Evidence map›Paper›PMID 30653521›Full record

ArticlePloS one2019

Nanoparticle-based CT visualization of pulmonary vasculature for minimally-invasive thoracic surgery planning.

Hsin-Pei Hu, Harley Chan, Hideki Ujiie, Nicholas Bernards, Kosuke Fujino, Jonathan C Irish, Jinzi Zheng, Kazuhiro Yasufuku

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
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

8 authors at 1 institution in 1 country.

Hsin-Pei HuDivision of Thoracic Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.ORCID 0000-0001-9604-2587
Harley ChanTECHNA Institute, University Health Network, Toronto, Ontario, Canada.
Hideki UjiieDivision of Thoracic Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
Nicholas BernardsTECHNA Institute, University Health Network, Toronto, Ontario, Canada.
Kosuke FujinoDivision of Thoracic Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
Jonathan C IrishTECHNA Institute, University Health Network, Toronto, Ontario, Canada.
Jinzi ZhengTECHNA Institute, University Health Network, Toronto, Ontario, Canada.
Kazuhiro YasufukuDivision of Thoracic Surgery, Toronto General Hospital, University Health Network, Toronto, Ontario, Canada.
University Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate CF800, a novel lipid-based liposomal nanoparticle that co-encapsulates indocyanine green (ICG) and iohexol, for CT imaging of pulmonary vasculature in minimally-invasive thoracic surgery planning.

methodsCF800 was intravenously administered to 7 healthy rabbits. In vivo CT imaging was performed 15 min post-injection, with a subset of animals imaged at 24h, 48h, and 72h post injection. Signal-to-background ratios (SBR) were calculated at the inferior vena cava and compared across time-points. A similar protocol was applied to 2 healthy pigs to evaluate the feasibility and efficacy in a large animal model. To evaluate the feasibility of clinical application, a survey was completed by 7 surgical trainees to assess pre- and post-injection CT images of rabbits and pigs. Responses on the discernibility of pulmonary vasculature sub-branches and comfort level to use the images for pre-operative planning were collected and analyzed.

resultsCF800 injection improved visualization of pulmonary vessels in both rabbit and pig models. The SBR of rabbit pulmonary vasculature was significantly higher after CF800 injection (range 3.7-4.4) compared to pre-injection (range 3.3-3.8, n = 7; p<0.05). SBR remained significantly different up to 24 hours after injection (range 3.7-4.3, n = 4; p<0.05). Trainees' evaluation found the post-injection CT images had significantly higher discernibility at the second vessel branch generation in both rabbit and pig models. Trainees identified smaller vasculature branch generations in the post-injection images compared to the pre-treatment images in both rabbit (mean 6.7±1.8 vs 5.4±2.1; p<0.05) and pig (mean 6.7±1.8 vs 5.4±2.1; p<0.05). Trainees were significantly more comfortable using post-injection images for surgical planning compared to the pre-injection images (rabbit: 8.1±1.1 vs. 4.7±2.1; pig: 7.6±2.1 vs. 4.9±2.2; p<0.05).

conclusionCF800 provides SBR and contrast enhancement of pulmonary vasculature which may assist in pre-surgical CT planning of minimally invasive thoracic surgery.

Indexed as

Thoracic Surgical ProceduresAnimalsContrast MediaHumansImaging, Three-DimensionalIndocyanine GreenIohexolLiposomesLungLung NeoplasmsMaleMinimally Invasive Surgical ProceduresModels, AnimalNanoparticlesRabbitsSignal-To-Noise RatioContrast MediaIndocyanine GreenIohexolLiposomes

Identifiers

PMID30653521
PMCPMC6336249
OpenAlexW2908604724

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.