Evidence map›Paper›PMID 40496899›Full record

ArticleJournal of clinical and experimental hepatology

Stereotactic Body Radiation Therapy in Advanced Intrahepatic Cholangiocarcinoma: Real-world Outcomes from an Indian Cohort.

Deepti Sharma, Babu Lal Meena, Nikhil Himthani, Namita Sharma, Ankur Jindal, Deepak Jagya, Anju K V, Guresh Kumar, Hanuman Prasad Yadav

Abstract read
In one paragraph

Article in Journal of clinical and experimental hepatology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Evolving role of radiation therapy in advanced/metastatic intrahepatic cholangiocarcinoma.World journal of gastrointestinal pharmacology and therapeutics · 2025
    Review
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

9 authors.

Deepti SharmaDepartment of Radiation Oncology, Institute of Liver and Biliary Sciences, New Delhi, India.
Babu Lal MeenaDepartment of Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India.
Nikhil HimthaniDepartment of Medical Oncology, Institute of Liver and Biliary Sciences, New Delhi, India.
Namita SharmaDepartment of Medical Oncology, Institute of Liver and Biliary Sciences, New Delhi, India.
Ankur JindalDepartment of Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India.
Deepak JagyaDepartment of Radiation Oncology, Institute of Liver and Biliary Sciences, New Delhi, India.
Anju K VDepartment of Radiation Oncology, Institute of Liver and Biliary Sciences, New Delhi, India.
Guresh KumarDepartment of Biostatistics, Institute of Liver and Biliary Sciences, New Delhi, India.
Hanuman Prasad YadavDepartment of Radiation Oncology, Institute of Liver and Biliary Sciences, New Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Intrahepatic cholangiocarcinoma (iCCA), the second most common primary liver malignancy, accounts for 3% of gastrointestinal cancers. While surgical resection offers a five-year overall survival (OS) of 25-40%, only 12-30% of cases are resectable. Advanced or metastatic iCCA often necessitates systemic therapy combined with loco-regional treatments such as stereotactic body radiation therapy (SBRT). Despite its potential to improve local control (LC) and OS, the role of SBRT remains largely unexplored, particularly its integration with systemic therapy. This study evaluates the role of SBRT, with a focus on its combination with systemic therapy, in enhancing LC and OS in advanced/metastatic iCCA. Methodology: This retrospective analysis included 17 patients with advanced/metastatic iCCA treated between 2019 and 2024. Baseline characteristics, treatment regimens, and outcomes were obtained from electronic medical records. SBRT was administered in doses ranging from 30 to 50 Gy over 5-10 fractions. Follow-up assessments were conducted every three months to evaluate LC, disease progression, and survival. Statistical analyses, including Kaplan-Meier survival estimates, were performed using SPSS 23.0, with a Results: The median follow-up was 14 months. The median OS was 21 months (95% CI: 14.5-27.4) from diagnosis, with one- and two-year OS rates of 90% and 30%, respectively. The median progression-free survival (PFS) was 10 months (95% CI: 8.1-11.8), with one- and two-year PFS rates of 35% and 15%, respectively. LC rates at one and two years were 92% and 70%, respectively. Gender significantly impacted OS, favoring female patients. Treatment was well tolerated, with no SBRT-related cholangitis or liver failure. Conclusion: SBRT appears to be a safe and potentially beneficial approach for advanced/metastatic iCCA, suggesting potential improvements in OS and PFS with minimal toxicity. This study highlights the potential of integrating SBRT with systemic therapies, particularly in patients with substantial tumor burden. Further prospective trials are necessary to validate these findings and refine SBRT protocols for advanced iCCA.

Indexed as

advanced iCCAchemotherapyintrahepatic cholangiocarcinomametastaticoverall survivalSBRT

Identifiers

PMID40496899
PMCPMC12146529

What Socratic 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 Socratic graph.