Evidence map›Paper›PMID 31712948›Full record

ArticleMolecular imaging and biology2020

Near-Infrared Imaging with Second-Window Indocyanine Green in Newly Diagnosed High-Grade Gliomas Predicts Gadolinium Enhancement on Postoperative Magnetic Resonance Imaging.

Steve S Cho, Ryan Salinas, Emma De Ravin, Clare W Teng, Carrie Li, Kalil G Abdullah, Love Buch, Jasmin Hussain, Fahad Ahmed, Jay Dorsey and 4 more

Open access · greenAbstract read
In one paragraph

Article in Molecular imaging and biology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

24 citing papers in PubMed, 39 citations in OpenAlex.

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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 1 institution in 1 country.

Steve S ChoPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Ryan SalinasDepartment of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Emma De RavinPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Clare W TengPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Carrie LiPerelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Kalil G AbdullahDepartment of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Love BuchDepartment of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Jasmin HussainDepartment of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Fahad AhmedDepartment of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Jay DorseyDepartment of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Suyash MohanDepartment of Radiology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Steven BremDepartment of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Sunil SinghalDepartment of Surgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
John Y K LeeDepartment of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA. leejohn@uphs.upenn.edu.ORCID http://orcid.org/0000-0002-0293-7150
Hospital of the University of Pennsylvania · US

Funding

Institutional Clinical and Translational Science AwardUL1TR000003 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI FITZGERALD, GARRET A · 2012 to 2015
$38.9M
NRSA Training CoreTL1TR001880 · NCATS · UNIVERSITY OF PENNSYLVANIA · PI MEAGHER, EMMA ANNE · 2016 to 2025
$10.0M
Statistical atlases of brain tumor MRI:do imaging phenotypes predict progression?R01NS042645 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI DAVATZIKOS, CHRISTOS · 2002 to 2024
$8.7M
Near infrared intraoperative molecular imaging of lung adenocarcinomaR01CA193556 · NCI · UNIVERSITY OF PENNSYLVANIA · PI LOW, PHILIP STEWART, SINGHAL, SUNIL · 2016 to 2020
$3.3M
NCATS NIH HHS TL1 TR001880NCATS NIH HHS UL1 TR000003NCI NIH HHS R01 CA193556NINDS NIH HHS R01 NS042645
6 · The paper itself

Abstract

purposeIntraoperative molecular imaging with tumor-targeting fluorophores offers real-time detection of neoplastic tissue. The second window indocyanine green (SWIG) technique relies on passive accumulation of indocyanine green (ICG), a near-infrared fluorophore, in neoplastic tissues. In this study, we explore the ability of SWIG to detect neoplastic tissue and to predict postoperative magnetic resonance imaging (MRI) findings intraoperatively. PROCEDURES: Retrospective data were collected from 36 patients with primary high-grade gliomas (HGG) enrolled as part of a larger trial between October 2014 and October 2018. Patients received systemic ICG infusions at 2.5-5 mg/kg 24 h preoperatively. Near-infrared fluorescence was recorded throughout the case and from biopsy specimens. The presence/location of residual SWIG signal after resection was compared to the presence/location of residual gadolinium enhancement on postoperative MRI. The extent of resection was not changed based on near-infrared imaging.

resultsAll 36 lesions demonstrated strong near-infrared fluorescence (signal-to-background = 6.8 ± 2.2) and 100 % of tumors reaching the cortex were visualized before durotomy. In 78 biopsy specimens, near-infrared imaging demonstrated higher sensitivity and accuracy than white light for diagnosing neoplastic tissue intraoperatively. Furthermore, near-infrared imaging predicted gadolinium enhancement on postoperative MRI with 91 % accuracy, with visualization of residual enhancement as small as 0.3 cm

conclusionsIntraoperative imaging with SWIG demonstrates highly sensitive detection of HGG tissue in real time. Furthermore, post-resection near-infrared imaging correlates with postoperative MRI. Overall, our findings suggest that SWIG can provide surgeons with MRI-like results in real time, potentially increasing resection rates.

Indexed as

Magnetic Resonance ImagingPostoperative CareSpectroscopy, Near-InfraredBrain NeoplasmsGadoliniumGliomaHumansIndocyanine GreenKaplan-Meier EstimateProgression-Free SurvivalTreatment OutcomeTumor BurdenGadoliniumIndocyanine GreenHigh-grade gliomasIndocyanine greenIntraoperative MRINear-infrared imagingPostoperative MRI

Identifiers

PMID31712948
PMCPMC8613832
OpenAlexW2987025716

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.