Evidence map›Paper›PMID 31850107›Full record

ArticleOpen access Macedonian journal of medical sciences2019

New System Delivering Microwaves Energy for Inducing Subcutaneous Fat Reduction: In - Vivo Histological and Ultrastructural Evidence.

Nicola Zerbinati, Edoardo d'Este, Antonia Icaro Cornaglia, Federica Riva, Aurora Farina, Alberto Calligaro, Giovanni Gallo, Emanuele Rosario Perrotta, Marina Protasoni, Paolo Bonan and 6 more

RetractedOpen access · diamondAbstract readRetracted Publication
In one paragraph

Article in Open access Macedonian journal of medical sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 32% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 3 institutions in 2 countries.

Nicola ZerbinatiDepartment of Medicine and Surgery School of Medicine, University of Insubria (Varese), Italy.
Edoardo d'EsteCentro Medico Polispecialistico, Pavia, Italy.
Antonia Icaro CornagliaDepartment of Public Health, Experimental and Forensic Medicine, Unit of Histology and Embryology, University of Pavia, Pavia, Italy.
Federica RivaDepartment of Public Health, Experimental and Forensic Medicine, Unit of Histology and Embryology, University of Pavia, Pavia, Italy.
Aurora FarinaDepartment of Public Health, Experimental and Forensic Medicine, Unit of Histology and Embryology, University of Pavia, Pavia, Italy.
Alberto CalligaroDepartment of Public Health, Experimental and Forensic Medicine, Unit of Histology and Embryology, University of Pavia, Pavia, Italy.
Giovanni GalloLaser Unit of Medi-Este-Laser Center, Canicattì, Italy.
Emanuele Rosario PerrottaDepartment of General Surgery and Surgical Medical Specialties, Hospital Cannizzaro, Catania, Italy.
Marina ProtasoniDepartment of Medicine and Surgery School of Medicine, University of Insubria (Varese), Italy.
Paolo BonanLaser Cutaneous Cosmetic & Plastic Surgery Unit, Villa Donatello Clinic, Florence, Italy.
Aleksandra VojvodicDepartment of Dermatology and Venereology, Military Medical Academy, Belgrade, Serbia.
Massimo FioranelliDepartment of Nuclear Physics, Sub-nuclear and Radiation, G. Marconi University, Rome, Italy.
Nguyen Van ThuongDirector of National Hospital of Dermatology and Venereology Vietnam, Head of Dermatology and Venereology Faculty, Hanoi Medical University, Hanoi, Vietnam.
Torello LottiDepartment of Dermatology, University Guglielmo Marconi, Rome, Italy.
Michael TirantUniversity Guglielmo Marconi, Rome, Italy.
Petar VojvodicClinic for Psychiatric Disorders "Dr. Laza Lazarevic", Belgrade, Serbia.
University of Pavia · ITMarconi University · ITMilitary Medical Academy · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecently, it has been developed a new technology for the reduction of subcutaneous adipose tissue through a non-invasive treatment by microwaves. The main objective of the present study is to demonstrate the feasibility of utilising a non-invasive, localised microwaves (MW) device to induce thermal modifications into subcutaneous adipose tissue only by a controlled electromagnetic field that heats up fat preferentially. This device is provided with a special handpiece appropriately cooled, directly contacting the cutaneous surface of the body, which provides a calibrated energy transfer by microwaves.

aimIn this paper, microscopic and ultrastructural modifications of subcutaneous adipose tissue induced by microwaves irradiation are evaluated.

methodsOur experimental plan was designed for collecting biopsy samples, for each skin region treated with a single irradiation session, 1) before treatment (control), 2) immediately after treatment, 3) after 6 hrs, 4) after 1 month, 5) after 2 months. Bioptic samples from each step were processed for light microscopy and transmission electron microscopy. At the same time, each region where biopsies were collected was subjected to ultrasound examination. Recorded images permitted to evaluate the thickness of different layers as epidermis, dermis, hypodermis, connective fasciae, until to muscle layer, and related modifications induced by treatment.

resultsIn every biopsy collected at different time-steps, epidermis and superficial dermis appeared not modified compared to control. Differently, already in the short-term biopsies, in the deep dermis and superficial hypodermis, fibrillar connective tissue appeared modified, showing reduction and fragmentation of interlobular collagen septa. The most important adipose tissue modifications were detectable following 1 month from treatment, with a significant reduction of subcutaneous fat, participating both the lysis of many adipocytes and the related phagocytic action of monocytes/macrophages on residuals of compromised structures of adipocytes. In the samples collected two months following treatment, the remnants of adipose tissue appeared normal, and macrophages were completely absent.

conclusionsUltrasound, microscopic and ultrastructural evidence are supporting significant effectiveness of the new device treatment in the reduction of subcutaneous fat. In this paper, the possible mechanisms involved in the activation of the monocytes/macrophages system responsible for the removal of adipocytes residuals have also been discussed.

Indexed as

FatFat reductionMicrowavesSubcutaneous

Identifiers

PMID31850107
PMCPMC6910790
OpenAlexW2991641963

What OpenQuestion holds

Textmetadata
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.