Evidence map›Paper›PMID 29093531›Full record

ArticleScientific reports2017

Intraoperative Assessment of Parathyroid Viability using Laser Speckle Contrast Imaging.

E A Mannoh, G Thomas, C C Solórzano, A Mahadevan-Jansen

Abstract 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 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
–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

31 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Etiology and Pathophysiology of Hypoparathyroidism: A Narrative Review.Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research · 2022
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  19. Management of Primary Hyperparathyroidism.Indian journal of surgical oncology · 2022
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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

4 authors.

E A MannohDepartment of Biomedical Engineering, Vanderbilt University, Nashville, TN, 37235, USA.
G ThomasDepartment of Biomedical Engineering, Vanderbilt University, Nashville, TN, 37235, USA.
C C SolórzanoDivision of Surgical Oncology and Endocrine Surgery, Vanderbilt University Medical Center, Nashville, TN, 37232, USA.
A Mahadevan-JansenDepartment of Biomedical Engineering, Vanderbilt University, Nashville, TN, 37235, USA. anita.mahadevan-jansen@vanderbilt.edu.

Funding

Development of breakthrough intra-operative detector and imaging system for paratR42CA192243 · NCI · ANASYS INSTRUMENTS CORPORATION · PI MAHADEVAN-JANSEN, ANITA · 2014 to 2015
$1.1M
NCI NIH HHS R42 CA192243
6 · The paper itself

Abstract

Post-surgical hypoparathyroidism and hypocalcemia are known to occur after nearly 50% of all thyroid surgeries as a result of accidental disruption of blood supply to healthy parathyroid glands, which are responsible for regulating calcium. However, there are currently no clinical methods for accurately identifying compromised glands and the surgeon relies on visual assessment alone to determine if any gland(s) should be excised and auto-transplanted. Here, we present Laser Speckle Contrast Imaging (LSCI) for real-time assessment of parathyroid viability. Taking an experienced surgeon's visual assessment as the gold standard, LSCI can be used to distinguish between well vascularized (n = 32) and compromised (n = 27) parathyroid glands during thyroid surgery with an accuracy of 91.5%. Ability to detect vascular compromise with LSCI was validated in parathyroidectomies. Results showed that this technique is able to detect parathyroid gland devascularization before it is visually apparent to the surgeon. Measurements can be performed in real-time and without the need to turn off operating room lights. LSCI shows promise as a real-time, contrast-free, objective method for helping reduce hypoparathyroidism after thyroid surgery.

Indexed as

HypoparathyroidismParathyroidectomyParathyroid GlandsFemaleHumansMale

Identifiers

PMID29093531
PMCPMC5665975

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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.