Evidence map›Paper›PMID 22831857›Full record

ArticleGastrointestinal endoscopy2012

Structural markers observed with endoscopic 3-dimensional optical coherence tomography correlating with Barrett's esophagus radiofrequency ablation treatment response (with videos).

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

Open access · greenAbstract readEvaluation StudyVideo-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 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
9.1field-weighted citation impact, top 2% 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

30 citing papers in PubMed, 62 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Otitis Media Middle Ear Effusion Identification and Characterization Using an Optical Coherence Tomography Otoscope.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2020
    Article
  5. Article
  6. Volumetric laser endomicroscopy and its application to Barrett's esophagus: results from a 1,000 patient registry.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2019
    Observational
  7. Review
  8. Article
  9. Observational
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Endoscopic modalities for the diagnosis of Barrett's oesophagus.United European gastroenterology journal · 2016
    Review
  17. Review
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 1 country.

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

Funding

OPTICAL BIOPSY USING OPTICAL COHERENCE TOMOGRAPHYR01CA075289 · NCI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI FUJIMOTO, JAMES G, MASHIMO, HIROSHI · 1997 to 2018
$4.8M
Ultrahigh speed and resolution OCT/OCM using broadband swept VCSEL technologyR44CA101067 · NCI · PRAEVIUM RESEARCH, INC. · PI JAYARAMAN, VIJAYSEKHAR · 2003 to 2012
$2.9M
Integrated Optical Coherence Tomography and Microscopy for Molecular-Targeted ImaR00EB010071 · NIBIB · LEHIGH UNIVERSITY · PI ZHOU, CHAO · 2012 to 2013
$479k
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 R44CA101067-06NIBIB NIH HHS K99 EB010071NIBIB NIH HHS K99-EB010071-01A1NIBIB NIH HHS R00 EB010071
6 · The paper itself

Abstract

backgroundRadiofrequency ablation (RFA) is effective for treating Barrett's esophagus (BE) but often involves multiple endoscopy sessions over several months to achieve complete response.

objectiveIdentify structural markers that correlate with treatment response by using 3-dimensional (3-D) optical coherence tomography (OCT; 3-D OCT).

designCross-sectional.

settingSingle teaching hospital. PATIENTS: Thirty-three patients, 32 male and 1 female, with short-segment (<3 cm) BE undergoing RFA treatment.

interventionPatients were treated with focal RFA, and 3-D OCT was performed at the gastroesophageal junction before and immediately after the RFA treatment. Patients were re-examined with standard endoscopy 6 to 8 weeks later and had biopsies to rule out BE if not visibly evident. MAIN OUTCOME MEASUREMENTS: The thickness of BE epithelium before RFA and the presence of residual gland-like structures immediately after RFA were determined by using 3-D OCT. The presence of BE at follow-up was assessed endoscopically.

resultsBE mucosa was significantly thinner in patients who achieved complete eradication of intestinal metaplasia than in patients who did not achieve complete eradication of intestinal metaplasia at follow-up (257 ± 60 μm vs 403 ± 86 μm; P < .0001). A threshold thickness of 333 μm derived from receiver operating characteristic curves corresponded to a 92.3% sensitivity, 85% specificity, and 87.9% accuracy in predicting the presence of BE at follow-up. The presence of OCT-visible glands immediately after RFA also correlated with the presence of residual BE at follow-up (83.3% sensitivity, 95% specificity, 90.6% accuracy). LIMITATIONS: Single center, cross-sectional study in which only patients with short-segment BE were examined.

conclusionThree-dimensional OCT assessment of BE thickness and residual glands during RFA sessions correlated with treatment response. Three-dimensional OCT may predict responses to RFA or aid in making real-time RFA retreatment decisions in the future.

Indexed as

Catheter AblationEsophagoscopyAdultAgedAged, 80 and overBarrett EsophagusCross-Sectional StudiesEsophagusFemaleFollow-Up StudiesHumansImaging, Three-DimensionalMaleMiddle AgedSensitivity and SpecificityTomography, Optical Coherence

Identifiers

PMID22831857
PMCPMC3485415
OpenAlexW2107959311

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.