Evidence map›Paper›PMID 19417131›Full record

ArticleCancer research2009

Association between rectal optical signatures and colonic neoplasia: potential applications for screening.

Hemant K Roy, Vladimir Turzhitsky, Young Kim, Michael J Goldberg, Patrice Watson, Jeremy D Rogers, Andrew J Gomes, Alexey Kromine, Randall E Brand, Mohammed Jameel and 3 more

Open access · bronzeAbstract read
In one paragraph

Article in Cancer research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 65 citations in OpenAlex.

  1. Trial
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  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Rectal Optical Markers for In Vivo Risk Stratification of Premalignant Colorectal Lesions.Clinical cancer research : an official journal of the American Association for Cancer Research · 2015
    Article
  14. Article
  15. Review
  16. Etiologic field effect: reappraisal of the field effect concept in cancer predisposition and progression.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2015
    Review
  17. Review
  18. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 1 country.

Hemant K RoyDepartment of Medicine, Evanston-Northwestern Healthcare, Northwestern University, Evanston, IL 60201, USA. h-roy@northwestern.edu
Vladimir Turzhitsky
Young Kim
Michael J Goldberg
Patrice Watson
Jeremy D Rogers
Andrew J Gomes
Alexey Kromine
Randall E Brand
Mohammed Jameel
Andrej Bogovejic
Prabhakar Pradhan
Vadim Backman
Northwestern University · USNorthShore University HealthSystem · USCreighton University · USUniversity of Pittsburgh Medical Center · US

Funding

Novel Biophotonics Methodology for Colon Cancer ScreeningR01CA128641 · NCI · NORTHWESTERN UNIVERSITY · PI BACKMAN, VADIM · 2008 to 2012
$7.3M
Spectral Markers for Early Detection of Colon NeoplasiaU01CA111257 · NCI · NORTHSHORE UNIV HEALTHSYSTEM RES INST · PI BACKMAN, VADIM, ROY, HEMANT K. · 2004 to 2015
$6.0M
Mechanisms of Light Scattering in Living TissuesR01EB003682 · NIBIB · NORTHWESTERN UNIVERSITY · PI BACKMAN, VADIM, PRADHAN, PRABHAKAR · 2005 to 2013
$2.2M
Spectroscopic Markers to Risk-Stratify Colonic NeoplasiaR01CA112315 · NCI · NORTHWESTERN UNIVERSITY · PI BACKMAN, VADIM · 2005 to 2009
$875k
Improving colonoscopic miss rate by real time microvascular blood analysisR42CA130508 · NCI · AMERICAN BIOOPTICS, LLC · PI ROY, HEMANT K. · 2007 to 2009
$841k
Towards Colonscopy-free Colon Cancer Screening by Enhanced Light BackscatteringR33CA122017 · NCI · NORTHWESTERN UNIVERSITY · PI BACKMAN, VADIM · 2007 to 2009
$779k
NCI NIH HHS R01 CA112315NCI NIH HHS R01 CA128641NCI NIH HHS R33 CA122017NCI NIH HHS R42 CA130508NCI NIH HHS U01 CA111257NIBIB NIH HHS R01 EB003682
6 · The paper itself

Abstract

Field carcinogenesis detection represents a promising means for colorectal cancer (CRC) screening, although current techniques (e.g., flexible sigmoidoscopy) lack the requisite sensitivity. The novel optical technology low-coherence enhanced backscattering (LEBS) spectroscopy, allows identification of microscale architectural consequences of the field carcinogenesis in preclinical CRC models with unprecedented accuracy. To investigate the potential clinical translatability of this approach, we obtained biopsies from the normal-appearing rectal mucosa from patients undergoing colonoscopy (n = 219). LEBS signals were recorded through a bench-top instrument. Four parameters characterizing LEBS signal were linearly combined into a single marker. We found that LEBS signal parameters generally mirrored neoplasia progression from patients with no neoplasia, to 5 to 9 mm adenoma and to advanced adenomas. The composite LEBS marker calculated from the LEBS signal paralleled this risk status (ANOVA P < 0.001). Moreover, this was independent of CRC risk factors, benign colonic findings, or clinically unimportant lesions (diminutive adenomas, hyperplastic polyps). For advanced adenomas, the LEBS marker had a sensitivity of 100%, specificity of 80%, and area under the receiver operator characteristic curve of 0.895. Leave-one-out cross-validation and an independent data set (n = 51) supported the robustness of these findings. In conclusion, we provide the first demonstration that LEBS-detectable alterations in the endoscopically normal rectum were associated with the presence of neoplasia located elsewhere in the colon. This study provides the proof of concept that rectal LEBS analysis may potentially provide a minimally intrusive CRC screening technique. Further studies with an endoscopically compatible fiber optic probe are under way for multicenter clinical validation.

Indexed as

AdenomaAnalysis of VarianceColonic NeoplasmsColonic PolypsColonoscopyEarly Detection of CancerFemaleHumansMalePolypsRectumReproducibility of ResultsRisk FactorsSigmoidoscopyTomography, Optical Coherence

Identifiers

PMID19417131
PMCPMC2722930
OpenAlexW2144520732

What OpenQuestion holds

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LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.