Evidence map›Paper›PMID 27842504›Full record

ArticleBMC cancer2016

EpCAM as multi-tumour target for near-infrared fluorescence guided surgery.

P B A A van Driel, M C Boonstra, H A J M Prevoo, M van de Giessen, T J A Snoeks, Q R J G Tummers, S Keereweer, R A Cordfunke, A Fish, J D H van Eendenburg and 7 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

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  15. Evaluation of Ac-LysJournal of neuro-oncology · 2021
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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

17 authors at 4 institutions in 1 country.

P B A A van DrielDepartment of Radiology, Division of Molecular Imaging, Leiden University Medical Centre, Leiden, Netherlands.
M C BoonstraDepartment of Surgery, Leiden University Medical Centre, Leiden, Netherlands.
H A J M PrevooDepartment of Surgery, Leiden University Medical Centre, Leiden, Netherlands.
M van de GiessenDepartment of Radiology and Division of Image Processing, Leiden University Medical Centre, Leiden, Netherlands.
T J A SnoeksDepartment of Radiology, Division of Molecular Imaging, Leiden University Medical Centre, Leiden, Netherlands.
Q R J G TummersDepartment of Surgery, Leiden University Medical Centre, Leiden, Netherlands.
S KeereweerDepartment of Otorhinolaryngology and Head and Neck Surgery, Erasmus Medical Centre, Rotterdam, Netherlands.
R A CordfunkeDepartment of Immunohematology and Blood Transfusion, Leiden University Medical Centre, Leiden, Netherlands.
A FishDivision of Biochemistry, Netherlands Cancer Institute, Amsterdam, Netherlands.
J D H van EendenburgDepartment of Pathology, Leiden University Medical Centre, Leiden, Netherlands.
B P F LelieveldtDepartment of Radiology and Division of Image Processing, Leiden University Medical Centre, Leiden, Netherlands.
J DijkstraDepartment of Radiology and Division of Image Processing, Leiden University Medical Centre, Leiden, Netherlands.
C J H van de VeldeDepartment of Surgery, Leiden University Medical Centre, Leiden, Netherlands.
P J K KuppenDepartment of Surgery, Leiden University Medical Centre, Leiden, Netherlands.
A L VahrmeijerDepartment of Surgery, Leiden University Medical Centre, Leiden, Netherlands.
C W G M LöwikDepartment of Radiology, Division of Molecular Imaging, Leiden University Medical Centre, Leiden, Netherlands.
C F M SierDepartment of Surgery, Leiden University Medical Centre, Leiden, Netherlands. c.f.m.sier@lumc.nl.
Leiden University Medical Center · NLErasmus University Rotterdam · NLPercuros (Netherlands) · NLThe Netherlands Cancer Institute · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvaluation of resection margins during cancer surgery can be challenging, often resulting in incomplete tumour removal. Fluorescence-guided surgery (FGS) aims to aid the surgeon to visualize tumours and resection margins during surgery. FGS relies on a clinically applicable imaging system in combination with a specific tumour-targeting contrast agent. In this study EpCAM (epithelial cell adhesion molecule) is evaluated as target for FGS in combination with the novel Artemis imaging system.

methodsThe NIR fluorophore IRDye800CW was conjugated to the well-established EpCAM specific monoclonal antibody 323/A3 and an isotype IgG1 as control. The anti-EpCAM/800CW conjugate was stable in serum and showed preserved binding capacity as evaluated on EpCAM positive and negative cell lines, using flow cytometry and cell-based plate assays. Four clinically relevant orthotopic tumour models, i.e. colorectal cancer, breast cancer, head and neck cancer, and peritonitis carcinomatosa, were used to evaluate the performance of the anti-EpCAM agent with the clinically validated Artemis imaging system. The Pearl Impulse small animal imaging system was used as reference. The specificity of the NIRF signal was confirmed using bioluminescence imaging and green-fluorescent protein.

resultsAll tumour types could clearly be delineated and resected 72 h after injection of the imaging agent. Using NIRF imaging millimetre sized tumour nodules were detected that were invisible for the naked eye. Fluorescence microscopy demonstrated the distribution and tumour specificity of the anti-EpCAM agent.

conclusionsThis study shows the potential of an EpCAM specific NIR-fluorescent agent in combination with a clinically validated intraoperative imaging system to visualize various tumours during surgery.

Indexed as

Biomarkers, TumorAnimalsCell Line, TumorDisease Models, AnimalEpithelial Cell Adhesion MoleculeFemaleGene ExpressionHumansImmunohistochemistryMiceMicroscopy, FluorescenceMolecular ImagingNeoplasmsSpectroscopy, Near-InfraredSurgery, Computer-AssistedTumor BurdenBiomarkers, TumorEpithelial Cell Adhesion MoleculeEpithelial cell adhesion moleculeImage-guided surgeryImaging agentNear-infrared fluorescenceOptical imaging

Identifiers

PMID27842504
PMCPMC5109830
OpenAlexW2549458217

What OpenQuestion holds

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LicenceCC BY
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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.