Evidence map›Paper›PMID 31863456›Full record

ArticleInternational journal of cancer2020

Identification of diagnostic metabolic signatures in clear cell renal cell carcinoma using mass spectrometry imaging.

Kanchustambham Vijayalakshmi, Vishnu Shankar, Ryan M Bain, Rosalie Nolley, Geoffrey A Sonn, Chia-Sui Kao, Hongjuan Zhao, Robert Tibshirani, Richard N Zare, James D Brooks

Abstract read
In one paragraph

Article in International journal of cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
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

26 citing papers in PubMed.

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  16. Emerging Computational Methods in Mass Spectrometry Imaging.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2022
    Review
  17. Article
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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

10 authors.

Kanchustambham VijayalakshmiDepartment of Chemistry, Stanford University, Stanford, California.
Vishnu ShankarDepartment of Biomedical Data Science and Statistics, Stanford University, Stanford, California.
Ryan M BainDepartment of Chemistry, Stanford University, Stanford, California.
Rosalie NolleyDepartment of Urology, Stanford University, Stanford, California.
Geoffrey A SonnDepartment of Urology, Stanford University, Stanford, California.
Chia-Sui KaoDepartment of Pathology, Stanford University, Stanford, California.
Hongjuan ZhaoDepartment of Urology, Stanford University, Stanford, California.
Robert TibshiraniDepartment of Biomedical Data Science and Statistics, Stanford University, Stanford, California.
Richard N ZareDepartment of Chemistry, Stanford University, Stanford, California.ORCID 0000-0001-5266-4253
James D BrooksDepartment of Urology, Stanford University, Stanford, California.ORCID 0000-0003-4521-7505

Funding

DESI-MS detection of positive margins in kidney cancerR21CA229933 · NCI · STANFORD UNIVERSITY · PI BROOKS, JAMES D., ZARE, RICHARD N · 2018 to 2019
$369k
NCI NIH HHS R21 CA229933NIH HHS Grant CA229933
6 · The paper itself

Abstract

Clear cell renal cell carcinoma (ccRCC) is the most common and lethal subtype of kidney cancer. Intraoperative frozen section (IFS) analysis is used to confirm the diagnosis during partial nephrectomy. However, surgical margin evaluation using IFS analysis is time consuming and unreliable, leading to relatively low utilization. In our study, we demonstrated the use of desorption electrospray ionization mass spectrometry imaging (DESI-MSI) as a molecular diagnostic and prognostic tool for ccRCC. DESI-MSI was conducted on fresh-frozen 23 normal tumor paired nephrectomy specimens of ccRCC. An independent validation cohort of 17 normal tumor pairs was analyzed. DESI-MSI provides two-dimensional molecular images of tissues with mass spectra representing small metabolites, fatty acids and lipids. These tissues were subjected to histopathologic evaluation. A set of metabolites that distinguish ccRCC from normal kidney were identified by performing least absolute shrinkage and selection operator (Lasso) and log-ratio Lasso analysis. Lasso analysis with leave-one-patient-out cross-validation selected 57 peaks from over 27,000 metabolic features across 37,608 pixels obtained using DESI-MSI of ccRCC and normal tissues. Baseline Lasso of metabolites predicted the class of each tissue to be normal or cancerous tissue with an accuracy of 94 and 76%, respectively. Combining the baseline Lasso with the ratio of glucose to arachidonic acid could potentially reduce scan time and improve accuracy to identify normal (82%) and ccRCC (88%) tissue. DESI-MSI allows rapid detection of metabolites associated with normal and ccRCC with high accuracy. As this technology advances, it could be used for rapid intraoperative assessment of surgical margin status.

Indexed as

Carcinoma, Renal CellFrozen SectionsHumansKidney NeoplasmsSpectrometry, Mass, Electrospray Ionizationclear cell renal cell carcinomaelectrospray ionizationhistopathologymetabolomenephrectomysurgical margins

Identifiers

PMID31863456
PMCPMC8571954

What OpenQuestion holds

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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.