{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:31:03Z","timestamp":1786728663616,"version":"build-2736575974"},"reference-count":45,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                    <jats:p>\n                      There is a plethora of papers on the role of stereotactic radiosurgery (SRS) in various benign and malignant intracranial tumors, and it is possible to overlook the most important and landmark studies. Thus, the necessity of citation analysis arises, which reviews the most cited articles and recognizes the impact made by these articles. Utilizing the 100 most cited articles describing the use of SRS for intracranial and spinal pathologies, this article aims to provide meaningful information regarding the historical trends and recent directions in which this field is headed. We performed a search of the Web of Science database using the keywords \u201cstereotactic radiosurgery,\u201d \u201cgamma knife,\u201d \u201cGKRS,\u201d \u201cgamma knife radiosurgery,\u201d \u201cLINAC,\u201d and \u201cCyberknife\u201d on May 14, 2022. Our search retrieved a total of 30,652 articles published between the years 1968 and 2017. The top 100 cited articles were arranged in descending order based on citation count (CC) and citation per year (CY). The journal with the largest number of publications as well as citation count was the\n                      <jats:italic toggle=\"yes\">International Journal of Radiation Oncology Biology Physics<\/jats:italic>\n                      (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 33), followed by\n                      <jats:italic toggle=\"yes\">Journal of Neurosurgery (n<\/jats:italic>\n                      = 25). The most cited article was authored by Andrews, which was published in 2004 in\n                      <jats:italic toggle=\"yes\">The Lancet<\/jats:italic>\n                      (1699 CC, 89.42 CY). Flickinger, with 25 papers and 7635 total citations, was the author with the highest impact. Lunsford, with 25 publications and total citations of 7615, was a close second. The USA was the leading country with the maximum number of total citations (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 23,054). Ninety-two articles described the use of SRS for intracranial pathologies (metastases,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 38; AVM,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 16; vestibular schwannoma,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 9; meningioma,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 8; trigeminal neuralgia,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 6; sellar lesion,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2; glioma,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 2; functional,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 1; and procedure related,\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 10). Eight studies describing spinal radiosurgery were included, out of which four were on spinal metastases. Citation analyses of the top 100 articles revealed that the focus of research in the field of SRS started with functional neurosurgery and progressed to benign intracranial tumors and AVMs. More recently, central nervous system (CNS) metastases have received the maximum attention with 38 articles, including 14 randomized controlled trials finding a place in the top 100 cited articles. Presently, the use of SRS is concentrated in developed countries. Efforts need to be made for more widespread use in developing nations to bring the maximum possible benefits of this focused noninvasive treatment to a wider population.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0028-3886.373651","type":"journal-article","created":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T04:30:03Z","timestamp":1692851403000},"page":"S39-S48","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Trends in Stereotactic Radiosurgery for Intracranial and Spinal Pathologies"],"prefix":"10.4103","volume":"71","author":[{"given":"Mohit","family":"Agrawal","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sandeep","family":"Mishra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanwaljeet","family":"Garg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish","family":"Ranjan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ekkehard","family":"Kasper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ali","family":"Rezai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak","family":"Agrawal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manmohan","family":"Singh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shashank S","family":"Kale","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-8-20240907","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1136\/jnnp.46.9.797","article-title":"Stereotactic radiosurgery","volume":"46","author":"Leksell","year":"1983","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"R2-8-20240907","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":"R3-8-20240907","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/S1053-4296(05)80015-3","article-title":"The physics of radiosurgery","volume":"5","author":"Verhey","year":"1995","journal-title":"Semin Radiat Oncol"},{"key":"R4-8-20240907","doi-asserted-by":"crossref","first-page":"443","DOI":"10.1227\/01.NEU.0000255347.25959.D0","article-title":"Embolization before radiosurgery reduces the obliteration rate of arteriovenous malformations","volume":"60","author":"Andrade-Souza","year":"2007","journal-title":"Neurosurgery"},{"key":"R5-8-20240907","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1007\/978-3-7091-8909-2_11","article-title":"New technique for three-dimentional linear accelerator radiosurgery","volume":"39","author":"Colombo","year":"1987","journal-title":"Acta Neurochir Suppl (Wien"},{"key":"R6-8-20240907","first-page":"1299","article-title":"Image guided robotic radiosurgery","volume":"44","author":"Adler","year":"1999","journal-title":"Neurosurgery"},{"key":"R7-8-20240907","doi-asserted-by":"crossref","first-page":"79","DOI":"10.3171\/jns.2002.96.1.0079","article-title":"A proposed radiosurgery-based grading system for arteriovenous malformations","volume":"96","author":"Pollock","year":"2002","journal-title":"J Neurosurg"},{"key":"R8-8-20240907","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1016\/S0360-3016(96)00316-1","article-title":"A dose-response analysis of arteriovenous malformation obliteration after radiosurgery","volume":"36","author":"Flickinger","year":"1996","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"R9-8-20240907","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1016\/0360-3016(94)90098-1","article-title":"A multi-institutional experience with stereotactic radiosurgery for solitary brain metastasis","volume":"28","author":"Flickinger","year":"1994","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"R10-8-20240907","doi-asserted-by":"crossref","first-page":"3608","DOI":"10.1200\/JCO.2004.01.175","article-title":"CNS metastases in breast cancer","volume":"22","author":"Lin","year":"2004","journal-title":"J Clin 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radiosurgery of imaging-diagnosed intracranial meningioma","volume":"56","author":"Flickinger","year":"2003","journal-title":"Int J Radiat Oncol Biol Phys"},{"key":"R15-8-20240907","doi-asserted-by":"crossref","first-page":"552","DOI":"10.3171\/jns.1991.74.4.0552","article-title":"Stereotactic radiosurgery of meningiomas","volume":"74","author":"Kondziolka","year":"1991","journal-title":"J Neurosurg"},{"key":"R16-8-20240907","doi-asserted-by":"crossref","first-page":"3933","DOI":"10.1210\/jc.2014-2700","article-title":"Acromegaly: An endocrine society clinical practice guideline","volume":"99","author":"Katznelson","year":"2014","journal-title":"J Clin Endocrinol Metab"},{"key":"R17-8-20240907","doi-asserted-by":"crossref","first-page":"608","DOI":"10.1212\/WNL.48.3.608","article-title":"Gamma Knife radiosurgery for treatment of trigeminal neuralgia: Idiopathic and tumor 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Gammathalanotomy in two cases of intractable pain","volume":"134","author":"Leksell","year":"1968","journal-title":"Acta Chir Scand"},{"key":"R36-8-20240907","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1007\/s11192-012-0775-9","article-title":"Citation time window choice for research impact evaluation","volume":"94","author":"Wang","year":"2013","journal-title":"Scientometrics"},{"key":"R37-8-20240907","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1159\/000516237","article-title":"A scientometric analysis of the 100 most cited articles on pallidotomy","volume":"99","author":"Agrawal","year":"2021","journal-title":"Stereotact Funct Neurosurg"},{"key":"R38-8-20240907","doi-asserted-by":"crossref","first-page":"2965","DOI":"10.1007\/s10143-021-01487-4","article-title":"The 100 most-cited articles on vestibular schwannoma: Historical perspectives, current limitations, and future research directions","volume":"44","author":"Martinez-Perez","year":"2021","journal-title":"Neurosurg Rev"},{"key":"R39-8-20240907","doi-asserted-by":"crossref","first-page":"59","DOI":"10.1023\/A:1012798911792","article-title":"Citation analysis using online databases: Feasibilities and shortcomings","volume":"52","author":"Marx","year":"2001","journal-title":"Scientometrics"},{"key":"R40-8-20240907","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1016\/0968-0004(89)90164-3","article-title":"The bias of citations","volume":"14","author":"Dumont","year":"1989","journal-title":"Trends Biochem Sci"},{"key":"R41-8-20240907","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1021\/ci020018o","article-title":"The reliability of total citation rankings","volume":"43","author":"Braun","year":"2003","journal-title":"J Chem Inf Comput Sci"},{"key":"R42-8-20240907","doi-asserted-by":"crossref","first-page":"1747","DOI":"10.4103\/0028-3886.333465","article-title":"Cervico Medullary Junction \u201cIntramedullary Schwannoma\u201d Masquerading As Glioma: A Surprise During Surgery","volume":"69","author":"Dandpat","year":"2021","journal-title":"Neurol India"},{"key":"R43-8-20240907","doi-asserted-by":"crossref","first-page":"724","DOI":"10.4103\/0028-3886.317234","article-title":"Primary Hypofractionated Gamma Knife Radiosurgery for Giant Cavernous Sinus Hemangiomas","volume":"69","author":"Tripathi","year":"2021","journal-title":"Neurol India"},{"key":"R44-8-20240907","doi-asserted-by":"crossref","first-page":"1008","DOI":"10.4103\/0028-3886.299161","article-title":"Adaptations in Radiosurgery Practice during COVID Crisis","volume":"68","author":"Tripathi","year":"2020","journal-title":"Neurol India"},{"key":"R45-8-20240907","doi-asserted-by":"crossref","first-page":"290","DOI":"10.4103\/0028-3886.284356","article-title":"Role of gamma knife radiosurgery in the management of intracranial gliomas","volume":"68","author":"Deora","year":"2020","journal-title":"Neurol India"}],"container-title":["Neurology India"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/0028-3886.373651","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:30:08Z","timestamp":1786725008000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/0028-3886.373651"}},"subtitle":["Analysis of the Top 100 Most Cited Articles"],"short-title":[],"issued":{"date-parts":[[2023,3]]},"references-count":45,"journal-issue":{"issue":"Suppl 1","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/0028-3886.373651","relation":{},"ISSN":["0028-3886"],"issn-type":[{"value":"0028-3886","type":"print"}],"subject":[],"published":{"date-parts":[[2023,3]]}}}