Evidence map›Paper›PMID 21355082›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2011

Intraoperative qRT-PCR for detection of lymph node metastasis in head and neck cancer.

Robert L Ferris, Liqiang Xi, Raja R Seethala, Jon Chan, Shaun Desai, Benjamin Hoch, William Gooding, Tony E Godfrey

Open access · bronzeAbstract readEvaluation Study
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.6field-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

26 citing papers in PubMed, 64 citations in OpenAlex.

  1. Article
  2. Review
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  4. Oxygen Imaging for Non-Invasive Metastasis Detection.Sensors (Basel, Switzerland) · 2021
    Article
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  17. Correlation of tumor marker expression with nodal disease burden in metastatic head and neck cancer.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2013
    Article
  18. Prognostic biological features in neck dissection specimens.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2013
    Review
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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

8 authors at 5 institutions in 1 country.

Robert L FerrisDepartment of Otolaryngology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA. ferrisrl@upmc.edu
Liqiang Xi
Raja R Seethala
Jon Chan
Shaun Desai
Benjamin Hoch
William Gooding
Tony E Godfrey
University of Washington · USNational Institutes of Health · USUniversity of Rochester Medical Center · USUPMC Hillman Cancer Center · USWashington University in St. Louis · US

Funding

WILD TYPE P53-BASED ADJUVANT IMMUNOTHERAPY FOR SCCHNP50CA097190 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Heath Devin Skinner, Jose P. Zevallos · 2004 to 2026
$49.6M
NCI NIH HHS P50 CA097190
6 · The paper itself

Abstract

purposeSentinel node biopsy (SNB) has been shown to accurately stage the regional lymphatics in oral carcinoma. However, intraoperative pathology is only moderately sensitive and final pathology takes several days to complete. The purpose of this study was to develop a rapid, automated, and quantitative real-time PCR (qRT-PCR) assay that can match final pathology in an intraoperative time frame. EXPERIMENTAL

designFour hundred forty-eight grossly tumor-negative lymph nodes were evaluated for expression of 3 markers [PVA (pemphigus vulgaris antigen), PTHrP (parathyroid hormone-related protein), and TACSTD1 (tumor-associated calcium signal transducer 1)]. Conformity of metastasis detection by qRT-PCR was determined using hematoxylin and eosin and immunohistochemistry staining as the gold standard. PVA and TACSTD1 were then multiplexed with β-glucuronidase to develop a rapid, automated single-tube qRT-PCR assay using the Cepheid GeneXpert system. This assay was used to analyze 103 lymph nodes in an intraoperative time frame.

resultsFour hundred forty-two nodes produced an informative result for both qRT-PCR and pathologic examination. Concordance of qRT-PCR for individual markers with final pathology ranged from 93% to 98%. The best marker combination was TACSTD1 and PVA. A rapid, multiplex assay for TACSTD1 and PVA was developed on the Cepheid GeneXpert and demonstrated an excellent reproducibility and linearity. Analysis of 103 lymph nodes demonstrated 94.2% accuracy of this assay for identifying positive and negative nodes. The average time for each assay to yield results was 35 minutes.

conclusionsA rapid, automated qRT-PCR assay can detect lymph node metastasis in head and neck cancer with high accuracy compared to pathologic analysis and may be more accurate than intraoperative pathology. Combined, SNB and rapid qRT-PCR could more appropriately guide surgical treatment of patients with head and neck cancer.

Indexed as

Antigens, NeoplasmBiomarkers, TumorCarcinoma, Squamous CellCell Adhesion MoleculesDesmoglein 3Epithelial Cell Adhesion MoleculeFemaleHead and Neck NeoplasmsHumansIntraoperative CareLymphatic MetastasisLymph NodesMaleMiddle AgedParathyroid Hormone-Related ProteinReverse Transcriptase Polymerase Chain ReactionAntigens, NeoplasmBiomarkers, TumorCell Adhesion MoleculesDesmoglein 3DSG3 protein, humanEPCAM protein, humanEpithelial Cell Adhesion MoleculeParathyroid Hormone-Related Protein

Identifiers

PMID21355082
PMCPMC5270507
OpenAlexW2097286819

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.