Evidence map›Paper›PMID 35008290›Full record

ReviewCancers2021

Relapsed Medulloblastoma in Pre-Irradiated Patients: Current Practice for Diagnostics and Treatment.

Rebecca M Hill, Sabine L A Plasschaert, Beate Timmermann, Christelle Dufour, Kristian Aquilina, Shivaram Avula, Laura Donovan, Maarten Lequin, Torsten Pietsch, Ulrich Thomale and 7 more

Open access · goldAbstract readReview
In one paragraph

Review in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.8field-weighted citation impact, top 8% of its field
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

19 citing papers in PubMed, 28 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Developing a novel medulloblastoma diagnostic with miRNA biomarkers and machine learning.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2025
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Neurooncology: 2022 update.Free neuropathology · 2022
    Article
  18. Dual targeting ofNeuro-oncology advances
    Article
  19. 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

17 authors at 10 institutions in 4 countries.

Rebecca M HillWolfson Childhood Cancer Research Centre, Newcastle University Centre for Cancer, Newcastle upon Tyne NE1 7RU, UK.ORCID 0000-0001-8405-2219
Sabine L A PlasschaertPrincess Máxima Center for Pediatric Oncology, 3584 CS Utrecht, The Netherlands.
Beate TimmermannDepartment of Particle Therapy, West German Proton Therapy Centre Essen (WPE), West German Cancer Center (WTZ), University Hospital Essen, 45147 Essen, Germany.
Christelle DufourDepartment of Pediatric and Adolescent Oncology, Gustave Roussy, 94800 Villejuif, France.ORCID 0000-0001-5993-8077
Kristian AquilinaDepartment of Neurosurgery, Great Ormond Street Hospital, London WC1N 3JH, UK.
Shivaram AvulaDepartment of Radiology, Alder Hey Children's NHS Foundation Trust, Liverpool L12 2AP, UK.
Laura DonovanUCL Great Ormond Street Institute of Child Health, London WC1N 1EH, UK.
Maarten LequinPrincess Máxima Center for Pediatric Oncology, 3584 CS Utrecht, The Netherlands.ORCID 0000-0001-7488-1734
Torsten PietschInstitute of Neuropathology, DGNN Brain Tumor Reference Center, University of Bonn, 53127 Bonn, Germany.
Ulrich ThomaleDepartment of Neurosurgery, Charité-Universitätsmedizin Berlin, 13353 Berlin, Germany.
Stephan TippeltDepartment of Pediatrics III, Center for Translational Neuro- and Behavioral Sciences (CTNBS), University Hospital of Essen, 45147 Essen, Germany.
Pieter WesselingPrincess Máxima Center for Pediatric Oncology, 3584 CS Utrecht, The Netherlands.
Stefan RutkowskiDepartment of Pediatric Hematology and Oncology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, Germany.
Steven C CliffordWolfson Childhood Cancer Research Centre, Newcastle University Centre for Cancer, Newcastle upon Tyne NE1 7RU, UK.
Stefan M PfisterHopp Children's Cancer Center Heidelberg (KiTZ), 69120 Heidelberg, Germany.
Simon BaileyWolfson Childhood Cancer Research Centre, Newcastle University Centre for Cancer, Newcastle upon Tyne NE1 7RU, UK.ORCID 0000-0003-4763-4329
Gudrun FleischhackDepartment of Pediatrics III, Center for Translational Neuro- and Behavioral Sciences (CTNBS), University Hospital of Essen, 45147 Essen, Germany.ORCID 0000-0001-5714-007X
Newcastle University · GBPrincess Máxima Center · NLGreat Ormond Street Hospital · GBAlder Hey Children's NHS Foundation Trust · GBCharité - Universitätsmedizin Berlin · DEGerman Cancer Research Center · DEInstitut Gustave Roussy · FRUniversität Hamburg · DEUniversity of Bonn · DEWest German Heart and Vascular Center Essen · DE

Funding

Cancer Research UK 13457Cancer Research UK 25241Medical Research Council MR/V001647/1
6 · The paper itself

Abstract

Relapsed medulloblastoma (rMB) accounts for a considerable, and disproportionate amount of childhood cancer deaths. Recent advances have gone someway to characterising disease biology at relapse including second malignancies that often cannot be distinguished from relapse on imaging alone. Furthermore, there are now multiple international early-phase trials exploring drug-target matches across a range of high-risk/relapsed paediatric tumours. Despite these advances, treatment at relapse in pre-irradiated patients is typically non-curative and focuses on providing life-prolonging and symptom-modifying care that is tailored to the needs and wishes of the individual and their family. Here, we describe the current understanding of prognostic factors at disease relapse such as principal molecular group, adverse molecular biology, and timing of relapse. We provide an overview of the clinical diagnostic process including signs and symptoms, staging investigations, and molecular pathology, followed by a summary of treatment modalities and considerations. Finally, we summarise future directions to progress understanding of treatment resistance and the biological mechanisms underpinning early therapy-refractory and relapsed disease. These initiatives include development of comprehensive and collaborative molecular profiling approaches at relapse, liquid biopsies such as cerebrospinal fluid (CSF) as a biomarker of minimal residual disease (MRD), modelling strategies, and the use of primary tumour material for real-time drug screening approaches.

Indexed as

medulloblastomarelapse

Identifiers

PMID35008290
PMCPMC8750207
OpenAlexW4200566936

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.