenceBrain NeoplasmsRadiosurgeryRadiotherapy Planning, Computer-AssistedHumansArtificial intelligenceGamma knife radiosurgeryMachine learningRadiomicsTreatment planning

Identifiers

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.