Evidence map›Paper›PMID 32928138›Full record

ArticleBMC medical imaging2020

Sentinel lymph node mapping using ICG fluorescence and cone beam CT - a feasibility study in a rabbit model of oral cancer.

Nidal Muhanna, Harley H L Chan, Catriona M Douglas, Michael J Daly, Atul Jaidka, Donovan Eu, Jonathan Bernstein, Jason L Townson, Jonathan C Irish

Abstract read
In one paragraph

Article 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.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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. Article
  2. Review
  3. Review
  4. Article
  5. Imaging Techniques in Pharmacological Precision Medicine.Handbook of experimental pharmacology · 2023
    Article
  6. Review
  7. Article
  8. Article
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.

Nidal MuhannaDepartment of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, ON, Canada.
Harley H L ChanGuided Therapeutics (GTx) Program, TECHNA Institute, University Health Network, 101 College St, Toronto, ON, M5G 1L7, Canada.
Catriona M DouglasDepartment of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, ON, Canada. Catriona.douglas@uhn.ca.ORCID 0000-0002-5564-1513
Michael J DalyGuided Therapeutics (GTx) Program, TECHNA Institute, University Health Network, 101 College St, Toronto, ON, M5G 1L7, Canada.
Atul JaidkaGuided Therapeutics (GTx) Program, TECHNA Institute, University Health Network, 101 College St, Toronto, ON, M5G 1L7, Canada.
Donovan EuDepartment of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, ON, Canada.
Jonathan BernsteinDepartment of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, ON, Canada.
Jason L TownsonGuided Therapeutics (GTx) Program, TECHNA Institute, University Health Network, 101 College St, Toronto, ON, M5G 1L7, Canada.
Jonathan C IrishDepartment of Otolaryngology - Head & Neck Surgery, University of Toronto, Toronto, ON, Canada.

Funding

Princess Margaret Cancer Foundation .
6 · The paper itself

Abstract

backgroundCurrent sentinel lymph node biopsy (SLNB) techniques, including use of radioisotopes, have disadvantages including the use of a radioactive tracer. Indocyanine green (ICG) based near-infrared (NIR) fluorescence imaging and cone beam CT (CBCT) have advantages for intraoperative use. However, limited literature exists regarding their use in head and neck cancer SLNB.

methodsThis was a prospective, non-randomized study using a rabbit oral cavity VX2 squamous cell carcinoma model (n = 10) which develops lymph node metastasis. Pre-operatively, images were acquired by MicroCT. During surgery, CBCT and NIR fluorescence imaging of ICG was used to map and guide the SLNB resection.

resultsIntraoperative use of ICG to guide fluorescence resection resulted in identification of all lymph nodes identified by pre-operative CT. CBCT was useful for near real time intraoperative imaging and 3D reconstruction.

conclusionsThis pre-clinical study further demonstrates the technical feasibility, limitations and advantages of intraoperative NIR-guided ICG imaging for SLN identification as a complementary method during head and neck surgery.

Indexed as

AnimalsCell Line, TumorCone-Beam Computed TomographyFeasibility StudiesHumansIndocyanine GreenLymphatic MetastasisMaleMouth NeoplasmsNeoplasm TransplantationOptical ImagingProspective StudiesRabbitsRadiography, InterventionalSentinel Lymph NodeSentinel Lymph Node BiopsyIndocyanine GreenCone beam CTHead and neck cancerHead and neck surgeryIndocyanine greenNear-infrared fluorescence imagingSentinel lymph node biopsy

Identifiers

PMID32928138
PMCPMC7491106

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Registered trials

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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.