Evidence map›Paper›PMID 27587708›Full record

Trial reportJournal of nuclear medicine : official publication, Society of Nuclear Medicine2017

Characterizing the Utility and Limitations of Repurposing an Open-Field Optical Imaging Device for Fluorescence-Guided Surgery in Head and Neck Cancer Patients.

Lindsay S Moore, Eben L Rosenthal, Thomas K Chung, Esther de Boer, Neel Patel, Andrew C Prince, Melissa L Korb, Erika M Walsh, E Scott Young, Todd M Stevens and 6 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Journal of nuclear medicine : official publication, Society of Nuclear Medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01987375 (Phase I, Open-label Study Evaluating the Safety and Pharmacokinetics of Escalating Doses of Cetuximab-IRDye800 as an Optical Imaging Agent to Detect Cancer During Surgical Procedures), which is not on this map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
2.8field-weighted citation impact, top 10% 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.

NCT01987375 phase1terminatednot on this map

Phase I, Open-label Study Evaluating the Safety and Pharmacokinetics of Escalating Doses of Cetuximab-IRDye800 as an Optical Imaging Agent to Detect Cancer During Surgical Procedures

TypeinterventionalSponsorEben RosenthalRan2015 to 2017Enrolled1ConditionsHead and Neck CancerArmsCetuximab-IRDye800
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 44 citations in OpenAlex.

  1. Trial
  2. Optical and Optoacoustic Imaging.Recent results in cancer research. Fortschritte der Krebsforschung. Progres dans les recherches sur le cancer · 2026
    Review
  3. Intraoperative fluorescence in solid head and neck cancer: A scoping review.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
    Article
  4. Review
  5. Article
  6. The Use of Fluorescent Markers to Detect and Delineate Head and Neck Cancer: A Scoping Review.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2025
    Article
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  9. Review
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  15. 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

16 authors at 3 institutions in 2 countries.

Lindsay S MooreDepartment of Otolaryngology, University of Alabama at Birmingham, Birmingham, Alabama.
Eben L RosenthalDepartment of Otolaryngology, Stanford University, Stanford, California elr@stanford.edu.
Thomas K ChungDepartment of Otolaryngology, University of Alabama at Birmingham, Birmingham, Alabama.
Esther de BoerDepartment of Otolaryngology, University of Alabama at Birmingham, Birmingham, Alabama.
Neel PatelDepartment of Otolaryngology, University of Alabama at Birmingham, Birmingham, Alabama.
Andrew C PrinceDepartment of Otolaryngology, University of Alabama at Birmingham, Birmingham, Alabama.
Melissa L KorbDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
Erika M WalshDepartment of Otolaryngology, University of Alabama at Birmingham, Birmingham, Alabama.
E Scott YoungDepartment of Pathology, University of Alabama at Birmingham, Birmingham, Alabama.
Todd M StevensDepartment of Pathology, University of Alabama at Birmingham, Birmingham, Alabama.
Kirk P WithrowDepartment of Otolaryngology, University of Alabama at Birmingham, Birmingham, Alabama.
Anthony B MorlandtDepartment of Oral and Maxillofacial Surgery, University of Alabama at Birmingham, Birmingham, Alabama; and.
Joshua S RichmanDepartment of Surgery, University of Alabama at Birmingham, Birmingham, Alabama.
William R CarrollDepartment of Otolaryngology, University of Alabama at Birmingham, Birmingham, Alabama.
Kurt R ZinnDepartment of Radiology, University of Alabama at Birmingham, Birmingham, Alabama.
Jason M WarramDepartment of Otolaryngology, University of Alabama at Birmingham, Birmingham, Alabama.
University of Alabama at Birmingham · USStanford University · USUniversity of Groningen · NL

Funding

XRAY CRYSTALLOGRAPHYP30CA013148 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Robert S Welner · 1985 to 2026
$165.9M
NCI NIH HHS P30 CA013148
6 · The paper itself

Abstract

The purpose of this study was to assess the potential of U.S. Food and Drug Administration-cleared devices designed for indocyanine green-based perfusion imaging to identify cancer-specific bioconjugates with overlapping excitation and emission wavelengths. Recent clinical trials have demonstrated potential for fluorescence-guided surgery, but the time and cost of the approval process may impede clinical translation. To expedite this translation, we explored the feasibility of repurposing existing optical imaging devices for fluorescence-guided surgery.

methodsConsenting patients (n = 15) scheduled for curative resection were enrolled in a clinical trial evaluating the safety and specificity of cetuximab-IRDye800 (NCT01987375). Open-field fluorescence imaging was performed preoperatively and during the surgical resection. Fluorescence intensity was quantified using integrated instrument software, and the tumor-to-background ratio characterized fluorescence contrast.

resultsIn the preoperative clinic, the open-field device demonstrated potential to guide preoperative mapping of tumor borders, optimize the day of surgery, and identify occult lesions. Intraoperatively, the device demonstrated robust potential to guide surgical resections, as all peak tumor-to-background ratios were greater than 2 (range, 2.2-14.1). Postresection wound bed fluorescence was significantly less than preresection tumor fluorescence (P < 0.001). The repurposed device also successfully identified positive margins.

conclusionThe open-field imaging device was successfully repurposed to distinguish cancer from normal tissue in the preoperative clinic and throughout surgical resection. This study illuminated the potential for existing open-field optical imaging devices with overlapping excitation and emission spectra to be used for fluorescence-guided surgery.

Indexed as

Margins of ExcisionAdultAgedEquipment DesignEquipment Failure AnalysisEquipment ReuseFemaleHead and Neck NeoplasmsHumansMaleMicroscopy, FluorescenceMiddle AgedReproducibility of ResultsSensitivity and SpecificitySurgery, Computer-AssistedTomography, Opticalfluorescence-guided surgeryhead and neck canceroptical imaging

Identifiers

PMID27587708
PMCPMC5288741
OpenAlexW2507293413

What OpenQuestion holds

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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.