Evidence map›Paper›PMID 30685548›Full record

ArticlePhotodiagnosis and photodynamic therapy2019

Modeling PpIX effective light fluence at depths into the skin for PDT dose comparison.

Ethan P M LaRochelle, Kayla Marra, Robert E LeBlanc, M Shane Chapman, Edward V Maytin, Brian W Pogue

Abstract read
In one paragraph

Article in Photodiagnosis and photodynamic therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

12 citing papers in PubMed, 29 citations in OpenAlex.

  1. Trial
  2. Review
  3. Observational
  4. Review
  5. Article
  6. Article
  7. Article
  8. Daylight-PDT: everything under the sun.Biochemical Society transactions · 2022
    Review
  9. Visible light. Part I: Properties and cutaneous effects of visible light.Journal of the American Academy of Dermatology · 2021
    Review
  10. Article
  11. Article
  12. Article
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

6 authors at 2 institutions in 1 country.

Ethan P M LaRochelleThayer School of Engineering, Dartmouth College, Hanover, NH 03755, USA. Electronic address: ethan.phillip.m.larochelle.th@dartmouth.edu.
Kayla MarraThayer School of Engineering, Dartmouth College, Hanover, NH 03755, USA.
Robert E LeBlancDepartment Pathology & Laboratory Medicine, Geisel School of Medicine, Dartmouth College, Lebanon, NH 03756, USA.
M Shane ChapmanDepartment of Surgery, Geisel School of Medicine, Dartmouth College, Lebanon, NH 03756, USA.
Edward V MaytinDepartment of Biomedical Engineering, Cleveland Clinic, Cleveland, OH 44195, USA.
Brian W PogueThayer School of Engineering, Dartmouth College, Hanover, NH 03755, USA; Department of Surgery, Geisel School of Medicine, Dartmouth College, Lebanon, NH 03756, USA.
Dartmouth College · USCleveland Clinic · US

Funding

Small Molecule Enhancers of Photodynamic Therapy for Skin CancerP01CA084203 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI Brian William Pogue · 2001 to 2026
$27.9M
NCI NIH HHS P01 CA084203
6 · The paper itself

Abstract

backgroundDaylight-activated PDT has seen increased support in recent years as a treatment method for actinic keratosis and other non-melanoma skin cancers. The inherent variability observed in broad-spectrum light used in this methodology makes it difficult to plan and monitor light dose, or compare to lamp light doses.

methodsThe present study expands on the commonly used PpIX-weighted effective surface irradiance metric by introducing a Monte Carlo method for estimating effective fluence rates into depths of the skin. The fluence rates are compared between multiple broadband and narrowband sources that have been reported in previous studies, and an effective total fluence for various treatment times is reported. A dynamic estimate of PpIX concentration produced during pro-drug incubation and treatment is used with the fluence estimates to calculate a photodynamic dose.

resultsEven when there is up to a 5x reduction between the effective surface irradiance of the broadband light sources, the effective fluence below 250 μm depth is predicted to be relatively equivalent. An effective threshold fluence value (0. 70J

conclusionsThe threshold was used to generate lookup tables to prescribe minimal treatment times to achieve depth-dependent cytotoxic effect based on incubation times and irradiance values for each light source.

Indexed as

Aminolevulinic AcidCell DeathDose-Response Relationship, DrugHumansKeratosis, ActinicModels, BiologicalMonte Carlo MethodPhotochemotherapyPhotosensitizing AgentsProdrugsProtoporphyrinsReference ValuesSkinSkin NeoplasmsTime FactorsAminolevulinic AcidPhotosensitizing AgentsProdrugsprotoporphyrin IXProtoporphyrinsDaylight PDTMonte CarloPhotodynamic therapyPpIX-weighted light doseTissue optics

Identifiers

PMID30685548
PMCPMC12258193
OpenAlexW2915031783

What OpenQuestion holds

Textmetadata
LicenceTDM
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.