Evidence map›Paper›PMID 30442424›Full record

ArticleSurgery2019

Innovative surgical guidance for label-free real-time parathyroid identification.

Giju Thomas, Melanie A McWade, John Q Nguyen, Melinda E Sanders, James T Broome, Naira Baregamian, Carmen C Solórzano, Anita Mahadevan-Jansen

2 registry-linked trialsAbstract readEvaluation Study
In one paragraph

Article in Surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 25 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 2 pooled it
5.4field-weighted citation impact, top 4% 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.

NCT04281875 nacompletednot on this mapstarted 2020, after this paper: background citation

Assessing Benefits of Near Infrared Autofluorescence (NIRAF) Detection for Identifying Parathyroid Glands During Total Thyroidectomy.

TypeinterventionalSponsorVanderbilt-Ingram Cancer CenterRan2020 to 2024Enrolled160ConditionsPostoperative Hypoparathyroidism, Thyroid Neoplasms, Thyroid CancerArmsNIRAF Detection Technology
NCT06765941 narecruitingnot on this mapstarted 2025, after this paper: background citation

Clinical Validation of Probe-based Parathyroid Autofluorescence Detection System PTeye vs Surgeons Eyes in Intraoperative Identification and Functional Preservation of Parathyroid Glands During Thyroid Surgery: A Parallel Randomized Controlled Clinical Trial.

TypeinterventionalSponsorMarcin BarczynskiRan2025 to 2026Enrolled154ConditionsThyroid Surgery, Parathyroid Dysfunction, Hypoparathyroidism Post-surgicalArmsProbe-based near-infrared parathyroid autofluorescence detection system, Surgeons naked eyes for parathyroid glands identification
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Giju ThomasVanderbilt Biophotonics Center, Vanderbilt University, Nashville, TN; Department of Biomedical Engineering, Vanderbilt University, Nashville, TN.
Melanie A McWadeVanderbilt Biophotonics Center, Vanderbilt University, Nashville, TN; Department of Biomedical Engineering, Vanderbilt University, Nashville, TN.
John Q NguyenVanderbilt Biophotonics Center, Vanderbilt University, Nashville, TN; Department of Biomedical Engineering, Vanderbilt University, Nashville, TN.
Melinda E SandersDepartment of Pathology, Microbiology and Immunology, Vanderbilt University, Nashville, TN.
James T BroomeSt. Thomas Medical Partners - Endocrine Surgical Specialists, Nashville, TN.
Naira BaregamianDivision of Surgical Oncology and Endocrine Surgery, Vanderbilt University, Nashville, TN.
Carmen C SolórzanoDivision of Surgical Oncology and Endocrine Surgery, Vanderbilt University, Nashville, TN.
Anita Mahadevan-JansenVanderbilt Biophotonics Center, Vanderbilt University, Nashville, TN; Department of Biomedical Engineering, Vanderbilt University, Nashville, TN. Electronic address: anita.mahadevan-jansen@vanderbilt.edu.
Vanderbilt University · USSt. Thomas Medical Group · US

Funding

Academic-Industry Partnership for the Translation of a Novel Optical Imaging Approach to guide Endocrine Cancer SurgeryR01CA212147 · NCI · VANDERBILT UNIVERSITY · PI MAHADEVAN-JANSEN, ANITA · 2018 to 2022
$2.7M
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 R01 CA212147NCI NIH HHS R42 CA192243
6 · The paper itself

Abstract

backgroundDifficulty in identifying the parathyroid gland during neck operations can lead to accidental parathyroid gland excisions and postsurgical hypocalcemia. A clinical prototype called as PTeye was developed to guide parathyroid gland identification using a fiber-optic probe that detects near-infrared autofluorescence from parathyroid glands as operating room lights remain on. An Overlay Tissue Imaging System was designed concurrently to detect near-infrared autofluorescence and project visible light precisely onto parathyroid gland location.

methodsThe PTeye and the Overlay Tissue Imaging System were tested in 20 and 15 patients, respectively, and a modified near-infrared imaging system was investigated in 6 patients. All 41 patients underwent thyroidectomy or parathyroidectomy. System accuracy was ascertained with surgeon's visual confirmation for in situ parathyroid glands and histology for excised parathyroid glands.

resultsThere was no observable difference between near-infrared autofluorescence of healthy and diseased parathyroid glands. The PTeye identified 98% of the parathyroid gland, whereas the near-infrared imaging system and the Overlay Tissue Imaging System identified 100% and 97% of the parathyroid glands, respectively.

conclusionThe PTeye can guide in real-time parathyroid gland identification even with ambient operating room lights. The near-infrared imaging system performs parathyroid gland imaging with high sensitivity, whereas the Overlay Tissue Imaging System enhances parathyroid gland visualization directly within the surgical field without requiring display monitors. These label-free technologies can be valuable adjuncts for identifying parathyroid glands intraoperatively.

Indexed as

AdultAgedFemaleFiber Optic TechnologyHumansIntraoperative ComplicationsMaleMiddle AgedOptical ImagingParathyroidectomyParathyroid GlandsThyroidectomyYoung Adult

Identifiers

PMID30442424
PMCPMC6380501
OpenAlexW2901376191

What OpenQuestion holds

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Registered trials

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.