Evidence map›Paper›PMID 40883833›Full record

SynthesisRadiation oncology (London, England)2025

Technical aspects of SBRT for therapy-refractory ventricular tachycardia: a systematic review for radiation oncologists.

Alicia Greiner, Lukas Grajewski, Maximilian Römer, Klaus Pietschmann, Georg Wurschi

Abstract readSystematic ReviewReview
In one paragraph

Synthesis in Radiation oncology (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

5 authors.

Alicia GreinerDepartment of Radiotherapy and Radiation Oncology, Jena University Hospital, Jena, Germany. alicia.sophie.greiner@uni-jena.de.
Lukas GrajewskiDepartment of Radiotherapy and Radiation Oncology, Jena University Hospital, Jena, Germany.
Maximilian RömerDepartment of Radiotherapy and Radiation Oncology, Jena University Hospital, Jena, Germany.
Klaus PietschmannDepartment of Radiotherapy and Radiation Oncology, Jena University Hospital, Jena, Germany.
Georg WurschiDepartment of Radiotherapy and Radiation Oncology, Jena University Hospital, Jena, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVentricular tachycardia (VT) is a potentially life-threatening arrhythmia, that can lead to sudden cardiac death. While conventional treatments include antiarrhythmic drugs, catheter ablation, and ICD implantation, recent studies suggest that stereotactic body radiotherapy (SBRT) offers a non-invasive alternative for the treatment of VT. The objective of this systematic review is to summarize the current evidence on SBRT for refractory VT from a radiotherapeutic and technical perspective and to assess its safety and effectiveness.

methodshe systematic search was conducted according to the PRISMA guidelines, using the four databases PubMed, Cochrane, Scopus, and Web of Science. After screening, 15 publications were included and analyzed in this review.

resultsA total of 15 studies were identified in the literature, describing 173 patients. SBRT was delivered as a single fraction using standard LINAC- or CyberKnife-devices with varying isodose prescriptions, motion management, and imaging guidance, highlighting the need for standardized protocols. SBRT consistently reduced VT burden across these studies, with reduction rates ranging from 50 to 99%, and improved quality of life in some patients. However, VT recurrences have also been described.

conclusionDelivery of SBRT for VT is similar to that for malignant diseases but requires specialized imaging and mapping procedures to ensure precise delivery of radiation to small ectopic areas within the beating heart. SBRT seems safe and effective in reducing VT in first clinical trials, though it is not yet a routine treatment. Further controlled trials with standardized treatments and endpoints are needed for confirmation. CLINICAL TRIAL NUMBER: This study does not involve a clinical trial; therefore, a clinical trial number is not applicable.

Indexed as

RadiosurgeryTachycardia, VentricularHumansRadiation Oncologists

Identifiers

PMID40883833
PMCPMC12395866

What Socratic holds

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LicenceCC BY
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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.