A grade PMID 42321916
View analysis →Finding therapies hidden in 39,000 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
In 2,310 patients with stage I–III favorable-histology Wilms tumor, lymph-node positivity predicted worse event-free survival, the number of nodes sampled was associated with overall survival among node-negative patients, and neither positive-node count nor node density predicted outcomes in node-positive stage III disease.
The evidence supports standardized lymph-node sampling as an important component of accurate surgical staging; by inference, greater standardization could improve treatment assignment and outcomes, but this observational analysis does not establish that increasing node yield itself improves survival.
This nationwide Danish registry study found a significant decline in conjunctival papilloma incidence, a nonsignificant decline in juvenile laryngeal papilloma incidence, HPV-6 or HPV-11 in 74.1% of typed laryngeal cases, and no maternal pre-delivery HPV vaccination among affected laryngeal cases.
The evidence shows population-level incidence trends and HPV-6/11 involvement; it supports, but does not establish, the inference that existing HPV vaccination—potentially including maternal vaccination before delivery—could prevent some juvenile laryngeal or conjunctival papillomas.
In a retrospective single-center series of 15 pediatric patients receiving myeloablative VMAT-based total body irradiation before HSCT, plans achieved reported target coverage, lung and kidney dose objectives, and quality-assurance agreement, with one late pulmonary and one severe renal toxicity over a median 18-month follow-up.
The study provides clinical and dosimetric evidence that pediatric VMAT-TBI is technically feasible and can constrain lung and kidney exposure; it is reasonable but not proven to infer that this approach could reduce organ toxicity relative to conventional TBI because no comparator group or long-term outcome analysis is reported.
In a retrospective cohort of 563 patients with advanced hepatocellular carcinoma receiving anti-PD-1/PD-L1 therapy, longitudinal BMI trajectory classes were independently associated with progression-free and overall survival, with high-stable BMI showing the most favorable outcomes and moderate-rapid decline the worst.
The evidence supports dynamic BMI trajectory as a candidate prognostic marker during immunotherapy; it is only an inference that identifying or reversing rapid BMI decline through nutritional, metabolic, or supportive-care interventions would improve treatment outcomes, because no intervention or causal mechanism was tested.
This systematic review and meta-analysis found that SCAN and PYMS were highly sensitive but poorly specific for identifying malnutrition risk in pediatric oncology populations.
Evidence: pooled diagnostic-accuracy results support SCAN and PYMS as sensitive screening tools, although their low specificity may generate false-positive referrals; inference: standardized screening followed by confirmatory nutritional assessment could enable earlier supportive-care intervention, but the record does not show that screening or intervention improves treatment tolerance, toxicity, survival, or other clinical outcomes.
In a prospective 14-center cohort of 3,686 children receiving first CSF shunts, 35% experienced failure, with medical complexity, young age, tumor or posthemorrhagic hydrocephalus, gastrostomy, and posterior entry independently associated with failure, while evaluated shunt technologies were not.
The evidence supports these clinical and procedural features as risk markers, not as proven causal targets; prospectively testing risk-adapted surveillance or alternative entry-site strategies could determine whether shunt-related morbidity can be reduced, including in children with tumor-associated hydrocephalus.
This meta-analysis of 46 studies reports moderate emotional, mood, stress, and psychological improvements associated with varied music-based interventions across general, pediatric, adolescent, and clinical populations, with substantial heterogeneity in several analyses.
The supplied evidence suggests that music-based interventions may have value as supportive psychosocial care; by inference, they could help some pediatric oncology patients manage distress or mood symptoms, but the record does not provide a pediatric-cancer-specific effect estimate, demonstrate a mechanism, or establish an optimal intervention or clinical protocol.
This observational Brazilian analysis reports lower cervical precancer and invasive cervical cancer incidence after national HPV vaccine introduction among vaccine-eligible women, with heterogeneous reductions across regions and possible indirect protection in some non-eligible groups.
The reported population-level associations support HPV vaccination as a plausible cancer-prevention strategy for children and adolescents; however, attributing the reductions—and possible indirect protection—specifically to vaccination remains an inference because the supplied observational comparison does not establish causality or exclude changes in screening, surveillance, or other temporal factors.
In a retrospective cohort of 63 mixed-age patients with relapsed/refractory B-ALL treated with CD19 CAR-T followed by allogeneic HSCT, transplant timing and acute GVHD severity were associated with overall survival, while transplant timing and pre-transplant MRD positivity predicted severe acute GVHD in an internally validated nomogram.
The study provides observational evidence that CAR-T-to-transplant timing, MRD status, and acute GVHD severity can stratify risk; it is reasonable—but not demonstrated here—to hypothesize that prospective use of these factors to optimize transplant timing and GVHD surveillance or prophylaxis could improve outcomes.
This review describes computational and machine-learning frameworks for using single-cell and spatial transcriptomic data to model cellular composition, state remodeling, plasticity, and intercellular communication associated with therapeutic resistance in diffuse midline glioma.
The reviewed evidence indicates that computational analysis can identify resistant cell populations and adaptive programs; it is an inference, not a demonstrated clinical result, that these findings could yield actionable vulnerabilities or biomarkers for patient-specific treatment selection.
This narrative review integrates literature across eight pediatric solid tumors and reports that recurrent molecular drivers, immunosuppressive microenvironmental features, and unequal access to molecular diagnostics and specialized therapies jointly influence therapeutic response and outcomes.
The reviewed evidence associates defined molecular alterations and immune-suppressive microenvironmental features with disease behavior, treatment eligibility, and resistance; it is therefore reasonable—but not directly tested here—to hypothesize that biomarker-directed and immune-modulating strategies paired with equitable diagnostic and treatment access could improve outcomes, particularly for children with aggressive molecular subtypes.
In 36 children with APL, multiomics profiling identified two DNA-methylation groups with different survival outcomes and associated hypermethylation with enhancer-localized EBF1 motifs, reduced EP300 expression, and increased MYC activity.
The evidence supports an association between an enhancer-based hypermethylation signature, poorer prognosis, EP300 downregulation, and MYC activation; it can be inferred—but is not experimentally established here—that this axis could enable risk stratification or reveal therapeutic vulnerabilities involving epigenetic regulation or MYC-associated pathways.