Evidence map›Paper›PMID 24861243›Full record

ArticleGastrointestinal endoscopy2014

Polarization gating spectroscopy of normal-appearing duodenal mucosa to detect pancreatic cancer.

Mihir Patel, Andrew Gomes, Sarah Ruderman, Darla Hardee, Sergio Crespo, Massimo Raimondo, Timothy Woodward, Vadim Backman, Hemant Roy, Michael Wallace

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Gastrointestinal endoscopy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01015820 (Detectable Early Increase in Blood Flow), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 15% 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.

NCT01015820 nacompletednot on this map

Detectable Early Increase in Blood Flow (EIBS) in the Duodenum in Patients With Pancreatic Cancer

TypeinterventionalSponsorMayo ClinicRan2010 to 2012Enrolled37ConditionsPancreatic CancerArmsEGD with EUS, 4D-ELF
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Pancreatic Cancer: a Challenge to Cure.The Indian journal of surgery · 2015
    Article
  5. Article
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 at 4 institutions in 1 country.

Mihir PatelDepartment of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA.
Andrew GomesDepartment of Biomedical Engineering, Northwestern University, Evanston, Illinois, USA.
Sarah RudermanDepartment of Biomedical Engineering, Northwestern University, Evanston, Illinois, USA.
Darla HardeeDepartment of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA.
Sergio CrespoDepartment of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA.
Massimo RaimondoDepartment of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA.
Timothy WoodwardDepartment of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA.
Vadim BackmanDepartment of Biomedical Engineering, Northwestern University, Evanston, Illinois, USA.
Hemant RoyDepartment of Gastroenterology, Boston University Medical Center, Boston, Massachusetts, USA.
Michael WallaceDepartment of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA.
Mayo Clinic in Florida · USNorthwestern University · USJacksonville College · USBoston University · US

Funding

Novel Biophotonics Methodology for Colon Cancer ScreeningR01CA128641 · NCI · NORTHWESTERN UNIVERSITY · PI BACKMAN, VADIM · 2008 to 2012
$7.3M
Spectral Markers for Early Detection of Colon NeoplasiaU01CA111257 · NCI · NORTHSHORE UNIV HEALTHSYSTEM RES INST · PI BACKMAN, VADIM, ROY, HEMANT K. · 2004 to 2015
$6.0M
Transforming Colorectal Cancer Screening through Multimodal Spectral MarkersR01CA156186 · NCI · ENDEAVOR HEALTH CLINICAL OPERATIONS · PI BACKMAN, VADIM, ROY, HEMANT K. · 2011 to 2015
$2.8M
Mechanisms of Light Scattering in Living TissuesR01EB003682 · NIBIB · NORTHWESTERN UNIVERSITY · PI BACKMAN, VADIM, PRADHAN, PRABHAKAR · 2005 to 2013
$2.2M
NCI NIH HHS R01 CA128641NCI NIH HHS R01CA128641NCI NIH HHS R01 CA156186NCI NIH HHS R01CA156186NCI NIH HHS U01 CA111257NCI NIH HHS U01CA111257NIBIB NIH HHS R01 EB003682NIBIB NIH HHS R01EB003682
6 · The paper itself

Abstract

backgroundAccording to the field effect theory, by detecting microvasculature changes such as early increase in blood supply (EIBS) in the surrounding tissue, neoplastic lesions can be identified from a distance.

objectiveTo determine the feasibility and efficacy of a fiberoptic probe containing novel polarization gating spectroscopy technology to identify patients with pancreatic adenocarcinoma (PAC) by the field effect theory.

designProspective cohort (pilot) study.

settingOutpatient tertiary care center. PATIENTS: Adult (≥ 18 years) patients undergoing EGD-EUS were screened. Patients with PAC were included in the "cancer" group and patients without PAC were included in the "control" group. We excluded patients with other known malignancies and gastroduodenal premalignant lesions. INTERVENTIONS AND

main outcome measuresSpectroscopic measurements of EIBS variables, such as deoxyhemoglobin concentration (DHb) and mean blood vessel radius (BVR), were obtained from 5 periampullary locations. The Mann-Whitney rank sum test was used for the statistical analysis (P ≤ .05).

resultsFourteen patients (mean age 72 years, 79% male) in the cancer group and 15 patients (mean age 63 years, 60% male) in the control group were included in the final analysis. At the ampullary site, both DHb (P = .001) and BVR (P = .03) were higher in PAC patients than in the control subjects. The DHb alone (92% sensitivity, 86% specificity) or in combination with BVR (92% sensitivity, 79% specificity) can differentiate PAC from control subjects with high accuracy. LIMITATIONS: Small sample size, unmatched control subjects.

conclusionsSpectroscopic measurements of EIBS by fiberoptic probes are feasible. Preliminary evidence suggests that in vivo measurement of normal-appearing duodenal tissue can differentiate PAC patients from a distance with high accuracy.

Indexed as

AdenocarcinomaAgedAged, 80 and overAmpulla of VaterCase-Control StudiesCohort StudiesDuodenumEndoscopy, Digestive SystemEndosonographyFeasibility StudiesFemaleHemoglobinsHumansIntestinal MucosaMaleMicrovesselsdeoxyhemoglobinHemoglobins

Identifiers

PMID24861243
PMCPMC4241379
OpenAlexW2131115959

What OpenQuestion holds

Textmetadata
LicenceTDM
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.