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Correlation of Ki-67 with Radiation Response and Grade in Meningiomas: A Systematic Review
Fenny Tjuatja1,2, Handoko1,2, Henry Kodrat1,2
1Department of Radiation Oncology, dr. Cipto Mangunkusumo Hospital, Jakarta, Indonesia.
Purpose:
This systematic review aimed to identify the role of Ki-67 as a prognostic factor in estimating tumor grade and the radiation response in meningiomas.
Methods:
A systematic search of the literature on meningiomas was carried out through the PubMed, Scopus, and EBSCOhost databases according to the PRISMA guidelines.
Results:
Our search resulted in 465 collected articles, 15 of which satisfied the eligibility criteria. Twelve studies reported the correlation between Ki-67 and meningioma grade. Two other investigations reported the relationship between Ki-67 and the radiation response in meningioma, and one failed to capture the association between Ki-67 and the radiation response in meningioma.
Conclusion:
The Ki-67 proliferation index has a uniform correlation with meningioma grade. Two of the 3 studies on the correlation of Ki-67 with the radiation response in meningioma patients reported that patients with a higher Ki-67 responded better to radiation therapy.
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