Evidence map›Paper›PMID 31202280›Full record

ArticleDiagnostic pathology2019

Comparative analysis of confocal microscopy on fresh breast core needle biopsies and conventional histology.

C Elfgen, B Papassotiropoulos, Z Varga, L Moskovszky, M Nap, U Güth, A Baege, E Amann, F Chiesa, C Tausch

Erratum issuedOpen access · goldAbstract readComparative Study
In one paragraph

Article in Diagnostic pathology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Current role of HistologPathologica · 2026
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  7. Breast tissue imaging atlas using ultra-fast confocal microscopy to identify cancer lesions.Virchows Archiv : an international journal of pathology · 2025
    Article
  8. Article
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  10. Virtual Staining of Nonfixed Tissue Histology.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2024
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

C ElfgenBreast Center Zurich, Seefeldstrasse 214, 8008, Zürich, Switzerland. c.elfgen@brust-zentrum.ch.
B PapassotiropoulosBreast Center Zurich, Seefeldstrasse 214, 8008, Zürich, Switzerland.
Z VargaInstitute of Pathology and Molecular Pathology, University Hospital Zurich, Zürich, Switzerland.
L MoskovszkyInstitute of Pathology and Molecular Pathology, University Hospital Zurich, Zürich, Switzerland.
M NapNap Pathology Consultance bv, Numandorp, The Netherlands.
U GüthBreast Center Zurich, Seefeldstrasse 214, 8008, Zürich, Switzerland.
A BaegeBreast Center Zurich, Seefeldstrasse 214, 8008, Zürich, Switzerland.
E AmannBreast Center Zurich, Seefeldstrasse 214, 8008, Zürich, Switzerland.
F ChiesaBreast Center Zurich, Seefeldstrasse 214, 8008, Zürich, Switzerland.
C TauschBreast Center Zurich, Seefeldstrasse 214, 8008, Zürich, Switzerland.
Breast Center · CHUniversity Hospital of Zurich · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvaluation of core needle biopsies (CNB) is a standard procedure for the diagnosis of breast cancer. However, tissue processing and image preparation is a time- consuming procedure and instant on-site availability of high-quality images could substantially improve the efficacy of the diagnostic procedure. Conventional microscopic methods, such as frozen section analysis (FSA) for detection of malignant cells still have clear disadvantages. In the present study, we tested a confocal microscopy scanner on fresh tissue from CNB with intention to develop an alternative device to FSA in clinical practice. PATIENTS AND

methodsIn 24 patients with suspicious breast lesions standard of care image-guided biopsies were performed. Confocal images have been obtained using the Histolog™ Scanner and evaluated by two independent pathologists. Hematoxylin-Eosin (H&E) histological sections of the biopsies were routinely processed in a blinded fashion with respect to the confocal images.

resultsIn total 42 confocal images were generated from 24 biopsy specimens, and available for analysis within a few minutes of taking the biopsy. This resulted in 2 × 42 = 84 pathologic evaluations. In four cases, a pathologic diagnosis was not possible with confocal microscopy. An exact correlation based on the B-classification was reached in 41 out of 80 examinations and in another 35 cases in a broader sense of correspondence definition (i.e. malignant vs. benign).

conclusionsAs a reliable on-site method, the Histolog™ Scanner provides a visualization of cellular details equivalent to the H&E standards, permitting rapid and accurate diagnosis of malignant and benign breast lesions. Furthermore, this device offers great potential for immediate margin analysis of specimen in breast conserving therapy.

Indexed as

Biopsy, Large-Core NeedleMicroscopy, ConfocalBreastBreast NeoplasmsFemaleFrozen SectionsHematoxylinHumansImage-Guided BiopsyHematoxylinBreast cancer detectionBreast conserving therapyConfocal imagingConfocal microscopyCore needle biopsy

Identifiers

PMID31202280
PMCPMC6570850
OpenAlexW2953208122

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.