{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,19]],"date-time":"2025-06-19T04:15:11Z","timestamp":1750306511280,"version":"3.41.0"},"reference-count":50,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,2,1]],"date-time":"2025-02-01T00:00:00Z","timestamp":1738368000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["World Neurosurgery"],"published-print":{"date-parts":[[2025,2]]},"DOI":"10.1016\/j.wneu.2024.10.033","type":"journal-article","created":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T08:41:30Z","timestamp":1731573690000},"page":"123304","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"C","title":["Stereotactic Radiosurgery in Primary Treatment of Sporadic Small to Medium (&lt;3 cm) Vestibular Schwannomas: A Systematic Review and Meta-Analysis"],"prefix":"10.1016","volume":"194","author":[{"given":"Bryce J.","family":"Bonin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Scott","family":"Beckman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0757-7630","authenticated-orcid":false,"given":"Sultan","family":"Mahmud","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle","family":"Terrell","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen Garrett","family":"Whipple","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryan","family":"Diaz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad Alfrad","family":"Nobel Bhuiyan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2514-9576","authenticated-orcid":false,"given":"Deepak","family":"Kumbhare","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiachien Jake","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bharat","family":"Guthikonda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9305-7457","authenticated-orcid":false,"given":"Amey R.","family":"Savardekar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.wneu.2024.10.033_bib1","doi-asserted-by":"crossref","first-page":"E8","DOI":"10.3171\/2012.6.FOCUS12192","article-title":"The newly diagnosed vestibular schwannoma: radiosurgery, resection, or observation?","volume":"33","author":"Kondziolka","year":"2012","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.wneu.2024.10.033_bib2","doi-asserted-by":"crossref","first-page":"1674","DOI":"10.1016\/j.wneu.2015.07.007","article-title":"Epidemiology and environmental risk factors associated with vestibular schwannoma","volume":"84","author":"Berkowitz","year":"2015","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2024.10.033_bib3","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1586\/ern.12.16","article-title":"The past, present and future of Gamma Knife radiosurgery for brain tumors: the Pittsburgh experience","volume":"12","author":"Monaco","year":"2012","journal-title":"Expert Rev Neurother"},{"key":"10.1016\/j.wneu.2024.10.033_bib5","doi-asserted-by":"crossref","first-page":"666","DOI":"10.3109\/02688697.2010.520761","article-title":"Preservation of facial nerve function after resection of vestibular schwannoma","volume":"24","author":"Me","year":"2010","journal-title":"Br J Neurosurg"},{"key":"10.1016\/j.wneu.2024.10.033_bib6","first-page":"ONS124","article-title":"Preservation of function in vestibular schwannoma surgery","volume":"60","author":"Gharabaghi","year":"2007","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2024.10.033_bib7","doi-asserted-by":"crossref","first-page":"526","DOI":"10.1016\/j.amjoto.2015.02.016","article-title":"Hearing preservation in vestibular schwannoma management","volume":"36","author":"Elliott","year":"2015","journal-title":"Am J Otolaryngol"},{"key":"10.1016\/j.wneu.2024.10.033_bib8","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1097\/MAO.0b013e3182a435f5","article-title":"Treatment outcomes in patients treated with CyberKnife radiosurgery for vestibular schwannoma","volume":"35","author":"Vivas","year":"2014","journal-title":"Otol Neurotol"},{"key":"10.1016\/j.wneu.2024.10.033_bib9","doi-asserted-by":"crossref","first-page":"955","DOI":"10.1007\/s00405-011-1596-9","article-title":"Functional outcomes in retrosigmoid approach microsurgery and gamma knife stereotactic radiosurgery in vestibular schwannoma","volume":"268","author":"Park","year":"2011","journal-title":"Eur Arch Oto-Rhino-Laryngol"},{"key":"10.1016\/j.wneu.2024.10.033_bib10","doi-asserted-by":"crossref","first-page":"282","DOI":"10.1227\/01.NEU.0000073416.22608.B3","article-title":"Radiosurgery for acoustic neuromas: results of low-dose treatment","volume":"53","author":"Iwai","year":"2003","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2024.10.033_bib11","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1002\/cncr.21190","article-title":"Hearing preservation after gamma knife stereotactic radiosurgery of vestibular schwannoma","volume":"104","author":"Paek","year":"2005","journal-title":"Cancer"},{"key":"10.1016\/j.wneu.2024.10.033_bib12","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.1227\/01.NEU.0000335783.70079.85","article-title":"Hearing preservation after intracanalicular vestibular schwannoma radiosurgery","volume":"63","author":"Niranjan","year":"2008","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2024.10.033_bib13","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1159\/000163382","article-title":"Gamma knife radiosurgery for vestibular schwannomas","volume":"22","author":"Fukuoka","year":"2009","journal-title":"Prog Neurol Surg"},{"key":"10.1016\/j.wneu.2024.10.033_bib14","doi-asserted-by":"crossref","first-page":"289","DOI":"10.1227\/01.NEU.0000338256.87936.7C","article-title":"Hearing preservation after gamma knife radiosurgery for vestibular schwannomas presenting with high-level hearing","volume":"64","author":"Tamura","year":"2009","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2024.10.033_bib15","first-page":"1189","article-title":"[Gamma knife for elderly patients with large vestibular schwannomas: 11-year follow-up]","volume":"89","author":"Wang","year":"2009","journal-title":"Zhonghua Yixue Zazhi"},{"key":"10.1016\/j.wneu.2024.10.033_bib16","doi-asserted-by":"crossref","first-page":"5441","DOI":"10.1002\/cncr.27501","article-title":"Hearing preservation in patients with unilateral vestibular schwannoma who undergo stereotactic radiosurgery: reinterpretation of the auditory brainstem response","volume":"118","author":"Han","year":"2012","journal-title":"Cancer"},{"key":"10.1016\/j.wneu.2024.10.033_bib17","doi-asserted-by":"crossref","first-page":"1352","DOI":"10.1016\/j.ijrobp.2011.04.068","article-title":"Stereotactic radiosurgery for acoustic neuromas: what happens long term?","volume":"82","author":"Roos","year":"2012","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"10.1016\/j.wneu.2024.10.033_bib18","doi-asserted-by":"crossref","first-page":"e161","DOI":"10.1016\/j.ijrobp.2012.03.047","article-title":"Gamma knife treatment of growing vestibular schwannoma in Norway: a prospective study","volume":"84","author":"Varughese","year":"2012","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"10.1016\/j.wneu.2024.10.033_bib19","first-page":"877","article-title":"Longitudinal analysis of hearing before and after radiosurgery for vestibular schwannoma","volume":"117","author":"Yomo","year":"2012","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2024.10.033_bib20","first-page":"579","article-title":"Long-term hearing outcomes following stereotactic radiosurgery for vestibular schwannoma: patterns of hearing loss and variables influencing audiometric decline","volume":"118","author":"Carlson","year":"2013","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2024.10.033_bib21","doi-asserted-by":"crossref","DOI":"10.3389\/fonc.2013.00121","article-title":"Frameless fractionated stereotactic radiosurgery for vestibular schwannomas: asingle-institution experience","volume":"3","author":"Karam","year":"2013","journal-title":"Front Oncol"},{"key":"10.1016\/j.wneu.2024.10.033_bib22","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1177\/030089161309900510","article-title":"Management of vestibular schwannomas with linear accelerator-based stereotactic radiosurgery: a single center experience","volume":"99","author":"Sager","year":"2013","journal-title":"Tumori"},{"key":"10.1016\/j.wneu.2024.10.033_bib23","first-page":"123","article-title":"Gamma Knife radiosurgery for vestibular schwannoma: clinical results at long-term follow-up in a series of 379 patients","volume":"121","author":"Boari","year":"2014","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2024.10.033_bib24","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/j.otorri.2014.03.003","article-title":"Radiosurgery as treatment for acoustic neuroma. Ten years\u2019 experience","volume":"65","author":"Ll\u00f3pez Carratal\u00e1","year":"2014","journal-title":"Acta Otorrinolaringol Esp"},{"key":"10.1016\/j.wneu.2024.10.033_bib25","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1016\/j.radonc.2015.01.011","article-title":"Long-term outcome after highly advanced single-dose or fractionated radiotherapy in patients with vestibular schwannomas - pooled results from 3 large German centers","volume":"114","author":"Combs","year":"2015","journal-title":"Radiother Oncol J Eur Soc Ther Radiol Oncol"},{"key":"10.1016\/j.wneu.2024.10.033_bib26","doi-asserted-by":"crossref","first-page":"487","DOI":"10.1016\/j.wneu.2016.07.117","article-title":"Gamma knife radiosurgery as primary treatment for large vestibular schwannomas: clinical results at long-term follow-up in a series of 59 patients","volume":"95","author":"Bailo","year":"2016","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2024.10.033_bib27","doi-asserted-by":"crossref","first-page":"186","DOI":"10.2176\/nmc.oa.2015-0212","article-title":"Hearing preservation after low-dose gamma knife radiosurgery of vestibular schwannomas","volume":"56","author":"Horiba","year":"2016","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"10.1016\/j.wneu.2024.10.033_bib28","first-page":"1619","article-title":"Gamma Knife radiosurgery for vestibular schwannomas: evaluation of tumor control and its predictors in a large patient cohort in The Netherlands","volume":"124","author":"Klijn","year":"2016","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2024.10.033_bib29","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.clineuro.2017.09.001","article-title":"Predictors of hearing outcomes following low-dose stereotactic radiosurgery in patients with vestibular schwannomas: a retrospective cohort review","volume":"162","author":"Lin","year":"2017","journal-title":"Clin Neurol Neurosurg"},{"key":"10.1016\/j.wneu.2024.10.033_bib30","doi-asserted-by":"crossref","first-page":"134","DOI":"10.1186\/s13014-017-0875-z","article-title":"Outcome of hearing preservation related to tumor morphologic analysis in acoustic neuromas treated by gamma knife radiosurgery","volume":"12","author":"Pan","year":"2017","journal-title":"Radiat Oncol Lond Engl"},{"key":"10.1016\/j.wneu.2024.10.033_bib31","doi-asserted-by":"crossref","DOI":"10.3389\/fonc.2017.00200","article-title":"Long-term treatment response and patient outcomes for vestibular schwannoma patients treated with hypofractionated stereotactic radiotherapy","volume":"7","author":"Patel","year":"2017","journal-title":"Front Oncol"},{"key":"10.1016\/j.wneu.2024.10.033_bib32","doi-asserted-by":"crossref","first-page":"335","DOI":"10.1055\/s-0037-1607968","article-title":"Impact of cochlear dose on hearing preservation following stereotactic radiosurgery and fractionated stereotactic radiotherapy for the treatment of vestibular schwannoma","volume":"79","author":"Chung","year":"2018","journal-title":"J\u00a0Neurol Surg Part B Skull Base"},{"key":"10.1016\/j.wneu.2024.10.033_bib33","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1016\/j.amjoto.2018.06.017","article-title":"Stereotactic radiotherapy in three weekly fractions for the management of vestibular schwannomas","volume":"39","author":"Gallogly","year":"2018","journal-title":"Am J Otolaryngol"},{"key":"10.1016\/j.wneu.2024.10.033_bib34","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1007\/s11060-018-2784-x","article-title":"Long-term hearing outcomes after gamma knife surgery in patients with vestibular schwannoma with hearing preservation: evaluation in 92 patients with serial audiograms","volume":"138","author":"Hasegawa","year":"2018","journal-title":"J\u00a0Neuro Oncol"},{"key":"10.1016\/j.wneu.2024.10.033_bib35","doi-asserted-by":"crossref","first-page":"e143","DOI":"10.1097\/MAO.0000000000001677","article-title":"Audiological outcomes in growing vestibular schwannomas managed either conservatively, or with stereotactic radiosurgery","volume":"39","author":"Milner","year":"2018","journal-title":"Otol Neurotol"},{"key":"10.1016\/j.wneu.2024.10.033_bib36","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1007\/s11060-019-03290-0","article-title":"Long term results of primary radiosurgery for vestibular schwannomas","volume":"145","author":"Johnson","year":"2019","journal-title":"J\u00a0Neuro Oncol"},{"key":"10.1016\/j.wneu.2024.10.033_bib37","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1111\/ane.13220","article-title":"Gamma knife surgery in the treatment of intracanalicular vestibular schwannomas","volume":"141","author":"Dzierz\u0119cki","year":"2020","journal-title":"Acta Neurol Scand"},{"key":"10.1016\/j.wneu.2024.10.033_bib38","doi-asserted-by":"crossref","first-page":"1122","DOI":"10.1097\/MAO.0000000000002721","article-title":"What clinicians should consider to determine a more beneficial treatment strategy for small to medium sized vestibular schwannoma with serviceable hearing: asingle surgeon\u2019s long-term outcome of microsurgery and gamma knife radiosurgery","volume":"41","author":"Han","year":"2020","journal-title":"Otol Neurotol"},{"key":"10.1016\/j.wneu.2024.10.033_bib39","doi-asserted-by":"crossref","first-page":"9309","DOI":"10.1038\/s41598-020-66213-4","article-title":"Outcome and toxicity analysis of single dose stereotactic radiosurgery in vestibular schwannoma based on the Koos grading system","volume":"10","author":"Rue\u00df","year":"2020","journal-title":"Sci Rep"},{"key":"10.1016\/j.wneu.2024.10.033_bib40","doi-asserted-by":"crossref","first-page":"68","DOI":"10.1186\/s13014-017-0805-0","article-title":"Long-term follow-up after stereotactic radiosurgery of intracanalicular acoustic neurinoma","volume":"12","author":"Rue\u00df","year":"2017","journal-title":"Radiat Oncol Lond Engl"},{"key":"10.1016\/j.wneu.2024.10.033_bib41","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1001\/archotol.129.8.903","article-title":"Microsurgery vs gamma knife radiosurgery for the treatment of vestibular schwannomas","volume":"129","author":"Kaylie","year":"2003","journal-title":"Arch Otolaryngol Neck Surg"},{"key":"10.1016\/j.wneu.2024.10.033_bib42","doi-asserted-by":"crossref","first-page":"E5","DOI":"10.3171\/2017.12.FOCUS17672","article-title":"Preoperative diffusion tensor imaging-fiber tracking for facial nerve identification in vestibular schwannoma: a systematic review on its evolution and current status with a pooled data analysis of surgical concordance rates","volume":"44","author":"Savardekar","year":"2018","journal-title":"Neurosurg Focus"},{"key":"10.1016\/j.wneu.2024.10.033_bib43","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1016\/j.wneu.2021.11.083","article-title":"Primary treatment of small to medium (<3 cm) sporadic vestibular schwannomas: a systematic review and meta-analysis on hearing preservation and tumor control rates for microsurgery versus radiosurgery","volume":"160","author":"Savardekar","year":"2022","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2024.10.033_bib53","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1177\/000348948809700110","article-title":"Hearing preservation in unilateral acoustic neuroma surgery","volume":"97","author":"Gardner","year":"1988","journal-title":"Ann Otol Rhinol Laryngol"},{"key":"10.1016\/j.wneu.2024.10.033_bib44","first-page":"11","article-title":"Management of 1000 vestibular schwannomas (acoustic neuromas): surgical management and results with an emphasis on complications and how to avoid them","volume":"40","author":"Samii","year":"1997","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2024.10.033_bib45","doi-asserted-by":"crossref","first-page":"1058","DOI":"10.1007\/s12105-020-01155-x","article-title":"Vestibular schwannoma: what we know and where we are heading","volume":"14","author":"Gupta","year":"2020","journal-title":"Head Neck Pathol"},{"key":"10.1016\/j.wneu.2024.10.033_bib46","doi-asserted-by":"crossref","first-page":"1611","DOI":"10.1097\/MAO.0b013e31826dbd02","article-title":"Microsurgery versus stereotactic radiation for small vestibular schwannomas: a meta-analysis of patients with more than 5 years\u2019 follow-up","volume":"33","author":"Maniakas","year":"2012","journal-title":"Otol Neurotol"},{"key":"10.1016\/j.wneu.2024.10.033_bib48","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1097\/MAO.0000000000001672","article-title":"Systematic review of hearing preservation after radiotherapy for vestibular schwannoma","volume":"39","author":"Coughlin","year":"2018","journal-title":"Otol Neurotol"},{"key":"10.1016\/j.wneu.2024.10.033_bib50","first-page":"917","article-title":"Hearing preservation following fractionated stereotactic radiotherapy for vestibular schwannomas: prognostic implications of cochlear dose","volume":"107","author":"Thomas","year":"2007","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2024.10.033_bib51","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1097\/MAO.0000000000001718","article-title":"Does hospital volume affect outcomes in patients undergoing vestibular schwannoma surgery?","volume":"39","author":"Hatch","year":"2018","journal-title":"Otol Neurotol"},{"key":"10.1016\/j.wneu.2024.10.033_bib52","doi-asserted-by":"crossref","first-page":"975","DOI":"10.1097\/MAO.0b013e3181b0d04a","article-title":"A\u00a0meta-analysis of surgical treatment for vestibular schwannoma: is hospital volume related to preservation of facial function?","volume":"30","author":"Hastan","year":"2009","journal-title":"Otol Neurotol"}],"container-title":["World Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875024017376?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875024017376?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,6,18]],"date-time":"2025-06-18T05:59:29Z","timestamp":1750226369000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1878875024017376"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":50,"alternative-id":["S1878875024017376"],"URL":"https:\/\/doi.org\/10.1016\/j.wneu.2024.10.033","relation":{},"ISSN":["1878-8750"],"issn-type":[{"type":"print","value":"1878-8750"}],"subject":[],"published":{"date-parts":[[2025,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Stereotactic Radiosurgery in Primary Treatment of Sporadic Small to Medium (<3 cm) Vestibular Schwannomas: A Systematic Review and Meta-Analysis","name":"articletitle","label":"Article Title"},{"value":"World Neurosurgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.wneu.2024.10.033","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 The Authors. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"123304"}}