Evidence map›Paper›PMID 26282168›Full record

Trial reportCancer research2015

High-Resolution Rapid Diagnostic Imaging of Whole Prostate Biopsies Using Video-Rate Fluorescence Structured Illumination Microscopy.

Mei Wang, Hillary Z Kimbrell, Andrew B Sholl, David B Tulman, Katherine N Elfer, Tyler C Schlichenmeyer, Benjamin R Lee, Michelle Lacey, J Quincy Brown

Abstract readClinical Trial
In one paragraph

Trial report in Cancer research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
6.6field-weighted citation impact, top 4% 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.

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

43 citing papers in PubMed, 76 citations in OpenAlex.

  1. Article
  2. Advanced Microscopy Techniques.Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer · 2026
    Review
  3. Article
  4. Article
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  6. Article
  7. Current Landscape of Advanced Imaging Tools for Pathology Diagnostics.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2024
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Rapid Histological Assessment of Prostate Specimens in the Three-dimensional Space by Hydrophilic Tissue Clearing and Confocal Microscopy.The journal of histochemistry and cytochemistry : official journal of the Histochemistry Society · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. 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

9 authors at 1 institution in 1 country.

Mei WangDepartment of Biomedical Engineering, Tulane University, New Orleans, Louisiana.
Hillary Z KimbrellDepartment of Pathology and Laboratory Medicine, Tulane University School of Medicine, New Orleans, Louisiana.
Andrew B ShollDepartment of Pathology and Laboratory Medicine, Tulane University School of Medicine, New Orleans, Louisiana.
David B TulmanBioinnovation Program, Tulane University, New Orleans, Louisiana.
Katherine N ElferDepartment of Biomedical Engineering, Tulane University, New Orleans, Louisiana.
Tyler C SchlichenmeyerDepartment of Biomedical Engineering, Tulane University, New Orleans, Louisiana.
Benjamin R LeeDepartment of Urology, Tulane University School of Medicine, New Orleans, Louisiana.
Michelle LaceyDepartment of Mathematics, Tulane University, New Orleans, Louisiana.
J Quincy BrownDepartment of Biomedical Engineering, Tulane University, New Orleans, Louisiana. jqbrown@tulane.edu.
Tulane University · US

Funding

A Fluorescence Histology System for In Vivo Breast Tumor Margin AssessmentR21CA159936 · NCI · TULANE UNIVERSITY OF LOUISIANA · PI BROWN, JONATHAN QUINCY · 2011 to 2012
$448k
NCI NIH HHS R21 CA159936
6 · The paper itself

Abstract

Rapid assessment of prostate core biopsy pathology at the point-of-procedure could provide benefit in a variety of clinical situations. Even with advanced transrectal ultrasound guidance and saturation biopsy protocols, prostate cancer can be missed in up to half of all initial biopsy procedures. In addition, collection of tumor specimens for downstream histologic, molecular, and genetic analysis is hindered by low tumor yield due to inability to identify prostate cancer grossly. However, current point-of-procedure pathology protocols, such as frozen section analysis (FSA), are destructive and too time- and labor-intensive to be practical or economical. Ex vivo microscopy of the excised specimens, stained with fast-acting fluorescent histology dyes, could be an attractive nondestructive alternative to FSA. In this work, we report the first demonstration of video-rate structured illumination microscopy (VR-SIM) for rapid high-resolution diagnostic imaging of prostate biopsies in realistic point-of-procedure timeframes. Large mosaic images of prostate biopsies stained with acridine orange are rendered in seconds and contain excellent contrast and detail, exhibiting close correlation with corresponding hematoxylin and eosin histology. A clinically relevant review of VR-SIM images of 34 unfixed and uncut prostate core biopsies by two independent pathologists resulted in an area under the receiver operative curve (AUC) of 0.82-0.88, with a sensitivity ranging from 63% to 88% and a specificity ranging from 78% to 89%. When biopsies contained more than 5% tumor content, the sensitivity improved to 75% to 92%. The image quality, speed, minimal complexity, and ease of use of VR-SIM could prove to be features in favor of adoption as an alternative to destructive pathology at the point-of-procedure.

Indexed as

Acridine OrangeAdenocarcinomaArea Under CurveBiopsy, NeedleColoring AgentsHumansImaging, Three-DimensionalMaleMicroscopy, FluorescenceMicroscopy, VideoObserver VariationPoint-of-Care SystemsPredictive Value of TestsProstateProstatectomyProstatic Intraepithelial NeoplasiaAcridine OrangeColoring Agents

Identifiers

PMID26282168
PMCPMC4592466
OpenAlexW2120965994

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.