Evidence map›Paper›PMID 21720166›Full record

Trial reportEuropean surgical research. Europaische chirurgische Forschung. Recherches chirurgicales europeennes2011

Near-infrared fluorescence imaging in patients undergoing pancreaticoduodenectomy.

M Hutteman, J R van der Vorst, J S D Mieog, B A Bonsing, H H Hartgrink, P J K Kuppen, C W G M Löwik, J V Frangioni, C J H van de Velde, A L Vahrmeijer

Abstract readClinical Trial
In one paragraph

Trial report in European surgical research. Europaische chirurgische Forschung. Recherches chirurgicales europeennes, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

47 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

10 authors.

M HuttemanDepartment of Surgery, Leiden University Medical Center, Leiden, The Netherlands.
J R van der Vorst
J S D Mieog
B A Bonsing
H H Hartgrink
P J K Kuppen
C W G M Löwik
J V Frangioni
C J H van de Velde
A L Vahrmeijer

Funding

Intraoperative Near-Infrared Fluorescence ImagingR01CA115296 · NCI · CURADEL, LLC · PI FRANGIONI, JOHN V · 2005 to 2014
$13.9M
NCI NIH HHS R01 CA115296NCI NIH HHS R01-CA-115296
6 · The paper itself

Abstract

backgroundIntraoperative visualization of pancreatic tumors has the potential to improve radical resection rates. Intraoperative visualization of the common bile duct and bile duct anastomoses could be of added value. In this study, we explored the use of indocyanine green (ICG) for these applications and attempted to optimize injection timing and dose.

methodsEight patients undergoing a pancreaticoduodenectomy were injected intravenously with 5 or 10 mg ICG. During and after injection, the pancreas, tumor, common bile duct and surrounding organs were imaged in real time using the Mini-FLARE™ near-infrared (NIR) imaging system.

resultsNo clear tumor-to-pancreas contrast was observed, except for incidental contrast in 1 patient. The common bile duct was clearly visualized using NIR fluorescence, within 10 min after injection, with a maximal contrast between 30 and 90 min after injection. Patency of biliary anastomoses could be visualized due to biliary excretion of ICG.

conclusionNo useful tumor demarcation could be visualized in pancreatic cancer patients after intravenous injection of ICG. However, the common bile duct and biliary anastomoses were clearly visualized during the observation period. Therefore, these imaging strategies could be beneficial during biliary surgery in cases where the surgical anatomy is aberrant or difficult to identify.

Indexed as

AdultAgedAnastomosis, SurgicalCommon Bile DuctDiagnostic ImagingFemaleFluorescent DyesHumansIndocyanine GreenInfrared RaysIntraoperative PeriodMaleMiddle AgedPancreatic NeoplasmsPancreaticoduodenectomyFluorescent DyesIndocyanine Green

Identifiers

PMID21720166
PMCPMC3130979

What OpenQuestion holds

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Registered trials

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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.