Evidence map›Paper›PMID 26179014›Full record

ArticleScientific reports2015

Binocular Goggle Augmented Imaging and Navigation System provides real-time fluorescence image guidance for tumor resection and sentinel lymph node mapping.

Suman B Mondal, Shengkui Gao, Nan Zhu, Gail P Sudlow, Kexian Liang, Avik Som, Walter J Akers, Ryan C Fields, Julie Margenthaler, Rongguang Liang and 2 more

Abstract read
In one paragraph

Article in Scientific reports, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–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

23 citing papers in PubMed.

  1. Review
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  9. Repurposing Molecular Imaging and Sensing for Cancer Image-Guided Surgery.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2020
    Review
  10. Article
  11. Article
  12. NaNature communications · 2019
    Article
  13. Review
  14. Review
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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

12 authors.

Suman B Mondal1] Department of Radiology, Washington University School of Medicine, St. Louis, MO, USA [2] Department of Biomedical Engineering, Washington University, St. Louis, MO, USA.
Shengkui GaoDepartment of Computer Science and Engineering, Washington University, St. Louis, MO, USA.
Nan ZhuCollege of Optical Sciences, The University of Arizona, Tuscon, AZ, USA.
Gail P SudlowDepartment of Radiology, Washington University School of Medicine, St. Louis, MO, USA.
Kexian LiangDepartment of Radiology, Washington University School of Medicine, St. Louis, MO, USA.
Avik Som1] Department of Radiology, Washington University School of Medicine, St. Louis, MO, USA [2] Department of Biomedical Engineering, Washington University, St. Louis, MO, USA.
Walter J AkersDepartment of Radiology, Washington University School of Medicine, St. Louis, MO, USA.
Ryan C FieldsDepartment of Surgery, Barnes-Jewish Hospital, and the Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO, USA.
Julie MargenthalerDepartment of Surgery, Barnes-Jewish Hospital, and the Alvin J. Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO, USA.
Rongguang LiangCollege of Optical Sciences, The University of Arizona, Tuscon, AZ, USA.
Viktor GruevDepartment of Computer Science and Engineering, Washington University, St. Louis, MO, USA.
Samuel Achilefu1] Department of Radiology, Washington University School of Medicine, St. Louis, MO, USA [2] Department of Biomedical Engineering, Washington University, St. Louis, MO, USA [3] Department of Biochemistry &Molecular Biophysics, Washington University School of Medicine, St. Louis, MO, USA.

Funding

Washington University Center for Cellular ImagingP30CA091842 · NCI · WASHINGTON UNIVERSITY · PI David G DeNardo · 2001 to 2026
$128.0M
WU-MDACC Inter-Institutional Molecular Imaging CenterP50CA094056 · NCI · WASHINGTON UNIVERSITY · PI PIWNICA-WORMS, DAVID · 2002 to 2016
$26.3M
DEVELOPMENT OF GOGGLE SYSTEM FOR FLUORESCENCE IMAGE-GUIDED SURGERYR01CA171651 · NCI · WASHINGTON UNIVERSITY · PI ACHILEFU, SAMUEL · 2013 to 2017
$2.8M
A NOVEL EXTRACELLULAR AND INTRACELLULAR TREATMENT PARADIGM FOR ERADICATING CANCERF30CA189435 · NCI · WASHINGTON UNIVERSITY · PI SOM, AVIK · 2014 to 2017
$135k
NCI NIH HHS F30 CA189435NCI NIH HHS P30 CA091842NCI NIH HHS P50 CA094056NCI NIH HHS R01 CA171651
6 · The paper itself

Abstract

The inability to identify microscopic tumors and assess surgical margins in real-time during oncologic surgery leads to incomplete tumor removal, increases the chances of tumor recurrence, and necessitates costly repeat surgery. To overcome these challenges, we have developed a wearable goggle augmented imaging and navigation system (GAINS) that can provide accurate intraoperative visualization of tumors and sentinel lymph nodes in real-time without disrupting normal surgical workflow. GAINS projects both near-infrared fluorescence from tumors and the natural color images of tissue onto a head-mounted display without latency. Aided by tumor-targeted contrast agents, the system detected tumors in subcutaneous and metastatic mouse models with high accuracy (sensitivity = 100%, specificity = 98% ± 5% standard deviation). Human pilot studies in breast cancer and melanoma patients using a near-infrared dye show that the GAINS detected sentinel lymph nodes with 100% sensitivity. Clinical use of the GAINS to guide tumor resection and sentinel lymph node mapping promises to improve surgical outcomes, reduce rates of repeat surgery, and improve the accuracy of cancer staging.

Indexed as

Sentinel Lymph Node BiopsyVision, BinocularAnimalsFluorescenceIndocyanine GreenMiceMice, NudeNeoplasms, ExperimentalIndocyanine Green

Identifiers

PMID26179014
PMCPMC4503986

What OpenQuestion holds

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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.