Evidence map›Paper›PMID 22482920›Full record

ArticleGastrointestinal endoscopy2012

Characterization of buried glands before and after radiofrequency ablation by using 3-dimensional optical coherence tomography (with videos).

Chao Zhou, Tsung-Han Tsai, Hsiang-Chieh Lee, Tejas Kirtane, Marisa Figueiredo, Yuankai K Tao, Osman O Ahsen, Desmond C Adler, Joseph M Schmitt, Qin Huang and 2 more

Open access · bronzeAbstract readVideo-Audio Media
In one paragraph

Article in Gastrointestinal endoscopy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 1 pooled it
17.6field-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

51 citing papers in PubMed, 1 synthesis or guideline pooled it, 118 citations in OpenAlex.

  1. ACG Clinical Guideline: Diagnosis and Management of Barrett's Esophagus.The American journal of gastroenterology · 2016
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  15. Durability of Endoscopic Treatment for Dysplastic Barrett's Esophagus.Current treatment options in gastroenterology · 2019
    Review
  16. Article
  17. Article
  18. Article
  19. Natural History of the Post-ablation Esophagus.Digestive diseases and sciences · 2018
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

Chao ZhouDepartment of Electrical Engineering and Computer Science, Research Laboratory of Electronics, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Tsung-Han Tsai
Hsiang-Chieh Lee
Tejas Kirtane
Marisa Figueiredo
Yuankai K Tao
Osman O Ahsen
Desmond C Adler
Joseph M Schmitt
Qin Huang
James G Fujimoto
Hiroshi Mashimo
Massachusetts Institute of Technology · USHarvard University · USSt. Jude Medical Center · USUniversity of Massachusetts Boston · US

Funding

OPTICAL BIOPSY USING OPTICAL COHERENCE TOMOGRAPHYR01CA075289 · NCI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI FUJIMOTO, JAMES G, MASHIMO, HIROSHI · 1997 to 2018
$4.8M
Investigating the Early Embryonic Murine Heart Using Optical Coherence TomographyR01HL095717 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI ROLLINS, ANDREW MARTIN · 2009 to 2012
$3.0M
Ultrahigh speed and resolution OCT/OCM using broadband swept VCSEL technologyR44CA101067 · NCI · PRAEVIUM RESEARCH, INC. · PI JAYARAMAN, VIJAYSEKHAR · 2003 to 2012
$2.9M
Multiscale Dynamic Measurements and Modeling of Cerebrovascular PhysiologyR01NS057476 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI BOAS, DAVID A · 2007 to 2011
$2.0M
Integrated Optical Coherence Tomography and Microscopy for Molecular-Targeted ImaK99EB010071 · NIBIB · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI ZHOU, CHAO · 2011 to 2011
$90k
NCI NIH HHS R01 CA075289NCI NIH HHS R01-CA75289-15NCI NIH HHS R44 CA101067NCI NIH HHS R44CA101067-06NHLBI NIH HHS R01 HL095717NHLBI NIH HHS R01-HL095717-03NIBIB NIH HHS K99 EB010071NIBIB NIH HHS K99-EB010071-01A1NINDS NIH HHS R01 NS057476NINDS NIH HHS R01-NS057476-05
6 · The paper itself

Abstract

backgroundRadiofrequency ablation (RFA) is an endoscopic technique used to eradicate Barrett's esophagus (BE). However, such ablation can commonly lead to neosquamous epithelium overlying residual BE glands not visible by conventional endoscopy and may evade detection on random biopsy samples.

objectiveTo demonstrate the capability of endoscopic 3-dimensional optical coherence tomography (3D-OCT) for the identification and characterization of buried glands before and after RFA therapy.

designCross-sectional study.

settingSingle teaching hospital. PATIENTS: Twenty-six male and 1 female white patients with BE undergoing RFA treatment.

interventions3D-OCT was performed at the gastroesophageal junction in 18 patients before attaining complete eradication of intestinal metaplasia (pre-CE-IM group) and in 16 patients after CE-IM (post-CE-IM group). MAIN OUTCOME MEASUREMENTS: Prevalence, size, and location of buried glands relative to the squamocolumnar junction.

results3D-OCT provided an approximately 30 to 60 times larger field of view compared with jumbo and standard biopsy and sufficient imaging depth for detecting buried glands. Based on 3D-OCT results, buried glands were found in 72% of patients (13/18) in the pre-CE-IM group and 63% of patients (10/16) in the post-CE-IM group. The number (mean [standard deviation]) of buried glands per patient in the post-CE-IM group (7.1 [9.3]) was significantly lower compared with the pre-CE-IM group (34.4 [44.6]; P = .02). The buried gland size (P = .69) and distribution (P = .54) were not significantly different before and after CE-IM. LIMITATIONS: A single-center, cross-sectional study comparing patients at different time points in treatment. Lack of 1-to-1 coregistered histology for all OCT data sets obtained in vivo.

conclusionBuried glands were frequently detected with 3D-OCT near the gastroesophageal junction before and after radiofrequency ablation.

Indexed as

Tomography, Optical CoherenceAdultAgedAged, 80 and overBarrett EsophagusCatheter AblationCross-Sectional StudiesEsophagogastric JunctionEsophagoscopyFemaleHumansImaging, Three-DimensionalMaleMiddle Aged

Identifiers

PMID22482920
PMCPMC3396122
OpenAlexW2084967697

What OpenQuestion holds

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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.