A grade PMID 42321916
View analysis →Finding therapies hidden in 39,488 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 42690647
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All ranked pediatric cancer papers
This systematic review and meta-analysis of 42 studies encompassing 2,048 leukemia survivors reports substantially higher infertility after HSCT, testicular irradiation, and high-dose TBI than after chemotherapy alone, supporting treatment-exposure-based fertility counseling and follow-up.
Evidence from the pooled observational literature indicates that infertility risk differs markedly by treatment exposure; it is reasonable—but not directly tested here—to hypothesize that early risk stratification and modality-specific fertility-preservation pathways could reduce avoidable reproductive harm or improve reproductive planning.
This systematic review and meta-analysis of 34 studies involving 1,988 pediatric and adolescent cancer patients found that psychosocial interventions were associated with improvements in neurocognitive, psychological, and quality-of-life outcomes, although benefits varied by outcome and heterogeneity was substantial for psychological and quality-of-life analyses.
The evidence supports psychosocial interventions as potentially beneficial supportive-care strategies, particularly for working memory, anxiety, and pain; it is reasonable but not established to infer that selecting intervention type, timing, dose, and delivery format for specific patient groups could improve outcomes across the cancer care continuum.
This component network meta-analysis of 41 RCTs involving 5,804 patients with small hepatocellular carcinoma found that several combination approaches—particularly TACE plus surgical resection—as well as resection alone improved overall and recurrence-free survival relative to radiofrequency ablation, while resection caused more complications.
The evidence supports comparative therapeutic signals for TACE plus resection, TACE plus RFA, and RFA plus 125I in small hepatocellular carcinoma; it may be inferred that these combinations could improve treatment selection, including an RFA-plus-125I option for unresectable disease, but pediatric applicability and benefit for individual patients are not established by the supplied record.
In a retrospective cohort of 11 patients with relapsed or refractory B-cell acute lymphoblastic leukemia, locally manufactured donor-derived anti-CD19 CAR T cells produced day-28 MRD negativity in all patients, with eight alive and MRD-negative at a median follow-up of 47 months and limited reported CRS, ICANS, and GVHD.
The reported clinical outcomes support donor-derived, locally GMP-manufactured anti-CD19 CAR T cells as a potentially feasible treatment for R/R B-ALL; the further inference that this approach provides durable, broadly reproducible efficacy or advantages over autologous or centrally manufactured products requires larger controlled studies.
This systematic review and meta-analysis of 26 studies reports disease-specific differences between TBI- and busulfan-based HSCT conditioning in CAYA patients, with TBI showing better EFS and relapse control in ALL, busulfan showing survival benefits in AML and mixed-disease cohorts, and five long-term complications occurring less often with busulfan.
The evidence supports considering disease subtype and long-term toxicity when selecting conditioning, while the inference is that individualized use of TBI for relapse control in ALL or busulfan for selected AML patients could improve the benefit–risk balance; this requires confirmation with regimen-specific, sex-stratified, high-quality comparative studies.
In a retrospective IPTW-adjusted cohort of 116 patients with hepatocellular carcinoma and macrovascular invasion, adding CyberKnife SBRT to lenvatinib plus tislelizumab was associated with higher confirmed response rates and longer local progression-free, progression-free, and overall survival without a statistically clear increase in grade ≥3 adverse events.
The evidence shows an association between addition of CyberKnife SBRT and improved tumor control and survival in a selected HCC cohort; it supports, but does not establish, the hypothesis that targeted irradiation of macrovascular tumor thrombus adds clinically meaningful local control to lenvatinib–tislelizumab and may complement systemic therapy, a premise requiring prospective testing.
This review synthesizes high-risk cytogenetic and molecular alterations in pediatric AML and discusses integrating alteration-directed agents, including FLT3 and menin inhibitors, into frontline treatment and pediatric clinical-trial pipelines.
The supplied record supports genotype-guided risk stratification and identifies targeted therapies already emerging in AML; it is reasonable—but not demonstrated here—to hypothesize that matching pediatric patients to agents such as FLT3 or menin inhibitors and evaluating them earlier in treatment could improve outcomes in genetically defined high-risk subgroups.
In a prospective multicenter cohort of 51 adults with newly diagnosed B-ALL, 10-color flow cytometry and NGS-based IGH testing showed 80.7% overall MRD concordance, while MRD positivity at three months—particularly by flow cytometry—predicted inferior relapse-free survival.
The study provides evidence that three-month MRD status can stratify relapse risk in adult B-ALL; it supports, but does not test, the inference that adapting therapy or transplantation decisions according to MRD—potentially using flow cytometry where NGS is unavailable—could improve outcomes.
In an observational 48-month extension involving 15 children from a prior randomized phase II trial, a 10-day course of topical murine nerve growth factor was followed by stable visual measures and MRI findings, but no evidence of persistent treatment efficacy relative to baseline or placebo.
The record supports long-term visual and neuroradiological stability after brief topical mNGF exposure, but not a durable treatment effect; it may be hypothesized that local NGF-mediated neuroprotection could help prevent OPG-associated visual loss, which requires confirmation in an adequately powered randomized trial.
In a 13-center retrospective cohort of 247 children with first-relapse AML, re-induction approaches were highly variable, no chemotherapy backbone showed a statistically significant comparative advantage, and gemtuzumab ozogamicin was associated with better remission and MRD-negative remission rates but not improved overall survival.
The observed response associations support prospective testing of gemtuzumab ozogamicin-containing re-induction and anthracycline addition to fludarabine/cytarabine-based therapy; however, any survival benefit is inferential and remains unproven by this retrospective study.
In a phase 3 trial of 810 analyzed women with high-risk breast cancer after mastectomy, 15-fraction radiotherapy produced similar 10-year locoregional control and severe late adverse-event rates to 25-fraction radiotherapy while shortening treatment duration.
The trial provides direct adult evidence that a 3-week hypofractionated postmastectomy regimen can preserve long-term locoregional control without an apparent increase in severe late toxicity; any applicability to adolescents or pediatric breast malignancies is an unsupported inference because the observed age range began at 24 years.
This systematized narrative review synthesizes animal and observational evidence linking cancer-treatment-associated gut dysbiosis, altered microbial metabolites, intestinal barrier dysfunction, and systemic inflammation with long-term neurocognitive and psychosocial sequelae in adolescent and young adult survivors of childhood cancer.
The review reports associations and preclinical or observational evidence suggesting that dietary patterns and microbiome disruption may influence late neurotoxicity; it remains an untested inference in this survivor population that individualized diets, postbiotics, or other microbiome-targeted interventions could prevent or improve neurocognitive and psychosocial outcomes.