Evidence map›Paper›PMID 32206404›Full record

ArticleBiomedical optics express2020

Real-time diagnosis and visualization of tumor margins in excised breast specimens using fluorescence lifetime imaging and machine learning.

Jakob Unger, Christoph Hebisch, Jennifer E Phipps, João L Lagarto, Hanna Kim, Morgan A Darrow, Richard J Bold, Laura Marcu

Open access · goldAbstract read
In one paragraph

Article in Biomedical optics express, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

31 citing papers in PubMed, 61 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Jakob UngerDepartment of Biomedical Engineering, University of California Davis, California, CA 95616, USA.
Christoph HebischDepartment of Biomedical Engineering, University of California Davis, California, CA 95616, USA.
Jennifer E PhippsDepartment of Biomedical Engineering, University of California Davis, California, CA 95616, USA.
João L LagartoDepartment of Biomedical Engineering, University of California Davis, California, CA 95616, USA.
Hanna KimDepartment of Otolaryngology, University of California Davis, California, CA 95817, USA.
Morgan A DarrowDepartment of Pathology and Laboratory Medicine, University of California Davis, California, CA 95817, USA.
Richard J BoldDepartment of Surgery, University of California Davis, California, CA 95817, USA.
Laura MarcuDepartment of Biomedical Engineering, University of California Davis, California, CA 95616, USA.
University of California, Davis · US

Funding

Fluorescence Lifetime Imaging/Spectroscopy System For Robotic Cancer Surgery GuidanceR01CA187427 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI BIRKELAND, ANDREW CHARLES, MARCU, LAURA · 2014 to 2025
$4.6M
Augmented reality visualization for intraoperative guidance based on fluorescence lifetimeR03EB026819 · NIBIB · UNIVERSITY OF CALIFORNIA AT DAVIS · PI MARCU, LAURA · 2018 to 2019
$137k
NCI NIH HHS R01 CA187427NIBIB NIH HHS R03 EB026819
6 · The paper itself

Abstract

Tumor-free surgical margins are critical in breast-conserving surgery. In up to 38% of the cases, however, patients undergo a second surgery since malignant cells are found at the margins of the excised resection specimen. Thus, advanced imaging tools are needed to ensure clear margins at the time of surgery. The objective of this study was to evaluate a random forest classifier that makes use of parameters derived from point-scanning label-free fluorescence lifetime imaging (FLIm) measurements of breast specimens as a means to diagnose tumor at the resection margins and to enable an intuitive visualization of a probabilistic classifier on tissue specimen. FLIm data from fresh lumpectomy and mastectomy specimens from 18 patients were used in this study. The supervised training was based on a previously developed registration technique between autofluorescence imaging data and cross-sectional histology slides. A pathologist's histology annotations provide the ground truth to distinguish between adipose, fibrous, and tumor tissue. Current results demonstrate the ability of this approach to classify the tumor with 89% sensitivity and 93% specificity and to rapidly (∼ 20 frames per second) overlay the probabilistic classifier overlaid on excised breast specimens using an intuitive color scheme. Furthermore, we show an iterative imaging refinement that allows surgeons to switch between rapid scans with a customized, low spatial resolution to quickly cover the specimen and slower scans with enhanced resolution (400

Identifiers

PMID32206404
PMCPMC7075618
OpenAlexW3006263131

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.