Evidence map›Paper›PMID 24902685›Full record

Trial reportSurgical innovation2015

First experience on laparoscopic near-infrared fluorescence imaging of hepatic uveal melanoma metastases using indocyanine green.

Quirijn R J G Tummers, Floris P R Verbeek, Hendrica A J M Prevoo, Andries E Braat, Coen I M Baeten, John V Frangioni, Cornelis J H van de Velde, Alexander L Vahrmeijer

Abstract readClinical Trial
In one paragraph

Trial report in Surgical innovation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the 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
–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

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

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  15. Improving the Surgical Effect for Primary Liver Cancer with Intraoperative Fluorescence Navigation Compared with Intraoperative Ultrasound.Medical science monitor : international medical journal of experimental and clinical research · 2019
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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

8 authors.

Quirijn R J G TummersLeiden University Medical Center, Leiden, The Netherlands.
Floris P R VerbeekLeiden University Medical Center, Leiden, The Netherlands.
Hendrica A J M PrevooLeiden University Medical Center, Leiden, The Netherlands.
Andries E BraatLeiden University Medical Center, Leiden, The Netherlands.
Coen I M BaetenLeiden University Medical Center, Leiden, The Netherlands.
John V FrangioniBeth Israel Deaconess Medical Center, Boston, MA, USA.
Cornelis J H van de VeldeLeiden University Medical Center, Leiden, The Netherlands.
Alexander L VahrmeijerLeiden University Medical Center, Leiden, The Netherlands a.l.vahrmeijer@lumc.nl.

Funding

Intraoperative Near-Infrared Fluorescence ImagingR01CA115296 · NCI · CURADEL, LLC · PI FRANGIONI, JOHN V · 2005 to 2014
$13.9M
(PQC-5) Zwitterionic NIR/Zr-89 Agents for Prostate Cancer Staging and TreatmentR01CA185457 · NCI · CURADEL, LLC · PI FRANGIONI, JOHN V · 2014 to 2017
$3.9M
NCI NIH HHS R01 CA115296NCI NIH HHS R01-CA-115296NCI NIH HHS R01 CA185457
6 · The paper itself

Abstract

backgroundUveal melanoma is the most common primary intraocular tumor in adults, and up to 50% of patients will develop liver metastases. Complete surgical resection of these metastases can improve 5-year survival, but only a few patients are eligible for radical surgical treatment. The aim of this study was to introduce a near-infrared (NIR) fluorescence laparoscope during minimally invasive surgery for intraoperative identification of uveal melanoma hepatic metastases and to use it to provide guidance during resection.

methodsThree patients diagnosed with one solitary liver metastasis from uveal melanoma are presented. Patients received 10 mg indocyanine green (ICG) intravenously 24 hours before surgery. A NIR fluorescence laparoscope was used to detect malignant liver lesions.

resultsIn all 3 patients, laparoscopic NIR fluorescence imaging using ICG successfully identified uveal melanoma metastases. In 2 patients, multiple additional lesions were identified by inspection and NIR fluorescence imaging, which were not identified by preoperative conventional imaging. In one patient, one additional lesion, not identified by computed tomography, magnetic resonance imaging, laparoscopic ultrasonography, and inspection, was observed with NIR fluorescence imaging only. Importantly, NIR fluorescence imaging provided guidance during resection of these metastases.

conclusionsWe describe the successful use of laparoscopic identification and resection of uveal melanoma liver metastases using NIR fluorescence imaging and ICG. This procedure is minimally invasive and should be used as complementary to conventional techniques for the detection and resection of liver metastases.

Indexed as

AgedFemaleHumansIndocyanine GreenLaparoscopyLiver NeoplasmsMelanomaSpectroscopy, Near-InfraredSurgery, Computer-AssistedUveal MelanomaUveal NeoplasmsIndocyanine Greenhepatic surgeryimage guided surgeryindocyanine greenliver metastasessurgical oncologyuveal melanoma

Identifiers

PMID24902685
PMCPMC4257891

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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.