Evidence map›Paper›PMID 29274143›Full record

ArticleJournal of biomedical optics2017

Development and evaluation of a connective tissue phantom model for subsurface visualization of cancers requiring wide local excision.

Kimberley S Samkoe, Brent D Bates, Niki N Tselepidakis, Alisha V DSouza, Jason R Gunn, Dipak B Ramkumar, Keith D Paulsen, Brian W Pogue, Eric R Henderson

Abstract read
In one paragraph

Article in Journal of biomedical optics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

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  17. Measuring microdose ABY-029 fluorescence signal in a primary human soft-tissue sarcoma resection.Proceedings of SPIE--the International Society for Optical Engineering · 2019
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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.

Kimberley S SamkoeDartmouth-Hitchcock Medical Center, Department of Surgery, Lebanon, New Hampshire, United States.
Brent D BatesGeisel School of Medicine at Dartmouth, Hanover, New Hampshire, United States.
Niki N TselepidakisThayer School of Engineering at Dartmouth, Hanover, New Hampshire, United States.
Alisha V DSouzaThayer School of Engineering at Dartmouth, Hanover, New Hampshire, United States.
Jason R GunnThayer School of Engineering at Dartmouth, Hanover, New Hampshire, United States.
Dipak B RamkumarDartmouth-Hitchcock Medical Center, Department of Orthopaedics, Lebanon, New Hampshire, United States.
Keith D PaulsenGeisel School of Medicine at Dartmouth, Hanover, New Hampshire, United States.
Brian W PogueGeisel School of Medicine at Dartmouth, Hanover, New Hampshire, United States.
Eric R HendersonDartmouth-Hitchcock Medical Center, Department of Orthopaedics, Lebanon, New Hampshire, United States.

Funding

Molecular Fluorescence-Guided Surgery PlatformR01CA167413 · NCI · DARTMOUTH COLLEGE · PI PAULSEN, KEITH D., SAMKOE, KIMBERLEY · 2013 to 2025
$5.7M
The Dartmouth Orthopaedics Clinician/Researcher Training Program (DOC/RTP)T32AR049710 · NIAMS · DARTMOUTH-HITCHCOCK CLINIC · PI LURIE, JON D · 2003 to 2018
$2.4M
EPA EP-C-16-014NCI NIH HHS R01 CA167413NIAMS NIH HHS T32 AR049710
6 · The paper itself

Abstract

Wide local excision (WLE) of tumors with negative margins remains a challenge because surgeons cannot directly visualize the mass. Fluorescence-guided surgery (FGS) may improve surgical accuracy; however, conventional methods with direct surface tumor visualization are not immediately applicable, and properties of tissues surrounding the cancer must be considered. We developed a phantom model for sarcoma resection with the near-infrared fluorophore IRDye 800CW and used it to iteratively define the properties of connective tissues that typically surround sarcoma tumors. We then tested the ability of a blinded surgeon to resect fluorescent tumor-simulating inclusions with ∼1-cm margins using predetermined target fluorescence intensities and a Solaris open-air fluorescence imaging system. In connective tissue-simulating phantoms, fluorescence intensity decreased with increasing blood concentration and increased with increasing intralipid concentrations. Fluorescent inclusions could be resolved at ≥1-cm depth in all inclusion concentrations and sizes tested. When inclusion depth was held constant, fluorescence intensity decreased with decreasing volume. Using targeted fluorescence intensities, a blinded surgeon was able to successfully excise inclusions with ∼1-cm margins from fat- and muscle-simulating phantoms with inclusion-to-background contrast ratios as low as 2∶1. Indirect, subsurface FGS is a promising tool for surgical resection of cancers requiring WLE.

Indexed as

Phantoms, ImagingHumansModels, BiologicalOptical ImagingSarcomaSpectroscopy, Near-InfraredSurgery, Computer-AssistedABY-029image-guided surgeryindirect visualizationmolecular targetingnear-infrared fluorescencesarcoma

Identifiers

PMID29274143
PMCPMC5741805

What OpenQuestion holds

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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.