Evidence map›Paper›PMID 28842674›Full record

ArticleScientific reports2017

Hyperspectral data processing improves PpIX contrast during fluorescence guided surgery of human brain tumors.

J J Bravo, J D Olson, S C Davis, D W Roberts, K D Paulsen, S C Kanick

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 13% 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

32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

J J BravoThayer School of Engineering, Dartmouth College, Hanover, NH, 03755, USA. jaime.j.bravo.th@dartmouth.edu.ORCID 0000-0002-3881-4910
J D OlsonThayer School of Engineering, Dartmouth College, Hanover, NH, 03755, USA.ORCID 0000-0001-8433-7118
S C DavisThayer School of Engineering, Dartmouth College, Hanover, NH, 03755, USA.
D W RobertsThayer School of Engineering, Dartmouth College, Hanover, NH, 03755, USA.
K D PaulsenThayer School of Engineering, Dartmouth College, Hanover, NH, 03755, USA.
S C KanickThayer School of Engineering, Dartmouth College, Hanover, NH, 03755, USA. stephen.c.kanick@dartmouth.edu.ORCID 0000-0002-2046-8298
Dartmouth College · US

Funding

SYNERGY: The Dartmouth Center for clinical and Translational ScienceUL1TR001086 · NCATS · DARTMOUTH COLLEGE · PI GREEN, ALAN I · 2013 to 2017
$18.3M
Coregistered Fluorescence-Enhanced Resection of Malignant GliomaR01NS052274 · NINDS · DARTMOUTH-HITCHCOCK CLINIC · PI ROBERTS, DAVID W · 2007 to 2018
$4.6M
Quantitative optical dosimetry of magnetic nanoparticle cancer treatmentsK25CA164248 · NCI · DARTMOUTH COLLEGE · PI KANICK, STEPHEN CHAD · 2013 to 2015
$498k
NCATS NIH HHS UL1 TR001086NCI NIH HHS K25 CA164248NINDS NIH HHS R01 NS052274
6 · The paper itself

Abstract

Fluorescence guided surgery (FGS) using aminolevulinic-acid (ALA) induced protoporphyrin IX (PpIX) provides intraoperative visual contrast between normal and malignant tissue during resection of high grade gliomas. However, maps of the PpIX biodistribution within the surgical field based on either visual perception or the raw fluorescence emissions can be masked by background signals or distorted by variations in tissue optical properties. This study evaluates the impact of algorithmic processing of hyperspectral imaging acquisitions on the sensitivity and contrast of PpIX maps. Measurements in tissue-simulating phantoms showed that (I) spectral fitting enhanced PpIX sensitivity compared with visible or integrated fluorescence, (II) confidence-filtering automatically determined the lower limit of detection based on the strength of the PpIX spectral signature in the collected emission spectrum (0.014-0.041 μg/ml in phantoms), and (III) optical-property corrected PpIX estimates were more highly correlated with independent probe measurements (r = 0.98) than with spectral fitting alone (r = 0.91) or integrated fluorescence (r = 0.82). Application to in vivo case examples from clinical neurosurgeries revealed changes to the localization and contrast of PpIX maps, making concentrations accessible that were not visually apparent. Adoption of these methods has the potential to maintain sensitive and accurate visualization of PpIX contrast over the course of surgery.

Indexed as

NeurosurgeryAlgorithmsAminolevulinic AcidBrain NeoplasmsElectronic Data ProcessingGliomaHumansOptical ImagingPhantoms, ImagingPhotosensitizing AgentsProtoporphyrinsSurgery, Computer-AssistedAminolevulinic AcidPhotosensitizing Agentsprotoporphyrin IXProtoporphyrins

Identifiers

PMID28842674
PMCPMC5572708
OpenAlexW2746497457

What OpenQuestion holds

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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.