Evidence map›Paper›PMID 32179675›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2020

The intelligent knife (iKnife) and its intraoperative diagnostic advantage for the treatment of cervical disease.

Menelaos Tzafetas, Anita Mitra, Maria Paraskevaidi, Zsolt Bodai, Ilkka Kalliala, Sarah Bowden, Konstantinos Lathouras, Francesca Rosini, Marcell Szasz, Adele Savage and 9 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
8.6field-weighted citation impact, top 2% 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

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 98 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Review
  5. Lipidomic profiling of endometrial cancer using desorption electrospray ionization mass spectrometry imaging.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  6. Review
  7. Anomaly detection using intraoperative iKnife data: a comparative analysis in breast cancer surgery.International journal of computer assisted radiology and surgery · 2025
    Article
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  18. High-throughput lipidomic profiles sampled with electroporation-based biopsy differentiate healthy skin, cutaneous squamous cell carcinoma, and basal cell carcinoma.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2024
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 5 institutions in 3 countries.

Menelaos TzafetasDepartment of Gut, Metabolism and Reproduction, Institute of Reproductive and Developmental Biology, Faculty of Medicine, Imperial College London, London SW7 2DD, United Kingdom.ORCID 0000-0003-4733-0034
Anita MitraDepartment of Gut, Metabolism and Reproduction, Institute of Reproductive and Developmental Biology, Faculty of Medicine, Imperial College London, London SW7 2DD, United Kingdom.
Maria ParaskevaidiDepartment of Gut, Metabolism and Reproduction, Institute of Reproductive and Developmental Biology, Faculty of Medicine, Imperial College London, London SW7 2DD, United Kingdom.
Zsolt BodaiDepartment of Gut, Metabolism and Reproduction, Institute of Reproductive and Developmental Biology, Faculty of Medicine, Imperial College London, London SW7 2DD, United Kingdom.
Ilkka KallialaDepartment of Gut, Metabolism and Reproduction, Institute of Reproductive and Developmental Biology, Faculty of Medicine, Imperial College London, London SW7 2DD, United Kingdom.
Sarah BowdenDepartment of Gut, Metabolism and Reproduction, Institute of Reproductive and Developmental Biology, Faculty of Medicine, Imperial College London, London SW7 2DD, United Kingdom.
Konstantinos LathourasDepartment of Obstetrics and Gynaecology, Imperial College Healthcare NHS Trust, London W2 1NY, United Kingdom.
Francesca RosiniDepartment of Gut, Metabolism and Reproduction, Institute of Reproductive and Developmental Biology, Faculty of Medicine, Imperial College London, London SW7 2DD, United Kingdom.
Marcell SzaszDepartment of Tumour Biology, National Koranyi Institute of Pulmonology, 1122 Budapest, Hungary.
Adele SavageDepartment of Gut, Metabolism and Reproduction, Institute of Reproductive and Developmental Biology, Faculty of Medicine, Imperial College London, London SW7 2DD, United Kingdom.
Eftychios Manoli
Julia BalogDepartment of Gut, Metabolism and Reproduction, Institute of Reproductive and Developmental Biology, Faculty of Medicine, Imperial College London, London SW7 2DD, United Kingdom.
James McKenzieDepartment of Gut, Metabolism and Reproduction, Institute of Reproductive and Developmental Biology, Faculty of Medicine, Imperial College London, London SW7 2DD, United Kingdom.
Deirdre LyonsDepartment of Obstetrics and Gynaecology, Imperial College Healthcare NHS Trust, London W2 1NY, United Kingdom.
Phillip BennettDepartment of Gut, Metabolism and Reproduction, Institute of Reproductive and Developmental Biology, Faculty of Medicine, Imperial College London, London SW7 2DD, United Kingdom.
David MacIntyreDepartment of Gut, Metabolism and Reproduction, Institute of Reproductive and Developmental Biology, Faculty of Medicine, Imperial College London, London SW7 2DD, United Kingdom.ORCID 0000-0002-4186-5567
Sadaf Ghaem-MaghamiDepartment of Gut, Metabolism and Reproduction, Institute of Reproductive and Developmental Biology, Faculty of Medicine, Imperial College London, London SW7 2DD, United Kingdom.
Zoltan TakatsDepartment of Gut, Metabolism and Reproduction, Institute of Reproductive and Developmental Biology, Faculty of Medicine, Imperial College London, London SW7 2DD, United Kingdom; m.kyrgiou@imperial.ac.uk z.takats@imperial.ac.uk.
Maria KyrgiouDepartment of Gut, Metabolism and Reproduction, Institute of Reproductive and Developmental Biology, Faculty of Medicine, Imperial College London, London SW7 2DD, United Kingdom; m.kyrgiou@imperial.ac.uk z.takats@imperial.ac.uk.ORCID 0000-0002-7165-0735
Imperial College Healthcare NHS Trust · GBImperial College London · GBHelsinki University Hospital · FIOrszágos Korányi Tbc és Pulmonológiai Intézet · HUWater Resources Research Centre · HU

Funding

Cancer Research UK A24034Department of Health P83204Medical Research Council PS2857Medical Research Council PS2897
6 · The paper itself

Abstract

Clearance of surgical margins in cervical cancer prevents the need for adjuvant chemoradiation and allows fertility preservation. In this study, we determined the capacity of the rapid evaporative ionization mass spectrometry (REIMS), also known as intelligent knife (iKnife), to discriminate between healthy, preinvasive, and invasive cervical tissue. Cervical tissue samples were collected from women with healthy, human papilloma virus (HPV) ± cervical intraepithelial neoplasia (CIN), or cervical cancer. A handheld diathermy device generated surgical aerosol, which was transferred into a mass spectrometer for subsequent chemical analysis. Combination of principal component and linear discriminant analysis and least absolute shrinkage and selection operator was employed to study the spectral differences between groups. Significance of discriminatory

Indexed as

AdultAgedDiscriminant AnalysisFemaleGas Chromatography-Mass SpectrometryHumansMargins of ExcisionMass SpectrometryMiddle AgedPapillomaviridaePapillomavirus InfectionsPrecancerous ConditionsSensitivity and SpecificityUterine Cervical DysplasiaUterine Cervical Neoplasmscervical cancerfertility preservationiKnifemass spectrometryREIMS

Identifiers

PMID32179675
PMCPMC7132269
OpenAlexW3012104451

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.