Evidence map›Paper›PMID 27257084›Full record

ArticleScientific reports2016

Gigapixel surface imaging of radical prostatectomy specimens for comprehensive detection of cancer-positive surgical margins using structured illumination microscopy.

Mei Wang, David B Tulman, Andrew B Sholl, Hillary Z Kimbrell, Sree H Mandava, Katherine N Elfer, Samuel Luethy, Michael M Maddox, Weil Lai, Benjamin R Lee and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
4.0field-weighted citation impact, top 6% 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

37 citing papers in PubMed, 68 citations in OpenAlex.

  1. Review
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  8. 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
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  14. Intraoperative imaging in pathology-assisted surgery.Nature biomedical engineering · 2022
    Review
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  19. Deep learning extended depth-of-field microscope for fast and slide-free histology.Proceedings of the National Academy of Sciences of the United States of America · 2020
    Article
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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

11 authors at 1 institution in 1 country.

Mei WangDepartment of Biomedical Engineering, Tulane University, New Orleans, LA 70118, USA.
David B TulmanBioinnovation Program, Tulane University, New Orleans, LA 70118, USA.
Andrew B ShollDepartment of Pathology and Laboratory Medicine, Tulane University School of Medicine, New Orleans, LA 70112, USA.
Hillary Z KimbrellDepartment of Pathology and Laboratory Medicine, Tulane University School of Medicine, New Orleans, LA 70112, USA.
Sree H MandavaDepartment of Urology, Tulane University School of Medicine, New Orleans, LA 70112, USA.
Katherine N ElferDepartment of Biomedical Engineering, Tulane University, New Orleans, LA 70118, USA.
Samuel LuethyDepartment of Biomedical Engineering, Tulane University, New Orleans, LA 70118, USA.
Michael M MaddoxDepartment of Urology, Tulane University School of Medicine, New Orleans, LA 70112, USA.
Weil LaiDepartment of Urology, Tulane University School of Medicine, New Orleans, LA 70112, USA.
Benjamin R LeeDepartment of Urology, Tulane University School of Medicine, New Orleans, LA 70112, USA.
J Quincy BrownDepartment of Biomedical Engineering, Tulane University, New Orleans, LA 70118, USA.
Tulane University · US

Funding

Tracking & Evaluation CoreU54GM104940 · NIGMS · LSU PENNINGTON BIOMEDICAL RESEARCH CTR · PI Leigh Lamonica · 2012 to 2026
$69.1M
Improving biospecimen quality by verifying adequacy at the point-of-acquisition with ex vivo structured illumination microscopyR33CA196457 · NCI · TULANE UNIVERSITY OF LOUISIANA · PI BROWN, JONATHAN QUINCY · 2015 to 2017
$946k
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 CA159936NCI NIH HHS R33 CA196457NIGMS NIH HHS U54 GM104940
6 · The paper itself

Abstract

Achieving cancer-free surgical margins in oncologic surgery is critical to reduce the need for additional adjuvant treatments and minimize tumor recurrence; however, there is a delicate balance between completeness of tumor removal and preservation of adjacent tissues critical for normal post-operative function. We sought to establish the feasibility of video-rate structured illumination microscopy (VR-SIM) of the intact removed tumor surface as a practical and non-destructive alternative to intra-operative frozen section pathology, using prostate cancer as an initial target. We present the first images of the intact human prostate surface obtained with pathologically-relevant contrast and subcellular detail, obtained in 24 radical prostatectomy specimens immediately after excision. We demonstrate that it is feasible to routinely image the full prostate circumference, generating gigapixel panorama images of the surface that are readily interpreted by pathologists. VR-SIM confirmed detection of positive surgical margins in 3 out of 4 prostates with pathology-confirmed adenocarcinoma at the circumferential surgical margin, and furthermore detected extensive residual cancer at the circumferential margin in a case post-operatively classified by histopathology as having negative surgical margins. Our results suggest that the increased surface coverage of VR-SIM could also provide added value for detection and characterization of positive surgical margins over traditional histopathology.

Indexed as

AdenocarcinomaFrozen SectionsHumansLightingMaleMargins of ExcisionMicroscopyMicroscopy, VideoNeoplasm Recurrence, LocalProstateProstatectomyProstatic Neoplasms

Identifiers

PMID27257084
PMCPMC4891779
OpenAlexW2411884598

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.