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 retrospective case series reports symptomatic improvement without observed recurrence after n-BCA glue embolization followed within one day by surgical excision in five young patients with genitourinary-perineal vascular malformations, with one pulmonary glue embolism requiring thrombectomy and one wound separation.
The reported human experience suggests that preoperative n-BCA embolization may facilitate excision and symptom control for selected genitourinary-perineal vascular malformations; however, comparative studies are needed to determine whether it reduces bleeding or recurrence and whether its benefits outweigh embolic and surgical risks.
This literature review aggregates 41 studies describing 46 pediatric patients with FGF23-associated tumor-induced osteomalacia and reports substantial symptoms, fractures, diagnostic delays, imaging use, and incomplete success of attempted tumor resection.
Evidence in the review indicates that pediatric TIO is frequently accompanied by age-inappropriate hypophosphatemia and prolonged diagnostic delay, with successful resection reported in only a subset of patients; by inference, earlier recognition and tumor localization could reduce morbidity and unnecessary imaging, but the record does not establish a new treatment or diagnostic strategy prospectively.
This single pediatric CML case reports an atypical in-frame BCR::SPECC1L::ABL1 transcript retaining the ABL1 tyrosine kinase domain and demonstrates the use of FISH and targeted NGS when standard p210 RT-PCR was negative.
Evidence from the case supports multimodal molecular testing for diagnosing and monitoring atypical ABL1 fusions; it is reasonable but unproven to infer that retention of the ABL1 kinase domain could preserve sensitivity to imatinib or other ABL1-directed inhibitors, because no treatment response or clinical outcome is reported.
In a retrospective cohort of 31 patients with pontine gliomas or cerebellar metastases, larger tumor volume, proximity to the fourth ventricle, and distorted ventricular anatomy were associated with hydrocephalus, whereas radiotherapy dose was not.
The reported evidence supports anatomical MRI features as candidate hydrocephalus risk markers; it may be inferred—but is not tested here—that validated imaging-based stratification could enable closer surveillance or earlier supportive intervention and potentially reduce hydrocephalus-related morbidity.
In a prospective observational study of 100 adults starting chemotherapy and/or radiotherapy, prophylactic oral Lactobacillus was associated with less grade ≥2 diarrhea, lower diarrhea scores, reduced loperamide use, and a small improvement in physical functioning at 6 weeks.
The reported association supports testing whether prophylactic Lactobacillus can reduce anticancer-treatment-related gastrointestinal toxicity; however, causal efficacy, safety, and applicability to pediatric patients remain inferential because the study was nonrandomized and enrolled adults aged 18–75 years.
In a retrospective single-center analysis of 775 bacterial bloodstream-infection episodes in 456 pediatric hemato-oncology patients, gram-negative pathogens predominated, substantial antimicrobial nonsusceptibility was observed, and piperacillin/tazobactam plus amikacin provided higher empiric coverage than piperacillin/tazobactam alone.
The record shows that piperacillin/tazobactam plus amikacin was appropriate for more isolated pathogens than piperacillin/tazobactam alone (90.45% versus 62.61%); it is therefore reasonable to hypothesize—but not established—that a locally tailored combination protocol could reduce initially inadequate therapy in stable pediatric oncology patients, subject to prospective evaluation of clinical outcomes, toxicity, and evolving resistance.
This protocol describes an ongoing SMART in 374 adult survivors of childhood cancer that adaptively sequences clinician-guided planning, mobile health goal setting, and intensive coaching to improve sedentary time and diet quality over 12 months.
The record establishes that an adaptive lifestyle intervention is being tested; it remains an unproven inference that matching intervention intensity to early response will sustainably improve physical activity and diet and thereby reduce later cardiovascular risk.
In a longitudinal Childhood Cancer Survivor Study cohort, persistent sleep disturbances among 1,081 five-year survivors were associated with new-onset hypertension, migraines, and emotional distress, but not subsequent malignancies.
The study provides observational evidence that persistent sleep disturbance identifies survivors at elevated risk for selected chronic and mental health conditions; it is reasonable but unproven to hypothesize that early sleep screening and effective sleep-directed interventions could reduce this morbidity.
This systematic review and individual-participant-data meta-analysis of 52 reported cases characterizes distant cutaneous chordoma metastasis, identifies substantially shorter time to skin metastasis in patients younger than 40 years, and proposes a morphology- and biomarker-based diagnostic framework.
The evidence supports improved recognition of cutaneous chordoma metastases through integration of morphology, nuclear brachyury, and—in young or epithelioid presentations—SMARCB1/INI1; it can only be inferred, not concluded, that earlier diagnosis could improve staging or treatment selection, because no therapeutic intervention or comparative outcome benefit was evaluated.
In retrospectively analyzed ex vivo fluorescence confocal microscopy images prospectively acquired from 42 children, a convolutional neural network classified malignant, benign, and healthy tissue tiles with approximately 90–94% accuracy and generated cellular-level activation heatmaps.
The record demonstrates technically promising image-based tissue classification, but it only supports the inference—not yet clinical evidence—that rapid, interpretable FCM analysis could improve intraoperative tumor recognition or surgical decision-making in pediatric oncology.
This narrative review of 17 Japanese studies reports that local-government-led, school-based H. pylori screening in adolescents is feasible, identifies a median infection prevalence of 3.1%, and finds generally higher eradication success with metronidazole- or vonoprazan-containing regimens than with proton pump inhibitor-based clarithromycin regimens, subject to cross-study heterogeneity.
The reviewed evidence supports the feasibility of identifying and treating H. pylori infection through adolescent school programs in Japan; it is reasonable but not demonstrated by this review to hypothesize that successful early eradication could reduce subsequent gastric cancer risk, and comparative regimen effectiveness requires stronger controlled evidence.
In 36 children with APL, multiomics profiling identified two DNA-methylation groups with different survival outcomes and associated hypermethylation with EBF1-motif-enriched enhancer changes, EP300 downregulation, MYC upregulation, and rare EP300 or MYC alterations.
The record supports an association between an enhancer-centered hypermethylation state, poorer prognosis, EP300 downregulation, and MYC activation; it is an untested inference that this state could serve as a risk biomarker or identify disease susceptible to therapeutic modulation of epigenetic, EP300, or MYC-related pathways.