Evidence map›Paper›PMID 32460834›Full record

Trial reportBMC medical imaging2020

Moving a neodymium magnet promotes the migration of a magnetic tracer and increases the monitoring counts on the skin surface of sentinel lymph nodes in breast cancer.

Masujiro Makita, Eriko Manabe, Tomoko Kurita, Hiroyuki Takei, Seigo Nakamura, Akihiro Kuwahata, Masaki Sekino, Moriaki Kusakabe, Yasuo Ohashi

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC medical imaging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 34% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Review
  8. 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 6 institutions in 1 country.

Masujiro MakitaDepartment of Surgery, Breast Surgery Division, Nippon Medical School Musashikosugi Hospital, 1-396 Nakahara-ku, Kosugicho, Kawasaki, Kanagawa, 211-8533, Japan. m-makita@nms.ac.jp.ORCID 0000-0002-4503-5042
Eriko ManabeDepartment of Surgery, Breast Surgery Division, Nippon Medical School Musashikosugi Hospital, 1-396 Nakahara-ku, Kosugicho, Kawasaki, Kanagawa, 211-8533, Japan.
Tomoko KuritaDepartment of Breast Oncology, Nippon Medical School Hospital, Tokyo, Japan.
Hiroyuki TakeiDepartment of Breast Oncology, Nippon Medical School Hospital, Tokyo, Japan.
Seigo NakamuraBreast center, Showa University Hospital, Tokyo, Japan.
Akihiro KuwahataGraduate School of Engineering, The University of Tokyo, Tokyo, Japan.
Masaki SekinoGraduate School of Engineering, The University of Tokyo, Tokyo, Japan.
Moriaki KusakabeMatrix Cell Research Institute Inc., Ibaraki, Japan.
Yasuo OhashiDepartment of Integrated Science and Engineering for Sustainable Society, Chuo University, Tokyo, Japan.
The University of Tokyo · JPNippon Medical School Hospital · JPChuo University · JPNippon Medical School · JPNippon Medical School Musashi Kosugi Hospital · JPShowa University Hospital · JP

Funding

Japan Agency for Medical Research and Development JP18he0902012
6 · The paper itself

Abstract

backgroundWe suspected that moving a small neodymium magnet would promote migration of the magnetic tracer to the sentinel lymph node (SLN). Higher monitoring counts on the skin surface before making an incision help us detect SLNs easily and successfully. The present study evaluated the enhancement of the monitoring count on the skin surface in SLN detection based on the magnet movement in a sentinel lymph node biopsy (SNB) using superparamagnetic iron oxide (SPIO) nanoparticles.

methodsAfter induction of general anesthesia, superparamagnetic iron oxide nanoparticles were injected sub-dermally into the subareolar area or peritumorally. The neodymium magnet was moved over the skin from the injection site to the axilla to promote migration of the magnetic tracer without massage. A total of 62 patients were enrolled from February 2018 to November 2018: 13 cases were subjected to magnet movement 20 times (Group A), 8 were subjected to 1-min magnet movement (Group B), 26 were given a short (about 5 min) interval from injection to 1-min magnet movement (Group C), and 15 were given a long (about 25 min) interval before 1-min magnet movement using the magnetometer's head (Group D). In all cases, an SNB was conducted using both the radioisotope (RI) and SPIO methods. The monitoring counts on the skin surface were measured by a handheld magnetometer and compared among the four groups. Changes in the monitoring count by the interval and magnet movement were evaluated.

resultsThe identification rates of the SPIO and RI methods were 100 and 95.2%, respectively. The mean monitoring counts of Group A, B, C, and D were 2.39 μT, 2.73 μT, 3.15 μT, and 3.92 μT, respectively (p < 0.0001; Kruskal-Wallis test). The monitoring counts were higher with longer magnet movement and with the insertion of an interval. Although there were no relationships between the monitoring count on the skin surface and clinicopathologic factors, magnet movement strongly influenced the monitoring count on the skin surface.

conclusionMoving a small neodymium magnet is effective for promoting migration of a magnetic tracer and increasing monitoring counts on the skin surface.

trial registrationUMIN, UMIN000029475. Registered 9 October 2017.

Indexed as

AdultAgedBreast NeoplasmsFemaleHumansMagnetic Iron Oxide NanoparticlesMagnetic PhenomenaMagnetsMiddle AgedNeodymiumSentinel Lymph NodeSentinel Lymph Node BiopsyNeodymiumBreast cancerMagnetometerNeodymium magnetSentinel node biopsySuperparamagnetic iron oxide nanoparticles (SPIO)

Identifiers

PMID32460834
PMCPMC7254765
OpenAlexW3028834084

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.