Evidence map›Paper›PMID 32989842›Full record

ArticleJournal of cutaneous pathology2021

Angulated small nests and cords: Key diagnostic histopathologic features of infiltrative basal cell carcinoma can be identified using integrated reflectance confocal microscopy-optical coherence tomography.

Melissa Gill, Aditi Sahu, Christi Alessi-Fox, Miguel Cordova, Salvador Gonzalez, Nicusor Iftimia, Saud Aleissa, Cristian Navarrete-Dechent, Stephen Dusza, Anthony Rossi and 3 more

Open access · greenAbstract read
In one paragraph

Article in Journal of cutaneous pathology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 38% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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

13 authors at 5 institutions in 2 countries.

Melissa GillDepartment of Pathology, SUNY Downstate Medical Center, Brooklyn, New York, USA.ORCID https://orcid.org/0000-0002-2413-1916
Aditi SahuDermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Christi Alessi-FoxCaliber Imaging & Diagnostics, Inc., Rochester, New York, USA.
Miguel CordovaDermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID https://orcid.org/0000-0002-2962-0671
Salvador GonzalezFaculty of Medicine and Health Sciences, University of Alcala de Henares, Madrid, Spain.
Nicusor IftimiaPhysical Sciences, Inc., Andover, Massachusetts, USA.
Saud AleissaDermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Cristian Navarrete-DechentDermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Stephen DuszaDermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Anthony RossiDermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Ashfaq A MarghoobDermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Milind RajadhyakshaDermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Chih-Shan J ChenDermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Memorial Sloan Kettering Cancer Center · USCaliber Imaging and Diagnostics (United States) · USPhysical Sciences (United States) · USSUNY Downstate Health Sciences University · USUniversidad de Alcalá · ES

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Peri-operative confocal imaging-guided laser ablation of basal cell carcinomasR01EB020029 · NIBIB · SLOAN-KETTERING INST CAN RESEARCH · PI RAJADHYAKSHA, MILIND · 2015 to 2018
$2.2M
National Institutes of Health: National Cancer Institute P30CA008748National Institutes of Health: National Cancer Institute: P30CA008748National Institutes of Health: National Institute of Biomedical Imaging and Bioengineering R01EB020029National Institutes of Health: National Institute of Biomedical Imaging and Bioengineering: R01EB020029NCI NIH HHS P30 CA008748NIBIB NIH HHS R01 EB020029
6 · The paper itself

Abstract

backgroundAccurate basal cell carcinoma (BCC) subtyping is requisite for appropriate management, but non-representative sampling occurs in 18% to 25% of biopsies. By enabling non-invasive diagnosis and more comprehensive sampling, integrated reflectance confocal microscopy-optical coherence tomography (RCM-OCT) may improve the accuracy of BCC subtyping and subsequent management. We evaluated RCM-OCT images and histopathology slides for the presence of two key features, angulation and small nests and cords, and calculated (a) sensitivity and specificity of these features, combined and individually, for identifying an infiltrative BCC subtype and (b) agreement across modalities.

methodsThirty-three RCM-OCT-imaged, histopathologically-proven BCCs (17 superficial and/or nodular; 16 containing an infiltrative component) were evaluated.

resultsThe presence of angulation or small nests and cords was sufficient to identify infiltrative BCC on RCM-OCT with 100% sensitivity and 82% specificity, similar to histopathology (100% sensitivity, 88% specificity, kappa = 0.82). When both features were present, the sensitivity for identifying infiltrative BCC was 100% using either modality and specificity was 88% on RCM-OCT vs 94% on histopathology, indicating near-perfect agreement between non-invasive and invasive diagnostic modalities (kappa = 0.94).

conclusionsRCM-OCT can non-invasively identify key histopathologic features of infiltrative BCC offering a possible alternative to traditional invasive biopsy.

Indexed as

AdultAgedAged, 80 and overBasal Cell CarcinomaFemaleHumansMaleMicroscopy, ConfocalMiddle AgedSensitivity and SpecificitySkin NeoplasmsTomography, Optical Coherencebasal cell carcinomabiopsyhistopathologyin vivo diagnosisoptical coherence tomographyreflectance confocal microscopy

Identifiers

PMID32989842
PMCPMC7755835
OpenAlexW3091593123

What OpenQuestion holds

Textmetadata
LicenceTDM
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.