Evidence map›Paper›PMID 32405892›Full record

ReviewSurgical endoscopy2021

SAGES TAVAC safety and efficacy analysis confocal laser endomicroscopy.

Mazen R Al-Mansour, Antonio Caycedo-Marulanda, Brian R Davis, Abdulrahim Alawashez, Salvatore Docimo, Alia Qureshi, Shawn Tsuda

2 registry-linked trialsAbstract readReview
PubMed Publisher
In one paragraph

Review in Surgical endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
3.1field-weighted citation impact, top 8% 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.

NCT05316103 narecruitingnot on this map

Use of Probe-based Confocal Laser Endomicroscopy to Perform Targeted Optical Biopsy for Local Rectal Scars in Rectal Cancer Patients After Neoadjuvant Chemoradiotherapy

TypeinterventionalSponsorNanfang Hospital, Southern Medical UniversityRan2021 to 2026Enrolled68ConditionsRectal CancerArmsProbe-based confocal laser endomicroscopy targeted optical biopsy
NCT05879783 narecruitingnot on this mapstarted 2022, after this paper: background citation

Use of Probe-based Confocal Laser Endomicroscopy to Perform Optical Biopsy for Peritoneal Nodules in Colorectal Cancer Patients During Surgery

TypeinterventionalSponsorNanfang Hospital, Southern Medical UniversityRan2022 to 2027Enrolled278ConditionsColorectal CancerArmsConfocal laser endomicroscopy
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 20 citations in OpenAlex.

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  13. Endoscopic Imaging Technology Today.Diagnostics (Basel, Switzerland) · 2022
    Review
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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 at 6 institutions in 3 countries.

Mazen R Al-MansourDepartment of Surgery, University of Florida, Gainesville, FL, USA. mazen.al-mansour@surgery.ufl.edu.ORCID 0000-0003-3485-2263
Antonio Caycedo-MarulandaQueen's University, Kingston, ON, Canada.
Brian R DavisTexas Tech Paul L Foster School of Medicine, El Paso, TX, USA.
Abdulrahim AlawashezUniversity Hospital Sharjah, University of Sharjah, Sharjah, UAE.
Salvatore DocimoStony Brook University, Stony Brook, NY, USA.
Alia QureshiHarvard Medical School, Boston, MA, USA.
Shawn TsudaVIP Surg. PLLC., Las Vegas, NV, USA.
Harvard University · USQueen's University · CAStony Brook University · USTexas Tech University · USUniversity of Florida · USUniversity of Sharjah · AE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConfocal laser endomicroscopy (CLE) is a novel endoscopic adjunct that allows real-time in vivo histological examination of mucosal surfaces. By using intravenous or topical fluorescent agents, CLE highlights certain mucosal elements that facilitate an optical biopsy in real time. CLE technology has been used in different organ systems including the gastrointestinal tract. There has been numerous studies evaluating this technology in gastrointestinal endoscopy, our aim was to evaluate the safety, value, and efficacy of this technology in the gastrointestinal tract.

methodsThe Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) Technology and Value Assessment Committee (TAVAC) performed a PubMed/Medline database search of clinical studies involving CLE in May of 2018. The literature search used combinations of the keywords: confocal laser endomicroscopy, pCLE, Cellvizio, in vivo microscopy, optical histology, advanced endoscopic imaging, and optical diagnosis. Bibliographies of key references were searched for relevant studies not covered by the PubMed search. Case reports and small case series were excluded. The manufacturer's website was also used to identify key references. The United States Food and Drug Administration (U.S. FDA) Manufacturer And User facility and Device Experience (MAUDE) database was searched for reports regarding the device malfunction or injuries.

resultsThe technology offers an excellent safety profile with rare adverse events related to the use of fluorescent agents. It has been shown to increase the detection of dysplastic Barrett's esophagus, gastric intraepithelial neoplasia/early gastric cancer, and dysplasia associated with inflammatory bowel disease when compared to standard screening protocols. It also aids in the differentiation and classification of colorectal polyps, indeterminate biliary strictures, and pancreatic cystic lesions.

conclusionsCLE has an excellent safety profile. CLE can increase the diagnostic accuracy in a number of gastrointestinal pathologies.

Indexed as

Barrett EsophagusEarly Detection of CancerEndoscopy, GastrointestinalFluorescent DyesHumansLasersMicroscopy, ConfocalPancreasPractice Guidelines as TopicStomach NeoplasmsFluorescent DyesAdvanced endoscopic imagingCellvizioConfocal laser endomicroscopyIn vivo microscopyOptical histologypCLE

Identifiers

PMID32405892
OpenAlexW3025578858

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.