{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T05:17:37Z","timestamp":1788412657830,"version":"build-2803163510"},"reference-count":29,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T00:00:00Z","timestamp":1760400000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Neuroradiol J"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Preoperative embolization reduces intraoperative blood loss (IBL) in meningioma treatment, but the optimal embolic material remains uncertain. This systematic review and meta-analysis compares the effectiveness and safety of particle versus liquid embolic agents in the preoperative embolization of meningiomas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>PubMed, Cochrane, Embase, and Scopus were searched for studies comparing particles and liquid embolic agents in patients undergoing preoperative embolization of meningiomas. Primary outcomes included the degree of devascularization, IBL, ischemic events, and overall complications. The risk of bias was assessed using the ROBINS-I. Statistical analyses were conducted using R.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The analysis included four studies, covering a total of 1827 patients. Particles were associated with a significantly lower incidence of operative complications (OR = 0.35; 95% CI 0.20\u20130.62;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001; I\n                      <jats:sup>2<\/jats:sup>\n                      = 0.0%). The other outcomes did not differ between groups. Regarding IBL, no significant difference was observed between particulate and liquid embolic agents (MD = \u221265.01\u00a0mL; 95% CI \u2212237.01\u2013107.00;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.46; I\n                      <jats:sup>2<\/jats:sup>\n                      = 77.8%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our systematic review and meta-analysis indicate no significant differences between particulate and embolic agents; however, particulate agents were associated with a lower incidence of overall complications, suggesting a potential advantage in perioperative safety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/19714009251387296","type":"journal-article","created":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T18:16:41Z","timestamp":1760465801000},"page":"280-289","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Comparative benefits of particle embolization versus liquid agents in preoperative management of meningiomas: A Systematic Review and Meta-analysis"],"prefix":"10.1177","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-2286-3948","authenticated-orcid":false,"given":"Davi","family":"Barbosa","sequence":"first","affiliation":[{"name":"Department of Medicine, University Center of Maceio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-3441-7704","authenticated-orcid":false,"given":"Rafaela","family":"Correia Maciel","sequence":"additional","affiliation":[{"name":"Department of Medicine, Jundia\u00ed Faculty of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5611-2130","authenticated-orcid":false,"given":"Wei","family":"Jun Lee","sequence":"additional","affiliation":[{"name":"Department of Neurology, SUNY Downstate Health Sciences University, Brooklyn, New York, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1794-1707","authenticated-orcid":false,"given":"Vivian","family":"Castilho","sequence":"additional","affiliation":[{"name":"Department of Radiology, Hospital CUF Tejo, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7130-0900","authenticated-orcid":false,"given":"Rodrigo","family":"dos Reis Schevz","sequence":"additional","affiliation":[{"name":"Faculty of Medicine of ABC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1146-0371","authenticated-orcid":false,"given":"Maria Clara","family":"de Sousa Morais","sequence":"additional","affiliation":[{"name":"Exact and Health Sciences of Piau\u00ed\/Institute of Higher Education of the Parna\u00edba Valley"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-6904-2574","authenticated-orcid":false,"given":"Gabriela","family":"Quaresma Sardella","sequence":"additional","affiliation":[{"name":"Federal Fluminense University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8913-5149","authenticated-orcid":false,"given":"Samir","family":"Said Abdul Rahim","sequence":"additional","affiliation":[{"name":"Imaging Department, Einstein Hospital Israelita, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-2021-9877","authenticated-orcid":false,"given":"Catherine","family":"dos Reis Schevz","sequence":"additional","affiliation":[{"name":"S\u00e3o Camilo University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3287-2669","authenticated-orcid":false,"given":"Ismael","family":"Augusto Silva Lombardi","sequence":"additional","affiliation":[{"name":", Hospital de Amor de Barretos"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,10,14]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/neuonc\/noae082"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2011.09.004"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1136\/neurintsurg-2022-019080"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.02.223"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","unstructured":"Eskey CJ Meyers PM Nguyen TN et al. Indications for the performance of intracranial endovascular neurointerventional procedures: a scientific statement from the American heart association. Circulation; 137(21): e661-e689. DOI: 10.1161\/CIR.0000000000000567 Epub ahead of print 22 May 2018.","DOI":"10.1161\/CIR.0000000000000567"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A3919"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1586\/ern.11.29"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.3171\/2014.12.FOCUS14728"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A1754"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2022.02.118"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0030-1247885"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-015-1521-9"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/159101991201800202"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-013-2128-2"},{"key":"e_1_3_4_16_2","first-page":"244","article-title":"Preoperative particle and glue embolization of meningiomas: indications, results, and lessons learned from 117 consecutive patients","volume":"73","author":"Borg A","year":"2013","unstructured":"Borg A, Ekanayake J, Mair R, et al. Preoperative particle and glue embolization of meningiomas: indications, results, and lessons learned from 117 consecutive patients. Neurosurgery 2013; 73: 244\u2013251, discussion ons252.","journal-title":"Neurosurgery"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.3109\/00207454.2015.1134525"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.5797\/jnet.oa.2023-0083"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.st.2018-0220"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.i4919"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/9781119536604"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7109.629"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/0962280216669183"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-14-135"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1177\/09622802211047348"},{"key":"e_1_3_4_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-21416-0"},{"key":"e_1_3_4_27_2","doi-asserted-by":"publisher","DOI":"10.1177\/09622802231172043"},{"key":"e_1_3_4_28_2","first-page":"571","article-title":"Extended preoperative polyvinyl alcohol microembolization of intracranial meningiomas: assessment of two embolization techniques","volume":"14","author":"Wakhloo AK","year":"1993","unstructured":"Wakhloo AK, Juengling FD, Van Velthoven V, et al. Extended preoperative polyvinyl alcohol microembolization of intracranial meningiomas: assessment of two embolization techniques. AJNR Am J Neuroradiol 1993; 14: 571\u2013582.","journal-title":"AJNR Am J Neuroradiol"},{"key":"e_1_3_4_29_2","doi-asserted-by":"publisher","DOI":"10.1227\/neu.0000000000003054"},{"key":"e_1_3_4_30_2","doi-asserted-by":"publisher","DOI":"10.1227\/NEU.0b013e3181fe2de9"}],"container-title":["The Neuroradiology Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19714009251387296","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/19714009251387296","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19714009251387296","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,3]],"date-time":"2026-09-03T04:58:27Z","timestamp":1788411507000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/19714009251387296"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,14]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["10.1177\/19714009251387296"],"URL":"https:\/\/doi.org\/10.1177\/19714009251387296","relation":{},"ISSN":["1971-4009","2385-1996"],"issn-type":[{"value":"1971-4009","type":"print"},{"value":"2385-1996","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,14]]}}}