Evidence map›Paper›PMID 32048031›Full record

ArticleArchives of gynecology and obstetrics2020

Value of indocyanine green pelvic lymph node mapping in the surgical approach of cervical cancer.

Thomas Papathemelis, Anton Scharl, Michael Anapolski, Elisabeth C Inwald, Atanas Ignatov, Olaf Ortmann, Michael Gerken, Monika Klinkhammer-Schalke, Sophia Scharl

Abstract read
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In one paragraph

Article in Archives of gynecology and obstetrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 2 pooled it
0.2field-weighted citation impact, top 42% 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

3 citing papers in PubMed, 2 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
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

9 authors at 5 institutions in 1 country.

Thomas PapathemelisDepartment of Gynecology and Obstetrics, Klinikum St. Marien Amberg, Amberg, Germany. papathemelis@web.de.ORCID http://orcid.org/0000-0003-1805-2610
Anton ScharlDepartment of Gynecology and Obstetrics, Klinikum St. Marien Amberg, Amberg, Germany.
Michael AnapolskiDepartment Ob/Gyn, University of Witten-Herdecke, KKH Dormagen, Dormagen, Germany.
Elisabeth C InwaldDepartment of Gynecology and Obstetrics, University Medical Center, Landshuter Str. 65, 93053, Regensburg, Germany.
Atanas IgnatovDepartment of Gynecology and Obstetrics, University Medical Center, Landshuter Str. 65, 93053, Regensburg, Germany.
Olaf OrtmannDepartment of Gynecology and Obstetrics, University Medical Center, Landshuter Str. 65, 93053, Regensburg, Germany.
Michael GerkenTumor Center, University of Regensburg, Regensburg, Germany.
Monika Klinkhammer-SchalkeTumor Center, University of Regensburg, Regensburg, Germany.
Sophia ScharlDepartment of Radiation Oncology, Klinikum rechts der Isar, Technische Universität München (TUM), Ismaninger Straße 22, 81675, Munich, Germany.
University Hospital Regensburg · DEKlinikum St. Marien Amberg · DEUniversity of Regensburg · DEKreiskrankenhaus Dormagen · DETUM Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLymph node metastasis is a significant predictive factor for disease recurrence and survival in cervical cancer patients and relevant for therapeutic strategies. We evaluated the clinical value of indocyanine green (ICG) by measuring the sensitivity and negative predictive value of sentinel lymph node mapping compared with the gold standard of complete lymphadenectomy in detecting lymph node metastases for cervical cancer.

methodsWe utilized the near-infrared imaging agent ICG to detect tumor-infested lymph nodes in the pelvis analogue to a classical sentinel lymph node procedure by analyzing data from 20 patients who had undergone surgery for cervical cancer at our institution. A laparoscopic lymph node mapping procedure by means of ICG, followed by a complete pelvic lymphadenectomy with or without paraaortic lymphadenectomy was done in all patients.

resultsHistological examination identified seven patients with tumor-positive pelvic nodes, whereas mapping with ICG identified only five of these patients. Detection rate of positive nodes by ICG mapping and false negative rate was 71.4% and 28.6%, respectively; bilateral detection rate was 83.3%. One of the two false negative patients additionally suffered from deep infiltrating endometriosis.

conclusionsOur results indicate that ICG can identify the relevant pelvic nodes independent of tumor size, provided bilateral detection is achieved and additional, related diseases are excluded.

trial registrationThis trial is registered within the German Clinical Trial Register (DRKS-ID: DRKS00014692).

Indexed as

AdultAgedFemaleHumansIndocyanine GreenMiddle AgedRetrospective StudiesSentinel Lymph NodeSentinel Lymph Node BiopsyUterine Cervical NeoplasmsIndocyanine GreenCervical cancerIndocyanine greenLymph node mapping

Identifiers

PMID32048031
OpenAlexW3006537174

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.