Evidence map›Paper›PMID 27629877›Full record

ArticleJournal of cancer research and clinical oncology2017

Liver tumor boundaries identified intraoperatively using real-time indocyanine green fluorescence imaging.

Ya-Min Zhang, Rui Shi, Jian-Cun Hou, Zi-Rong Liu, Zi-Lin Cui, Yang Li, Di Wu, Yuan Shi, Zhong-Yang Shen

Open access · hybridAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 1 pooled it
3.7field-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, 1 synthesis or guideline pooled it, 88 citations in OpenAlex.

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  10. Indocyanine Green Fluorescence-Guided Surgery for Gastrointestinal Tumors: A Systematic Review.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022
    Review
  11. Intraoperative fluorescence molecular imaging accelerates the coming of precision surgery in China.European journal of nuclear medicine and molecular imaging · 2022
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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

9 authors at 2 institutions in 1 country.

Ya-Min ZhangDepartment of Hepatobiliary Surgery, First Central Hospital, No. 24 Fukang Road, Nankai District, Tianjin, 300192, China. zhangyanminzym@126.com.
Rui ShiDepartment of Hepatobiliary Surgery, First Central Hospital, No. 24 Fukang Road, Nankai District, Tianjin, 300192, China.
Jian-Cun HouDepartment of Hepatobiliary Surgery, First Central Hospital, No. 24 Fukang Road, Nankai District, Tianjin, 300192, China.
Zi-Rong LiuDepartment of Hepatobiliary Surgery, First Central Hospital, No. 24 Fukang Road, Nankai District, Tianjin, 300192, China.
Zi-Lin CuiDepartment of Hepatobiliary Surgery, First Central Hospital, No. 24 Fukang Road, Nankai District, Tianjin, 300192, China.
Yang LiDepartment of Hepatobiliary Surgery, First Central Hospital, No. 24 Fukang Road, Nankai District, Tianjin, 300192, China.
Di WuDepartment of Hepatobiliary Surgery, First Central Hospital, No. 24 Fukang Road, Nankai District, Tianjin, 300192, China.
Yuan ShiDepartment of Hepatobiliary Surgery, First Central Hospital, No. 24 Fukang Road, Nankai District, Tianjin, 300192, China.
Zhong-Yang ShenDepartment of Hepatobiliary Surgery, First Central Hospital, No. 24 Fukang Road, Nankai District, Tianjin, 300192, China.
Tianjin Medical University · CNTianjin First Center Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeClear delineation between tumors and normal tissues is ideal for real-time surgical navigation imaging. We investigated applying indocyanine green (ICG) fluorescence imaging navigation using an intraoperative administration method in liver resection.

methodsFifty patients who underwent liver resection were divided into two groups based on clinical situation and operative purpose. In group I, sizes of superficial liver tumors were determined; tiny tumors were identified. In group II, the liver resection margin was determined; real-time navigation was performed. ICG was injected intravenously at the beginning of the operation; the liver surface was observed with a photodynamic eye (PDE).

resultsLiver resection margins were determined using PDE. Fluorescence contrast between normal liver and tumor tissues was obvious in 32 of 35 patients. A boundary for half the liver or specific liver segments was determined in nine patients by examining the portal vein anatomy after ICG injection. Eight small tumors not observed preoperatively were detected; the smallest was 2 mm.

conclusionsICG fluorescence imaging navigation is a promising, simple, and safe tool for routine real-time intraoperative imaging during hepatic resection and clinical exploration in hepatocellular carcinoma, enabling high sensibility for identifying liver resection margins and detecting tiny superficial tumors.

Indexed as

Administration, IntravenousAdultAgedCarcinoma, HepatocellularFemaleFluorescent DyesHepatectomyHumansIndocyanine GreenIntraoperative CareLiverLiver NeoplasmsMaleMiddle AgedOptical ImagingTissue DistributionFluorescent DyesIndocyanine GreenFluorescence imagingHepatectomyIndocyanine greenLiver neoplasms

Identifiers

PMID27629877
PMCPMC5222935
OpenAlexW2519954489

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LicenceCC BY
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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.