Evidence map›Paper›PMID 30614021›Full record

ArticleLasers in surgery and medicine2019

A miniaturized, tethered, spectrally-encoded confocal endomicroscopy capsule.

Dongkyun Kang, Dukho Do, Jiheun Ryu, Catriona N Grant, Sarah L Giddings, Mireille Rosenberg, Paul E Hesterberg, Qian Yuan, John J Garber, Aubrey J Katz and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Lasers in surgery and medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  4. Article
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  8. Article
  9. Observational
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

11 authors at 3 institutions in 1 country.

Dongkyun KangWellman Center for Photomedicine, Massachusetts General Hospital, Boston, 02114, Massachusetts.
Dukho DoWellman Center for Photomedicine, Massachusetts General Hospital, Boston, 02114, Massachusetts.
Jiheun RyuWellman Center for Photomedicine, Massachusetts General Hospital, Boston, 02114, Massachusetts.
Catriona N GrantWellman Center for Photomedicine, Massachusetts General Hospital, Boston, 02114, Massachusetts.
Sarah L GiddingsWellman Center for Photomedicine, Massachusetts General Hospital, Boston, 02114, Massachusetts.
Mireille RosenbergWellman Center for Photomedicine, Massachusetts General Hospital, Boston, 02114, Massachusetts.
Paul E HesterbergGastrointestinal Unit, Massachusetts General Hospital, Boston, 02114, Massachusetts.
Qian YuanPediatric Gastroenterology and Nutrition, Massachusetts General Hospital, Harvard Medical School, Food Allergy Center, Boston, 02114, Massachusetts.
John J GarberGastrointestinal Unit, Massachusetts General Hospital, Boston, 02114, Massachusetts.
Aubrey J KatzGastrointestinal Unit, Massachusetts General Hospital, Boston, 02114, Massachusetts.
Guillermo J TearneyWellman Center for Photomedicine, Massachusetts General Hospital, Boston, 02114, Massachusetts.
Massachusetts General Hospital · USHarvard–MIT Division of Health Sciences and Technology · USHarvard University · US

Funding

Transnasal Probe for Diagnosing Eosinophilic EsophagitisR01DK091923 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI TEARNEY, GUILLERMO J · 2011 to 2015
$3.4M
NIDDK NIH HHS R01 DK091923NIDDK NIH HHS R01DK091923
6 · The paper itself

Abstract

BACKGROUND AND

objectiveThe tethered spectrally-encoded confocal endomicroscopy (SECM) capsule is an imaging device that once swallowed by an unsedated patient can visualize cellular morphologic changes associated with gastrointestinal (GI) tract diseases in vivo. Recently, we demonstrated a tethered SECM capsule for counting esophageal eosinophils in patients with eosinophilic esophagitis (EoE) in vivo. Yet, the current tethered SECM capsule is far too long to be widely utilized for imaging pediatric patients, who constitute a major portion of the EoE patient population. In this paper, we present a new tethered SECM capsule that is 33% shorter, has an easier and repeatable fabrication process, and produces images with reduced speckle noise. MATERIALS AND

methodsThe smaller SECM capsule utilized a miniature condenser to increase the fiber numerical aperture and reduce the capsule length. A custom 3D-printed holder was developed to enable easy and repeatable device fabrication. A dual-clad fiber (DCF) was used to reduce speckle noise.

resultsThe fabricated SECM capsule (length = 20 mm; diameter = 7 mm) had a similar size and shape to a pediatric dietary supplement pill. The new capsule achieved optical sectioning thickness of 13.2 μm with a small performance variation between devices of 1.7 μm. Confocal images of human esophagus obtained in vivo showed the capability of this new device to clearly resolve microstructural epithelial details with reduced speckle noise.

conclusionsWe expect that the smaller size and better image performance of this new SECM capsule will greatly facilitate the clinical adoption of this technology in pediatric patients and will enable more accurate assessment of EoE-suspected tissues. Lasers Surg. Med. 51:452-458, 2019. © 2019 Wiley Periodicals, Inc.

Indexed as

confocal endomicroscopyeosinophilic esophagitisesophageal imagingreflectance confocal microcopyspectrally encoded confocal microscopytethered capsule endomicroscopy

Identifiers

PMID30614021
PMCPMC7685220
OpenAlexW2908658267

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Registered trials

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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.