Evidence map›Paper›PMID 28130702›Full record

ArticleInternational journal of computer assisted radiology and surgery2017

Evaluation of tongue squamous cell carcinoma resection margins using ex-vivo MR.

Stefan C A Steens, Elise M Bekers, Willem L J Weijs, Geert J S Litjens, Andor Veltien, Arie Maat, Guido B van den Broek, Jeroen A W M van der Laak, Jürgen J Fütterer, Christina A Hulsbergen van der Kaa and 2 more

Abstract readEvaluation StudyValidation Study
In one paragraph

Article in International journal of computer assisted radiology and surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

  1. Review
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  7. Review
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  10. Intraoperative imaging in pathology-assisted surgery.Nature biomedical engineering · 2022
    Review
  11. MicroRNA-27a promotes tumorigenesis in tongue squamous cell carcinoma by enhancing proliferation, migration and suppressing apoptosis.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 · 2021
    Article
  12. RF Coil Setup forFrontiers in neurology · 2021
    Article
  13. Article
  14. LncRNA-MALAT1 is a promising biomarker for prognostic evaluation of tongue squamous cell carcinoma.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 · 2020
    Article
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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

12 authors.

Stefan C A SteensDepartment of Radiology and Nuclear Medicine, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands. Stefan.Steens@radboudumc.nl.
Elise M BekersDepartment of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands.
Willem L J WeijsDepartment of Oral and Maxillofacial Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Geert J S LitjensDepartment of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands.
Andor VeltienDepartment of Radiology and Nuclear Medicine, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
Arie MaatDepartment of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands.
Guido B van den BroekDepartment of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Jeroen A W M van der LaakDepartment of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands.
Jürgen J FüttererDepartment of Radiology and Nuclear Medicine, Radboud University Medical Center, P.O. Box 9101, 6500 HB, Nijmegen, The Netherlands.
Christina A Hulsbergen van der KaaDepartment of Pathology, Radboud University Medical Center, Nijmegen, The Netherlands.
Matthias A W MerkxDepartment of Oral and Maxillofacial Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Robert P TakesDepartment of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePurpose of this feasibility study was (1) to evaluate whether application of ex-vivo 7T MR of the resected tongue specimen containing squamous cell carcinoma may provide information on the resection margin status and (2) to evaluate the research and developmental issues that have to be solved for this technique to have the beneficial impact on clinical outcome that we expect: better oncologic and functional outcomes, better quality of life, and lower costs.

methodsWe performed a non-blinded validation of ex-vivo 7T MR to detect the tongue squamous cell carcinoma and resection margin in 10 fresh tongue specimens using histopathology as gold standard.

resultsIn six of seven specimens with a histopathologically determined invasion depth of the tumor of [Formula: see text] mm, the tumor could be recognized on MR, with a resection margin within a 2 mm range as compared to histopathology. In three specimens with an invasion depth of [Formula: see text] mm, the tumor was not visible on MR. Technical limitations mainly included scan time, image resolution, and the fact that we used a less available small-bore 7T MR machine.

conclusionEx-vivo 7T probably will have a low negative predictive value but a high positive predictive value, meaning that in tumors thicker than a few millimeters we expect to be able to predict whether the resection margin is too small. A randomized controlled trial needs to be performed to show our hypothesis: better oncologic and functional outcomes, better quality of life, and lower costs.

Indexed as

AgedCarcinoma, Squamous CellFeasibility StudiesFemaleHead and Neck NeoplasmsHumansImage Processing, Computer-AssistedMagnetic Resonance ImagingMaleMargins of ExcisionMiddle AgedQuality of LifeSquamous Cell Carcinoma of Head and NeckTongueTongue NeoplasmsEx-vivoMagnetic resonance imagingSquamous cell carcinomaTongueValidation

Identifiers

PMID28130702
PMCPMC5420007

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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.