Evidence map›Paper›PMID 19910294›Full record

Trial reportCancer research2009

Intraoperative evaluation of breast tumor margins with optical coherence tomography.

Freddy T Nguyen, Adam M Zysk, Eric J Chaney, Jan G Kotynek, Uretz J Oliphant, Frank J Bellafiore, Kendrith M Rowland, Patricia A Johnson, Stephen A Boppart

Abstract readClinical Trial
In one paragraph

Trial report in Cancer research, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 185 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
185citing papers in PubMed, 1 pooled it
12.1field-weighted citation impact, top 1% 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

185 citing papers in PubMed, 1 synthesis or guideline pooled it, 387 citations in OpenAlex.

  1. The clinical usefulness of optical coherence tomography during cancer interventions.Journal of cancer research and clinical oncology · 2018
    Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Artificial Intelligence in Label-Free Optical Imaging Applications.Methods in molecular biology (Clifton, N.J.) · 2026
    Article
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  9. Review
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  14. Review
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  20. Article

125 more citing papers are in PubMed but not listed here.

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

9 authors at 2 institutions in 1 country.

Freddy T NguyenDepartments of Chemistry, College of Medicine, and Beckman Institute for Advanced Science & Technology, University of Illinois at Urbana-Champaign, Illinois 61801, USA.
Adam M Zysk
Eric J Chaney
Jan G Kotynek
Uretz J Oliphant
Frank J Bellafiore
Kendrith M Rowland
Patricia A Johnson
Stephen A Boppart
Carle Foundation Hospital · USUniversity of Illinois Urbana-Champaign · US

Funding

Optical Coherence Tomography Image-Guided Surgical Resection of Solid TumorsR01EB005221 · NIBIB · UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN · PI BOPPART, STEPHEN A · 2006 to 2009
$1.3M
NCI NIH HHS BC073292NIBIB NIH HHS R01 EB005221
6 · The paper itself

Abstract

As breast cancer screening rates increase, smaller and more numerous lesions are being identified earlier, leading to more breast-conserving surgical procedures. Achieving a clean surgical margin represents a technical challenge with important clinical implications. Optical coherence tomography (OCT) is introduced as an intraoperative high-resolution imaging technique that assesses surgical breast tumor margins by providing real-time microscopic images up to 2 mm beneath the tissue surface. In a study of 37 patients split between training and study groups, OCT images covering 1 cm(2) regions were acquired from surgical margins of lumpectomy specimens, registered with ink, and correlated with corresponding histologic sections. A 17-patient training set used to establish standard imaging protocols and OCT evaluation criteria showed that areas of higher scattering tissue with a heterogeneous pattern were indicative of tumor cells and tumor tissue in contrast to lower scattering adipocytes found in normal breast tissue. The remaining 20 patients were enrolled into the feasibility study. Of these lumpectomy specimens, 11 were identified with a positive or close surgical margin and 9 were identified with a negative margin under OCT. Based on histologic findings, 9 true positives, 9 true negatives, 2 false positives, and 0 false negatives were found, yielding a sensitivity of 100% and specificity of 82%. These results show the potential of OCT as a real-time method for intraoperative margin assessment in breast-conserving surgeries.

Indexed as

AdultAgedAged, 80 and overBreast NeoplasmsFemaleHumansMiddle AgedMonitoring, IntraoperativeTomography, Optical Coherence

Identifiers

PMID19910294
PMCPMC2782920
OpenAlexW2114022098

What OpenQuestion holds

Textmetadata
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.