Evidence map›Paper›PMID 29422678›Full record

ArticleScientific reports2018

Clinical Translation of Tethered Confocal Microscopy Capsule for Unsedated Diagnosis of Eosinophilic Esophagitis.

Nima Tabatabaei, DongKyun Kang, Minkyu Kim, Tao Wu, Catriona N Grant, Mireille Rosenberg, Norman S Nishioka, Paul E Hesterberg, John Garber, Qian Yuan and 2 more

Open access · goldAbstract readEvaluation Study
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. High-speed label-free confocal microscopy ofBiomedical optics express · 2021
    Article
  6. Observational
  7. Artificial Intelligence Applied to Gastrointestinal Diagnostics: A Review.Journal of pediatric gastroenterology and nutrition · 2020
    Review
  8. Review
  9. Article
  10. Article
  11. Gastrointestinal diagnosis using non-white light imaging capsule endoscopy.Nature reviews. Gastroenterology & hepatology · 2019
    Review
  12. Article
  13. Article
  14. 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

12 authors at 3 institutions in 2 countries.

Nima TabatabaeiDepartment of Mechanical Engineering, Lassonde School of Engineering, York University, Toronto, ON M3J 1P3, Canada.
DongKyun KangWellman Center for Photomedicine, Massachusetts General Hospital Harvard Medical School, Boston, MA, 02114, USA.
Minkyu KimWellman Center for Photomedicine, Massachusetts General Hospital Harvard Medical School, Boston, MA, 02114, USA.
Tao WuWellman Center for Photomedicine, Massachusetts General Hospital Harvard Medical School, Boston, MA, 02114, USA.
Catriona N GrantWellman Center for Photomedicine, Massachusetts General Hospital Harvard Medical School, Boston, MA, 02114, USA.
Mireille RosenbergWellman Center for Photomedicine, Massachusetts General Hospital Harvard Medical School, Boston, MA, 02114, USA.
Norman S NishiokaDepartment of Medicine, Massachusetts General Hospital Harvard Medical School, Boston, MA, 02114, USA.
Paul E HesterbergDepartment of Medicine, Massachusetts General Hospital Harvard Medical School, Boston, MA, 02114, USA.
John GarberDepartment of Medicine, Massachusetts General Hospital Harvard Medical School, Boston, MA, 02114, USA.
Qian YuanDepartment of Medicine, Massachusetts General Hospital Harvard Medical School, Boston, MA, 02114, USA.
Aubrey J KatzDepartment of Medicine, Massachusetts General Hospital Harvard Medical School, Boston, MA, 02114, USA.
Guillermo J TearneyDepartment of Medicine, Massachusetts General Hospital Harvard Medical School, Boston, MA, 02114, USA. gtearney@partners.org.
Harvard University · USMassachusetts General Hospital · USYork University · CA

Funding

Transnasal Probe for Diagnosing Eosinophilic EsophagitisR01DK091923 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI TEARNEY, GUILLERMO J · 2011 to 2015
$3.4M
NIDDK NIH HHS R01 DK091923
6 · The paper itself

Abstract

Esophagogastroduodenoscopy (EGD) is a widely used procedure, posing significant financial burden on both healthcare systems and patients. Moreover, EGD is time consuming, sometimes difficult to tolerate, and suffers from an imperfect diagnostic yield as the limited number of collected biopsies does not represent the whole organ. In this paper, we report on technological and clinical feasibility of a swallowable tethered endomicroscopy capsule, which is administered without sedation, to image large regions of esophageal and gastric mucosa at the cellular level. To demonstrate imaging capabilities, we conducted a human pilot study (n = 17) on Eosinophilic Esophagitis (EoE) patients and healthy volunteers from which representative cases are presented and discussed. Results indicate that, compared to endoscopic biopsy, unsedated tethered capsule endomicroscopy obtains orders of magnitude more cellular information while successfully resolving characteristic tissue microscopic features such as stratified squamous epithelium, lamina propria papillae, intraepithelial eosinophils, and gastric cardia and body/fundic mucosa epithelia. Based on the major import of whole organ, cellular-level microscopy to obviate sampling error and the clear cost and convenience advantages of unsedated procedure, we believe that this tool has the potential to become a simpler and more effective device for diagnosing and monitoring the therapeutic response of EoE and other esophageal diseases.

Indexed as

AdultEosinophilic EsophagitisEsophagusFemaleGastric MucosaHumansMaleMicroscopy, ConfocalPilot Projects

Identifiers

PMID29422678
PMCPMC5805683
OpenAlexW2797561504

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.