Evidence map›Paper›PMID 29631985›Full record

ReviewOral surgery, oral medicine, oral pathology and oral radiology2018

Noninvasive diagnostic adjuncts for the evaluation of potentially premalignant oral epithelial lesions: current limitations and future directions.

Eric C Yang, Melody T Tan, Richard A Schwarz, Rebecca R Richards-Kortum, Ann M Gillenwater, Nadarajah Vigneswaran

Abstract readReview
In one paragraph

Review in Oral surgery, oral medicine, oral pathology and oral radiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing 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

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

  1. Pooled it
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  13. Characterization of irradiated mucosa using confocal laser endomicroscopy in the upper aerodigestive tract.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2025
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  18. A Prospective Double-Blinded Comparison of Reflectance Confocal Microscopy with Conventional Histopathology for In Vivo Assessment in Oral Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Article
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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.

Eric C YangDepartment of Bioengineering, Rice University, Houston, TX, USA; Medical Scientist Training Program, Baylor College of Medicine, Houston, TX, USA.
Melody T TanDepartment of Bioengineering, Rice University, Houston, TX, USA.
Richard A SchwarzDepartment of Bioengineering, Rice University, Houston, TX, USA.
Rebecca R Richards-KortumDepartment of Bioengineering, Rice University, Houston, TX, USA.
Ann M GillenwaterDepartment of Head and Neck Surgery, M.D. Anderson Cancer Center, University of Texas, Houston, TX, USA.
Nadarajah VigneswaranDepartment of Diagnostic and Biomedical Sciences, University of Texas School of Dentistry, Houston, TX, USA. Electronic address: nadarajah.vigneswaran@uth.tmc.edu.

Funding

Optical Systems for In Vivo Molecular Imaging of CancerR01CA103830 · NCI · UNIVERSITY OF TEXAS AUSTIN · PI RICHARDS-KORTUM, REBECCA R. · 2004 to 2015
$12.4M
(PQC2) Optical Hallmarks of Aggressive Clones Within Oral Field CancerizationR01CA185207 · NCI · RICE UNIVERSITY · PI GILLENWATER, ANN M, RICHARDS-KORTUM, REBECCA R. · 2014 to 2017
$2.6M
Aptamer mediated targeting of Fanconi Anemia oral cancer initiating cellsR01DE024392 · NIDCR · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI ANNAPRAGADA, ANANTH V, VIGNESWARAN, NADARAJAH · 2014 to 2017
$1.5M
An Automated, Optical Imaging Platform for Early Detection of Oral NeoplasiaF30CA213922 · NCI · RICE UNIVERSITY · PI YANG, ERIC · 2017 to 2018
$96k
NCI NIH HHS F30 CA213922NCI NIH HHS R01 CA103830NCI NIH HHS R01 CA185207NIDCR NIH HHS R01 DE024392
6 · The paper itself

Abstract

Potentially premalignant oral epithelial lesions (PPOELs) are a group of clinically suspicious conditions, of which a small percentage will undergo malignant transformation. PPOELs are suboptimally diagnosed and managed under the current standard of care. Dysplasia is the most well-established marker to distinguish high-risk PPOELs from low-risk PPOELs, and performing a biopsy to establish dysplasia is the diagnostic gold standard. However, a biopsy is limited by morbidity, resource requirements, and the potential for underdiagnosis. Diagnostic adjuncts may help clinicians better evaluate PPOELs before definitive biopsy, but existing adjuncts, such as toluidine blue, acetowhitening, and autofluorescence imaging, have poor accuracy and are not generally recommended. Recently, in vivo microscopy technologies, such as high-resolution microendoscopy, optical coherence tomography, reflectance confocal microscopy, and multiphoton imaging, have shown promise for improving PPOEL patient care. These technologies allow clinicians to visualize many of the same microscopic features used for histopathologic assessment at the point of care.

Indexed as

BiopsyCell Transformation, NeoplasticDiagnosis, OralDiagnostic ImagingDisease ProgressionEarly Detection of CancerErythroplasiaHumansLeukoplakia, OralMouth NeoplasmsPrecancerous ConditionsRisk Factors

Identifiers

PMID29631985
PMCPMC6083875

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.