Evidence map›Paper›PMID 28255352›Full record

ArticleTheranostics2017

Direct Administration of Nerve-Specific Contrast to Improve Nerve Sparing Radical Prostatectomy.

Connor W Barth, Summer L Gibbs

Open access · goldAbstract read
In one paragraph

Article in Theranostics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
5.3field-weighted citation impact, top 4% 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

34 citing papers in PubMed, 52 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Tissue-seeking dyes for in vivo applications.Smart molecules : open access · 2024
    Review
  5. Article
  6. Article
  7. [Near-infrared targeted probe designed for intraoperative imaging of prostatic neurovascular bundles].Beijing da xue xue bao. Yi xue ban = Journal of Peking University. Health sciences · 2023
    Article
  8. Review
  9. Article
  10. Article
  11. Advances in optical molecular imaging for neural visualization.Frontiers in bioengineering and biotechnology · 2023
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Review
  20. In Vivo Nerve-Specificity of Rhodamines and Si-rhodamines.Proceedings of SPIE--the International Society for Optical Engineering · 2020
    Article
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

2 authors at 1 institution in 1 country.

Connor W BarthBiomedical Engineering Department, Oregon Health & Science University, Portland, OR 97201.
Summer L GibbsBiomedical Engineering Department, Oregon Health & Science University, Portland, OR 97201.; Knight Cancer Institute, Oregon Health & Science University, Portland, OR 97201.; OHSU Center for Spatial Systems Biomedicine, Oregon Health & Science University, Portland, OR 97201.
Oregon Health & Science University · US

Funding

NIR Nerve-specific Fluorescent Imaging for Robotic-assisted Radical ProstatectomyR01EB021362 · NIBIB · OREGON HEALTH & SCIENCE UNIVERSITY · PI GIBBS, SUMMER LYNNE · 2016 to 2019
$1.9M
Nerve-Specific Near-Infrared Fluorescent Contrast Agents for Image-Guided SurgeryK01EB010201 · NIBIB · OREGON HEALTH & SCIENCE UNIVERSITY · PI GIBBS, SUMMER LYNNE · 2010 to 2014
$727k
NIBIB NIH HHS K01 EB010201NIBIB NIH HHS R01 EB021362
6 · The paper itself

Abstract

Nerve damage remains a major morbidity following nerve sparing radical prostatectomy, significantly affecting quality of life post-surgery. Nerve-specific fluorescence guided surgery offers a potential solution by enhancing nerve visualization intraoperatively. However, the prostate is highly innervated and only the cavernous nerve structures require preservation to maintain continence and potency. Systemic administration of a nerve-specific fluorophore would lower nerve signal to background ratio (SBR) in vital nerve structures, making them difficult to distinguish from all nervous tissue in the pelvic region. A direct administration methodology to enable selective nerve highlighting for enhanced nerve SBR in a specific nerve structure has been developed herein. The direct administration methodology demonstrated equivalent nerve-specific contrast to systemic administration at optimal exposure times. However, the direct administration methodology provided a brighter fluorescent nerve signal, facilitating nerve-specific fluorescence imaging at video rate, which was not possible following systemic administration. Additionally, the direct administration methodology required a significantly lower fluorophore dose than systemic administration, that when scaled to a human dose falls within the microdosing range. Furthermore, a dual fluorophore tissue staining method was developed that alleviates fluorescence background signal from adipose tissue accumulation using a spectrally distinct adipose tissue specific fluorophore. These results validate the use of the direct administration methodology for specific nerve visualization with fluorescence image-guided surgery, which would improve vital nerve structure identification and visualization during nerve sparing radical prostatectomy.

Indexed as

Administration, TopicalAnimalsContrast MediaMaleMiceNervous SystemProstatectomyProstatic NeoplasmsContrast Mediadirect administration.fluorescence image-guided surgerynerve sparing radical prostatectomynerve-specific fluorophoreprostate cancer

Identifiers

PMID28255352
PMCPMC5327635
OpenAlexW2573599444

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.