Evidence map›Paper›PMID 31882459›Full record

ReviewIn vivo (Athens, Greece)

Intraoperative Indocyanine Green (ICG) Angiography for the Identification of the Parathyroid Glands: Current Evidence and Future Perspectives.

Eleftherios Spartalis, Georgios Ntokos, Konstantinos Georgiou, Georgios Zografos, Gerasimos Tsourouflis, Dimitrios Dimitroulis, Nikolaos I Nikiteas

3 registry-linked trialsAbstract readReview
In one paragraph

Review in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 45 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 2 pooled it
–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.

NCT04424485 naunknown statusnot on this map

Near-infrared (NIR) Fluorescence Imaging With Indocyanine Green (ICG) for Identification of Sentinel Lymph Nodes and Parathyroid Glands During Total Thyroidectomy: Prospective Randomized Clinical Trial

TypeinterventionalSponsorUmraniye Education and Research HospitalRan2020 to 2021Enrolled100ConditionsThyroid Cancer, Thyroid Carcinoma, Papillary, Thyroid Metastases, Thyroid NeoplasmsArmsTotal thyroidectomy (TT), Central lymph node dissection (CLND), Sentinel lymph node (SLN) bopsy, Identification of parathyroid glands (PGs)
NCT05117853 phase3unknown statusnot on this map

The Use of Autofluorescence and Indocyanine Green to Avoid Hypocalcemia After Total Thyroidectomy: A Randomized Clinical Trial

TypeinterventionalSponsorOnze Lieve Vrouw HospitalRan2021 to 2025Enrolled300ConditionsThyroid Disease, Hypoparathyroidism PostproceduralArmsAutofluorescent detection + Injection of indocyanine green, Gold standard of visual identification and evaluation of viability of the parathyroid glands.
NCT05328076 terminatednot on this map

Analysis of Parathyroid Vascularization During Total Thyroidectomy Using Quantitative Real-time Indocyanine Green Angiography

TypeobservationalSponsorIRCCS San RaffaeleRan2022 to 2023Enrolled22ConditionsThyroid, Thyroid Cancer, Hypoparathyroidism, VascularizationArmsIndocyanine green, SPY Portable Handheld Imaging (SPY-PHI)
3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

7 authors.

Eleftherios Spartalis *Laboratory of Experimental Surgery and Surgical Research "N.S. Christeas", National and Kapodistrian University of Athens Medical School, Athens, Greece eleftherios.spartalis@gmail.com.
Georgios Ntokos *Hellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens, Greece.
Konstantinos GeorgiouLaboratory of Experimental Surgery and Surgical Research "N.S. Christeas", National and Kapodistrian University of Athens Medical School, Athens, Greece.
Georgios Zografos3rd Surgical Department, "George Gennimatas" General Hospital, Athens, Greece.
Gerasimos TsourouflisHellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens, Greece.
Dimitrios DimitroulisHellenic Minimally Invasive and Robotic Surgery (MIRS) Study Group, Athens, Greece.
Nikolaos I NikiteasLaboratory of Experimental Surgery and Surgical Research "N.S. Christeas", National and Kapodistrian University of Athens Medical School, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimRecently, indocyanine green (ICG) fluorescence imaging has been used for the identification of the parathyroid glands (PG) during thyroid and parathyroid surgery. However, an overall consensus on the optimal technique, the dosage, the timing of the ICG administration and finally its interpretation and clinical usefulness is still lacking evidence. The aim of this review is to investigate the use of ICG angiography during thyroidectomy and/or parathyroidectomy for identification as well as for the perfusion integrity of the parathyroid glands. MATERIALS AND

methodsThe PubMed database was systematically searched for publications regarding intraoperative ICG imaging in patients that undergo thyroidectomy or parathyroidectomy.

resultsEighteen publications reporting on 612 patients, namely 71 parathyroidectomy and 541 thyroidectomy patients met the inclusion criteria. Eleven publications reported the use of ICG angiography for the identification of the parathyroid glands during thyroidectomy and seven during parathyroidectomy for primary and secondary hyperparathyroidism.

conclusionICG fluorescence imaging is a simple, fast and reproducible method capable of intraoperatively visualizing and assessing the function of parathyroid glands, and can, therefore, assist surgeons in their decision-making. Despite all this, ICG fluorescence imaging technique for PG detection still lacks standardization and further studies are needed to establish its clinical utility.

Indexed as

AngiographyAnimalsFluorescent DyesHumansHypoparathyroidismIndocyanine GreenParathyroidectomyParathyroid GlandsThyroidectomyThyroid GlandFluorescent DyesIndocyanine GreenfluorescenceIndocyanine greenparathyroidectomyparathyroid glandsreviewthyroidectomy

Identifiers

PMID31882459
PMCPMC6984100

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.