Evidence map›Paper›PMID 23682345›Full record

ArticleSurgical neurology international2013

Diagnostic yield of stereotactic needle-biopsies of sub-cubic centimeter intracranial lesions.

J Dawn Waters, David D Gonda, Hasini Reddy, Ekkehard M Kasper, Peter C Warnke, Clark C Chen

2 registry-linked trialsOpen access · hybridAbstract read
In one paragraph

Article in Surgical neurology international, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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.

NCT03391011 naunknown statusnot on this mapstarted 2015, after this paper: background citation

Non-contact Intraoperative Optical Imaging During Neurosurgical Procedures

TypeinterventionalSponsorSunnybrook Health Sciences CentreRan2015 to 2019Enrolled40ConditionsComputer-assisted SurgeryArmsBBL Experimental Navigation System
NCT03391089 naunknown statusnot on this mapstarted 2016, after this paper: background citation

Non-contact Intraoperative Optical Imaging During Spinal Procedures

TypeinterventionalSponsorSunnybrook Health Sciences CentreRan2016 to 2019Enrolled40ConditionsComputer-assisted SurgeryArmsBBL Experimental Navigation System
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
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  9. Optical Brain Biopsy with a Fluorescence and Vessel Tracing Probe.Operative neurosurgery (Hagerstown, Md.) · 2021
    Article
  10. Observational
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  16. Next-generation sequencing of tissue: A logical extension.Neurology(R) neuroimmunology & neuroinflammation · 2016
    Article
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  20. Review
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

6 authors at 3 institutions in 1 country.

J Dawn WatersDivision of Neurosurgery, University of California, San Diego, USA ; Center for Theoretic and Applied Neuro-Oncology, University of California, San Diego, USA.
David D Gonda
Hasini Reddy
Ekkehard M Kasper
Peter C Warnke
Clark C Chen
University of California, San Diego · USUniversity of Chicago · USHarvard University Press · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStereotactic brain biopsies are widely used for establishing the diagnosis of intracranial lesions. Here we examine whether stereotactic biopsy of smaller brain lesions, defined for this study as being less than 1 cubic centimeter (1 cc) in volume, are associated with lowered diagnostic yield.

methodsWe conducted a retrospective analysis of 267 consecutive patients who underwent stereotactic brain biopsy between 2007 and 2011. Lesion volumes were calculated and were stratified by <1 or >1 cc.

resultsA total of 13 of 246 (5.2%) biopsies for lesions >1 cc resulted in nondiagnostic tissue or an incorrect diagnosis. In contrast, 5 of 21 (23.8%) biopsies for <1 cc lesions yielded nondiagnostic or incorrect diagnosis. Posthoc review of tissue from the <1 cc lesions suggests the neuropathologist's expertise in the handling and analysis of limited specimen as a critical parameter of successful diagnosis. The operative morbidities were low for both the <1 and >1 cc biopsies (0% and 1%, respectively).

conclusionThis study demonstrates that stereotactic cerebral biopsy of lesions less than a cubic centimeter in volume results in a lower diagnostic yield versus larger lesions (76.2% versus 94.8%). While auxiliary measures may be taken to improve diagnostic yield, these patients may be best managed in a specialized center with experienced stereotactic neurosurgeons and neuropathologists.

Indexed as

Biopsydiagnostic yieldsizestereotactictumor

Identifiers

PMID23682345
PMCPMC3654772
OpenAlexW2143359104

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

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.