Evidence map›Paper›PMID 30675658›Full record

ArticleSurgical endoscopy2019

Evaluation of hyperspectral imaging (HSI) for the measurement of ischemic conditioning effects of the gastric conduit during esophagectomy.

Hannes Köhler, Boris Jansen-Winkeln, Marianne Maktabi, Manuel Barberio, Jonathan Takoh, Nico Holfert, Yusef Moulla, Stefan Niebisch, Michele Diana, Thomas Neumuth and 4 more

Registry-linked trialOpen access · greenAbstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04589884 (Intraoperative EXamination Using MAChine-learning-based HYperspectral for diagNosis & Autonomous Anatomy Assessment), which is not on this map. Cited by 50 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 4 pooled it
9.4field-weighted citation impact, top 2% 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.

NCT04589884 terminatednot on this mapstarted 2020, after this paper: background citation

Intraoperative EXamination Using MAChine-learning-based HYperspectral for diagNosis & Autonomous Anatomy Assessment

TypeobservationalSponsorIHU StrasbourgRan2020 to 2021Enrolled112ConditionsParathyroid Diseases, Thyroid Diseases, Liver Cancer, Liver MetastasesArmsHyperspectral Imaging
3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 4 syntheses or guidelines pooled it, 79 citations in OpenAlex.

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  2. Clinical applications of hyperspectral imaging in gastroenterology and hepatology: A systematic review.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
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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

14 authors at 4 institutions in 2 countries.

Hannes KöhlerInnovation Center Computer Assisted Surgery (ICCAS), University of Leipzig, Leipzig, Germany.
Boris Jansen-WinkelnDepartment of Visceral, Thoracic, Transplant and Vascular surgery, University Hospital of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.
Marianne MaktabiInnovation Center Computer Assisted Surgery (ICCAS), University of Leipzig, Leipzig, Germany.
Manuel BarberioDepartment of Visceral, Thoracic, Transplant and Vascular surgery, University Hospital of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.
Jonathan TakohDepartment of Visceral, Thoracic, Transplant and Vascular surgery, University Hospital of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.
Nico HolfertDepartment of Visceral, Thoracic, Transplant and Vascular surgery, University Hospital of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.
Yusef MoullaDepartment of Visceral, Thoracic, Transplant and Vascular surgery, University Hospital of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.
Stefan NiebischDepartment of Visceral, Thoracic, Transplant and Vascular surgery, University Hospital of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.
Michele DianaInstitute of Image-Guided Surgery (IHU), IRCAD, Strasbourg, France.
Thomas NeumuthInnovation Center Computer Assisted Surgery (ICCAS), University of Leipzig, Leipzig, Germany.
Sebastian M RabeDepartment of Visceral, Thoracic, Transplant and Vascular surgery, University Hospital of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany.
Claire ChalopinInnovation Center Computer Assisted Surgery (ICCAS), University of Leipzig, Leipzig, Germany.
Andreas MelzerInnovation Center Computer Assisted Surgery (ICCAS), University of Leipzig, Leipzig, Germany.
Ines GockelDepartment of Visceral, Thoracic, Transplant and Vascular surgery, University Hospital of Leipzig, Liebigstr. 20, 04103, Leipzig, Germany. ines.gockel@medizin.uni-leipzig.de.
University Hospital Leipzig · DELeipzig University · DEInstitut de Chirurgie Guidée par l'Image · FRInstitut de Recherche contre les Cancers de l’Appareil Digestif · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHyperspectral imaging (HSI) is a relatively new method used in image-guided and precision surgery, which has shown promising results for characterization of tissues and assessment of physiologic tissue parameters. Previous methods used for analysis of preconditioning concepts in patients and animal models have shown several limitations of application. The aim of this study was to evaluate HSI for the measurement of ischemic conditioning effects during esophagectomy.

methodsIntraoperative hyperspectral images of the gastric tube through the mini-thoracotomy were recorded from n = 22 patients, 14 of whom underwent laparoscopic gastrolysis and ischemic conditioning of the stomach with two-step transthoracic esophagectomy and gastric pull-up with intrathoracic anastomosis after 3-7 days. The tip of the gastric tube (later esophagogastric anastomosis) was measured with HSI. Analysis software provides a RGB image and 4 false color images representing physiologic parameters of the recorded tissue area intraoperatively. These parameters contain tissue oxygenation (StO

resultsIntraoperative HSI of the gastric conduit was possible in all patients and did not prolong the regular operative procedure due to its quick applicability. In particular, the tissue oxygenation of the gastric conduit was significantly higher in patients who underwent ischemic conditioning ([Formula: see text] = 78%; [Formula: see text] = 66%; p = 0.03).

conclusionsHSI is suitable for contact-free, non-invasive, and intraoperative evaluation of physiological tissue parameters within gastric conduits. Therefore, HSI is a valuable method for evaluating ischemic conditioning effects and may contribute to reduce anastomotic complications. Additional studies are needed to establish normal values and thresholds of the presented parameters for the gastric conduit anastomotic site.

Indexed as

AdultAgedAged, 80 and overAnastomosis, SurgicalEsophageal NeoplasmsEsophagectomyFemaleHemoglobinometryHumansIschemic PreconditioningLaparoscopyMaleMiddle AgedOxygenRegional Blood FlowStomachOxygenEsophagectomyGastric conduitHyperspectral imagingIschemic conditioningPhysiologic tissue parameters

Identifiers

PMID30675658
OpenAlexW2913547676

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.