Evidence map›Paper›PMID 27876303›Full record

ArticleJournal of the American Academy of Dermatology2017

Rapid visualization of nonmelanoma skin cancer.

Ethan Walker, Margaret Mann, Kord Honda, Allison Vidimos, Mark D Schluchter, Brian Straight, Matthew Bogyo, Daniel Popkin, James P Basilion

Abstract read
In one paragraph

Article in Journal of the American Academy of Dermatology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
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

12 citing papers in PubMed.

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  12. Fluorescence-Guided Surgery.Frontiers in 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

9 authors.

Ethan WalkerDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio.
Margaret MannDepartment of Dermatology, University Hospital, Cleveland, Ohio.
Kord HondaDepartment of Dermatology, University Hospital, Cleveland, Ohio.
Allison VidimosDepartment of Dermatology, Cleveland Clinic Foundation, Cleveland, Ohio.
Mark D SchluchterDepartment of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, Ohio.
Brian StraightAkrotome Imaging Inc, Cleveland, Ohio.
Matthew BogyoDepartment of Pathology, Stanford University, Stanford, California; Department of Microbiology and Immunology, Stanford University, Stanford, California.
Daniel PopkinDepartment of Dermatology, University Hospital, Cleveland, Ohio.
James P BasilionDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, Ohio; Department of Radiology, Case Western Reserve University, Cleveland, Ohio; National Foundation for Cancer Research Center for Molecular Imaging, Case Western Reserve University, Cleveland, Ohio. Electronic address: james.basilion@case.edu.

Funding

Vitamin D endocrine system and Protection Against Skin TumorlgenesisP30AR039750 · NIAMS · CASE WESTERN RESERVE UNIVERSITY · PI COOPER, KEVIN D · 1988 to 2015
$9.1M
Intraoperative assessment of non-melanoma skin cancer margins using NIRF probes.R44CA180296 · NCI · AKROTOME IMAGING, INC. · PI STRAIGHT, BRIAN · 2015 to 2016
$1.7M
Molecular Imaging to Identify Tumor MarginsR21CA183160 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI BASILION, JAMES PETER · 2014 to 2015
$379k
Intraoperative assessment of non-melanoma skin cancer margins using NIRF probes.R43CA180296 · NCI · AKROTOME IMAGING, INC. · PI STRAIGHT, BRIAN · 2014 to 2014
$150k
NCI NIH HHS R21 CA183160NCI NIH HHS R43 CA180296NCI NIH HHS R44 CA180296NIAMS NIH HHS P30 AR039750
6 · The paper itself

Abstract

backgroundMohs micrographic surgery examines all margins of the resected sample and has a 99% cure rate. However, many nonmelanoma skin cancers (NMSCs) are not readily amenable to Mohs micrographic surgery. This defines an unmet clinical need to assess the completeness of non-Mohs micrographic surgery resections during surgery to prevent re-excision/recurrence.

objectiveWe sought to examine the utility of quenched activity-based probe imaging to discriminate cancerous versus normal-appearing skin tissue.

methodsThe quenched activity-based probe GB119 was applied to NMSC excised from 68 patients. We validated activation of the probe for hematoxylin-eosin-confirmed cancerous tissue versus normal-appearing skin tissue.

resultsTopical application of the probe differentiated basal cell carcinoma and squamous cell carcinoma from normal-appearing skin with overall estimated sensitivity and specificity of 0.989 (95% confidence interval 0.940-1.00) and 0.894 (95% confidence interval 0.769-0.965), respectively. Probe activation accurately defined peripheral margins of NMSC as compared with conventional hematoxylin-eosin-based pathology. LIMITATIONS: This study only examined NMSC debulking excision specimens. The sensitivity and specificity for this approach using final NMSC excision margins will be clinically important.

conclusionsThese findings merit further studies to determine whether quenched activity-based probe technology may enable cost-effective increased cure rates for patients with NMSC by reducing re-excision and recurrence rates with a rapid and easily interpretable technological advance.

Indexed as

HumansSkin NeoplasmsTime Factorscathepsin-Bcathepsin-Lmolecular optical imagingnonmelanoma skin cancerquenched activity-based probere-excision ratetopical application

Identifiers

PMID27876303
PMCPMC5341746

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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.