Evidence map›Paper›PMID 27696448›Full record

ArticleJournal of surgical oncology2016

Effective fluorescence-guided surgery of liver metastasis using a fluorescent anti-CEA antibody.

Yukihiko Hiroshima, Thinzar M Lwin, Takashi Murakami, Ali A Mawy, Tanaka Kuniya, Takashi Chishima, Itaru Endo, Bryan M Clary, Robert M Hoffman, Michael Bouvet

Abstract read
In one paragraph

Article in Journal of surgical oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.7field-weighted citation impact, top 8% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
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  4. Synthesis andBioconjugate chemistry · 2022
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  15. Improving theranostics in pancreatic cancer.Journal of surgical oncology · 2017
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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

10 authors at 3 institutions in 2 countries.

Yukihiko HiroshimaDepartment of Surgery, University of California San Diego, San Diego, California.
Thinzar M LwinDepartment of Surgery, University of California San Diego, San Diego, California.
Takashi MurakamiDepartment of Surgery, University of California San Diego, San Diego, California.
Ali A MawyDepartment of Surgery, University of California San Diego, San Diego, California.
Tanaka KuniyaDepartment of Gastroenterological Surgery, Graduate School of Medicine, Yokohama City University, Yokohama, Japan.
Takashi ChishimaDepartment of Gastroenterological Surgery, Graduate School of Medicine, Yokohama City University, Yokohama, Japan.
Itaru EndoDepartment of Gastroenterological Surgery, Graduate School of Medicine, Yokohama City University, Yokohama, Japan.
Bryan M ClaryDepartment of Surgery, University of California San Diego, San Diego, California.
Robert M HoffmanDepartment of Surgery, University of California San Diego, San Diego, California.
Michael BouvetDepartment of Surgery, University of California San Diego, San Diego, California.
AntiCancer (United States) · USUniversity of California, San Diego · USYokohama City University · JP

Funding

UCSD Cancer Center Training Program in Drug DevelopmentT32CA121938 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Michael Bouvet, Dwayne G. Stupack · 2006 to 2026
$10.3M
Fluorophore-Conjugated Antibodies for Imaging and Resection of GI TumorsR01CA142669 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BOUVET, MICHAEL, YANG, MENG · 2010 to 2015
$1.7M
Color-Coded Imaging of Pancreatic Cancer Microenvironment for Drug DiscoveryR01CA132971 · NCI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BOUVET, MICHAEL, YANG, MENG · 2009 to 2013
$1.7M
Targeted tumoricidal bacteriaR44CA126023 · NCI · ANTICANCER, INC. · PI ZHAO, MING · 2010 to 2011
$761k
Targeted tumoricidal bacteriaR43CA126023 · NCI · ANTICANCER, INC. · PI ZHAO, MING · 2007 to 2007
$150k
NCI NIH HHS R01 CA132971NCI NIH HHS R01 CA142669NCI NIH HHS R43 CA126023NCI NIH HHS R44 CA126023NCI NIH HHS T32 CA121938
6 · The paper itself

Abstract

BACKGROUND AND

objectivesDelineation of adequate tumor margins is critical in oncologic surgery, particularly in resection of metastatic lesions. Surgeons are limited in visualization with bright-light surgery, but fluorescence-guided surgery (FGS) has been efficacious in helping the surgeon achieve negative margins.

methodsThe present study uses FGS in a mouse model that has undergone surgical orthotopic implantation (SOI) of colorectal liver metastasis tagged with green fluorescent protein (GFP). An anti-CEA antibody conjugated to DyLight 650 was used to highlight the tumor.

resultsThe fluorescent antibody clearly demarcated the lesion at deeper tissue depth compared to GFP. Fluorescence of the anti-CEA-DyLight650 showed maximal tumor-to-liver contrast at 72 hr. Fifteen mice underwent bright-light surgery (BLS) versus FGS with GFP versus FGS with anti-CEA-DyLight650. Mice that underwent FGS had a significantly smaller area of residual tumor (P < 0.001) and significantly longer overall survival (P < 0.001) and disease-free survival (P < 0.001). Within the two FGS groups, mice undergoing surgery with anti-CEA-DyLight650 improved survival compared to only GFP labeling.

conclusionsIn the present report, we demonstrate that an anti-CEA antibody conjugated to a DyLight 650 nm dye clearly labeled colon cancer liver metastases, thereby enabling successful FGS. J. Surg. Oncol. 2016;114:951-958. © 2016 Wiley Periodicals, Inc.

Indexed as

Antibodies, MonoclonalFluorescent DyesAnimalsCarcinoembryonic AntigenColorectal NeoplasmsFluorescent Antibody Technique, DirectHepatectomyHT29 CellsHumansLiver NeoplasmsMiceMice, NudeNeoplasm TransplantationOptical ImagingRandom AllocationTreatment OutcomeAntibodies, MonoclonalCarcinoembryonic AntigenFluorescent Dyescolon-cancer liver metastasisdisease-free survivalfluorescence-guided surgeryfluorescent anti-CEA antibodyorthotopic-liver metastasis modelsurvival

Identifiers

PMID27696448
PMCPMC5565879
OpenAlexW2527756197

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.