Evidence map›Paper›PMID 25599326›Full record

ReviewAnnals of surgery2015

The status of contemporary image-guided modalities in oncologic surgery.

Eben L Rosenthal, Jason M Warram, Kirby I Bland, Kurt R Zinn

Registry-linked trialAbstract readReview
In one paragraph

Review in Annals of surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04734821 (Prospective Study on the Contribution of Fluorescence in the Guidance of Lymphadenectomy and in Peroperative Evaluation of Pre-anastomotic Tissue Perfusion in Laparoscopic Esogastric Oncologic Resections), which is not on this map. Cited by 72 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
72citing papers in PubMed, 2 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.

NCT04734821 narecruitingnot on this mapstarted 2021, after this paper: background citation

Prospective Study on the Contribution of Fluorescence in the Guidance of Lymphadenectomy and in Peroperative Evaluation of Pre-anastomotic Tissue Perfusion in Laparoscopic Esogastric Oncologic Resections

TypeinterventionalSponsorIHU StrasbourgRan2021 to 2026Enrolled60ConditionsEsophageal Cancer, Gastric CancerArmsNear Infra-Red Fluorescence Guided Surgery
3 · Its place in the literature

Who cites it

72 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Advanced Image-Guidance and Surgical-Navigation Techniques for Real-Time Visualized Surgery.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Review
  12. Review
  13. Review
  14. Article
  15. Article
  16. Characterizing the accuracy of robotic bronchoscopy in localization & targeting of small pulmonary lesions.International journal of computer assisted radiology and surgery · 2024
    Article
  17. Current clinical applications of Cerenkov luminescence for intraoperative molecular imaging.European journal of nuclear medicine and molecular imaging · 2024
    Review
  18. Article
  19. Article
  20. Article

12 more citing papers are in PubMed but not listed here.

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

4 authors.

Eben L Rosenthal*Departments of Surgery and †Radiology, The University of Alabama at Birmingham, Birmingham, AL.
Jason M Warram
Kirby I Bland
Kurt R Zinn

Funding

Fluorescently Labeled Anti-EGFR to Guide Removal of Lymph Node MetastasisR21DE019232 · NIDCR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ROSENTHAL, EBEN L. · 2009 to 2010
$403k
Optical imaging of primary and regional melanoma to guide surgical resectionR21CA179171 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI ROSENTHAL, EBEN L. · 2013 to 2014
$347k
NCI NIH HHS R21 CA179171NCI NIH HHS R21CA179171NIDCR NIH HHS R21 DE019232NIDCR NIH HHS R21DE019232-02
6 · The paper itself

Abstract

objectiveTo review the current trends in optical imaging to guide oncologic surgery.

backgroundSurgical resection remains the cornerstone of therapy for patients with early stage solid malignancies and more than half of all patients with cancer undergo surgery each year. The technical ability of the surgeon to obtain clear surgical margins at the initial resection remains crucial to improve overall survival and long-term morbidity. Current resection techniques are largely based on subjective and subtle changes associated with tissue distortion by invasive cancer. As a result, positive surgical margins occur in a significant portion of tumor resections, which is directly correlated with a poor outcome.

methodsA comprehensive review of studies evaluating optical imaging techniques is performed.

resultsA variety of cancer imaging techniques have been adapted or developed for intraoperative surgical guidance that have been shown to improve functional and oncologic outcomes in randomized clinical trials. There are also a large number of novel, cancer-specific contrast agents that are in early stage clinical trials and preclinical development that demonstrate significant promise to improve real-time detection of subclinical cancer in the operative setting.

conclusionsThere has been an explosion of intraoperative imaging techniques that will become more widespread in the next decade.

Indexed as

Diagnostic ImagingIntraoperative PeriodAminolevulinic AcidBrain NeoplasmsColoring AgentsFluorescent DyesHumansIndocyanine GreenNeoplasmsOptical ImagingPhotosensitizing AgentsSurgery, Computer-AssistedAminolevulinic AcidColoring AgentsFluorescent DyesIndocyanine GreenPhotosensitizing Agents

Identifiers

PMID25599326
PMCPMC4299947

What OpenQuestion holds

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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.