Evidence map›Paper›PMID 30588559›Full record

ArticleAnnals of surgical oncology2019

Tumor Resection Guided by Intraoperative Indocyanine Green Dye Fluorescence Angiography Results in Negative Surgical Margins and Decreased Local Recurrence in an Orthotopic Mouse Model of Osteosarcoma.

Adel Mahjoub, Alejandro Morales-Restrepo, Mitchell S Fourman, Jonathan B Mandell, Lu Feiqi, Margaret L Hankins, Rebecca J Watters, Kurt R Weiss

Registry-linked trialAbstract read
In one paragraph

Article in Annals of surgical oncology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04752137 (Evaluation of Intraoperative Tumor Margin Identification With Fluorescent Dye Imaging), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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.

NCT04752137 phase2recruitingnot on this mapstarted 2022, after this paper: background citation

Evaluation of Intraoperative Tumor Margin Identification With Fluorescent Dye Imaging

TypeinterventionalSponsorMassachusetts General HospitalRan2022 to 2030Enrolled100ConditionsBenign Neoplasm, Malignant NeoplasmArmsIndocyanine green, SPY-PHI
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Update on Osteosarcoma.Current oncology reports · 2021
    Review
  9. Article
  10. Multidisciplinary treatment of soft tissue sarcomas: An update.World journal of clinical oncology · 2020
    Review
  11. Extremity Soft Tissue Sarcoma: Role of Local Control.Current treatment options in oncology · 2020
    Review
  12. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Adel MahjoubSchool of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Alejandro Morales-RestrepoMusculoskeletal Oncology Laboratory, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Mitchell S FourmanMusculoskeletal Oncology Laboratory, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Jonathan B MandellMusculoskeletal Oncology Laboratory, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Lu FeiqiMusculoskeletal Oncology Laboratory, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Margaret L HankinsMusculoskeletal Oncology Laboratory, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Rebecca J WattersMusculoskeletal Oncology Laboratory, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA.
Kurt R WeissMusculoskeletal Oncology Laboratory, Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, PA, USA. WeisKR@UPMC.edu.

Funding

Exploring Sarcoma Metastatic PotentialK08CA177927 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI WEISS, KURT RICHARD · 2013 to 2017
$827k
NCI NIH HHS K08 CA177927
6 · The paper itself

Abstract

backgroundSurgical resection with negative margins is the foundation of extremity sarcoma management. Failure to achieve negative surgical margins can result in local recurrence (LR), a potentially devastating complication. Indocyanine green (ICG) is a US FDA-approved fluorophore previously used to guide carcinoma resections. We investigated the potential of ICG as an intraoperative guide during experimental sarcoma resection.

methodsFifty 6-week-old immunocompetent Balb/c female mice received left proximal tibia paraphyseal injections of 5 × 10

resultsEleven of 25 animals from each group developed gross tumors. Four weeks after resection, group 1 had 0/11 tumor recurrences, while group 2 had recurrences in 9/11 (81.8%) experimental mice (p < 0.0002) (Fig. 2). There was a 100% NPV in group 1, and no tumor recurrence with fluorescence-free margins after the primary surgery. Group 2 had a 100% positive predictive value for the development of an LR if any fluorescent signal was present at the surgical margin after resection.

conclusionIntraoperative ICG guidance led to reliably negative surgical margins and a diminished LR rate. Given the benign safety profile of ICG and its prior clinical success, these results could be immediately translatable to the clinical realm.

Indexed as

FluorescenceAnimalsBone NeoplasmsFemaleFluorescein AngiographyFluorescent DyesIndocyanine GreenIntraoperative CareMargins of ExcisionMiceMice, Inbred BALB CNeoplasm Recurrence, LocalOptical ImagingOsteosarcomaSurgery, Computer-AssistedFluorescent DyesIndocyanine Green

Identifiers

PMID30588559
PMCPMC6373227

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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.