A grade PMID 42321916
View analysis →Finding therapies hidden in 37,300 pediatric cancer papers.
Neurocompute scores pediatric oncology literature, surfaces overlooked therapeutic signals, and turns fragmented childhood cancer research into a living discovery terminal.
Ranked Discovery Journal Articles
A grade PMID 42372741
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All ranked pediatric cancer papers
This systematic review of seven large cohort studies covering more than 11 million individuals reports a consistent association between pediatric CT radiation exposure and small, dose-dependent increases in subsequent leukemia and brain-tumor risk, especially after younger-age or cumulative exposure.
Evidence from the reviewed cohorts supports an exposure–risk association rather than a tested intervention; it is reasonable to infer that stricter CT justification, organ-dose optimization, and appropriate use of non-ionizing imaging could reduce avoidable radiation-associated malignancies without withholding clinically necessary CT.
In a multicenter retrospective cohort of 250 propensity-score-matched patients with BCLC stage B/C hepatocellular carcinoma, TACE plus icaritin was associated with longer overall survival than TACE alone, particularly in patients with Child-Pugh A liver function, without a significant increase in grade 3–4 liver-related adverse events.
The record provides observational evidence that adding icaritin to TACE may improve survival in intermediate-to-advanced HCC with preserved liver function; it remains an inference requiring prospective randomized testing that immunomodulation by icaritin causes this benefit, and no pediatric efficacy or safety conclusion can be drawn.
In a single-blind randomized trial of 41 children with cancer, an 8-week twice-weekly yoga program improved selected motor-proficiency measures relative to routine exercise, while interest-enjoyment decreased and no between-group advantage was reported for quality of life or fatigue.
The trial provides preliminary evidence that yoga may be a useful alternative component of pediatric oncology rehabilitation for improving fine motor integration, agility, and overall motor proficiency; any broader benefit for fatigue, quality of life, motivation, cancer outcomes, or treatment toxicity remains inferential and unproven by this record.
This Australian population-based cohort of 4,334 adults initiating pembrolizumab monotherapy for metastatic NSCLC found shorter real-world survival than reported in trials, with longer survival in younger patients and females but no significant age- or sex-related difference in treatment discontinuation.
The evidence shows associations of age and sex with survival and prescription-based proxies for immune-related adverse events; it supports the hypothesis, but does not establish, that integrating demographic and clinical factors could improve pembrolizumab treatment selection or toxicity monitoring.
In a prospective cohort of 167 patients with advanced liver cancer receiving TACE, targeted therapy, and immunotherapy, higher and longitudinally updated supportive care needs were associated with increased mortality across baseline, time-dependent, and lagged Cox models.
The evidence supports repeated supportive-care-needs scores as a potential dynamic prognostic marker; it is only an inference—not tested here—that screening followed by individualized supportive-care intervention could improve symptoms, treatment tolerance, or survival.
In a single-center retrospective cohort of 99 children with high-risk hepatoblastoma, modified SIOPEL-4 was associated with better disease control and 3-year progression-free survival than PLADO or C5VD/IIV, with improved overall survival after the latter regimens were pooled.
The reported associations support investigating modified SIOPEL-4 as a potentially more effective regimen for high-risk pediatric hepatoblastoma; however, whether the regimen itself causes superior survival or offers a better efficacy-to-toxicity balance remains an inference requiring prospective, risk-adjusted comparison.
In a single-center retrospective cohort of 232 children with ALL treated using the BFM-95 protocol in North India, five-year overall and event-free survival were 74.5% and 66.9%, while MRD positivity, absent Day 33 marrow remission, MLL rearrangement, and CNS involvement independently predicted inferior survival.
The study provides observational evidence that early MRD and marrow-response assessment identifies children at increased risk of poor outcomes; it supports—but does not test—the hypothesis that broader access to these diagnostics and response-adapted treatment intensification could improve risk selection and outcomes in this resource-limited setting.
This narrative review reports that 7-T MRI can improve structural, microvascular, susceptibility, diffusion, and metabolic characterization across several brain tumor types, including selected pediatric tumors, while clinical outcome evidence and standardized implementation remain limited.
Evidence summarized in the review supports superior technical and diagnostic visualization with 7-T MRI; it is reasonable but unproven to hypothesize that these capabilities could improve treatment selection, surgical or radiotherapy planning, and response assessment in pediatric neuro-oncology.
This review synthesizes reported cardiotoxic phenotypes, mechanisms, candidate biomarkers, psychological-stress effects, and emerging management strategies across chemotherapy, targeted therapy, immunotherapy, and radiotherapy, while noting the need for tailored approaches in pediatric patients.
The reviewed evidence suggests that integrating cardiac biomarkers with therapy-specific mechanisms and psychological-stress assessment could support earlier detection and personalized mitigation of cancer therapy-induced cardiotoxicity; however, the supplied record does not establish the efficacy, safety, or pediatric benefit of any specific intervention.
This retrospective adult sarcoma study identified 19 rare, heterogeneous NTRK-fusion tumors, documented fusion transcription and increased MAPK activity, and reported variable real-world TRK-inhibitor treatment duration in nine patients.
The record supports NTRK fusions as active, potentially targetable alterations in some adult sarcomas; it further suggests—but does not establish—that histology, fusion partner, and co-occurring genomic alterations may help distinguish tumors likely to remain dependent on TRK signaling and benefit from TRK inhibition.
This mini-review summarizes the diagnostic complexity, molecular heterogeneity, and emerging treatment approaches for rare ALK-negative anaplastic large cell lymphoma in children, adolescents, and young adults.
The review reports recurrent molecular alterations and identifies CD30-directed therapy, JAK/STAT inhibition, and checkpoint blockade as emerging approaches; it is reasonable to hypothesize that molecularly stratified pediatric patients could benefit from these strategies, but the supplied record provides no pediatric efficacy or safety results establishing that benefit.
In a retrospective cohort of 558 HSCT recipients, germline predisposition variants—particularly homozygous variants and variants in genes affecting cellular and humoral immunity—were associated with transplant outcomes, including better survival among homozygous carriers receiving unrelated rather than related donor grafts.
The reported associations support the hypothesis that pre-transplant germline testing could help stratify HSCT risk and inform donor selection, especially by avoiding potentially variant-sharing related donors for homozygous carriers; however, this is an inference from retrospective data and does not establish a donor-selection standard.