Evidence map›Paper›PMID 33095359›Full record

SynthesisAnnals of surgical oncology2021

Utility of Intraoperative Fluorescence Imaging in Gynecologic Surgery: Systematic Review and Consensus Statement.

Ignacio Zapardiel, Julio Alvarez, Manel Barahona, Pere Barri, Ana Boldo, Pera Bresco, Isabel Gasca, Ibon Jaunarena, Ali Kucukmetin, Gloria Mancebo and 7 more

Abstract readSystematic ReviewConsensus Statement
PubMed Publisher
In one paragraph

Synthesis in Annals of surgical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 9% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Observational
  5. Review
  6. Article
  7. Review
  8. Review
  9. Sentinel node mapping in endometrial cancer.Journal of gynecologic oncology · 2024
    Review
  10. Article
  11. Article
  12. Advances in the management of peritoneal malignancies.Nature reviews. Clinical oncology · 2022
    Review
  13. Article
  14. Intraoperative fluorescence molecular imaging accelerates the coming of precision surgery in China.European journal of nuclear medicine and molecular imaging · 2022
    Review
  15. Review
  16. Article
  17. Review
  18. Article
  19. Article
  20. 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

17 authors at 15 institutions in 2 countries.

Ignacio ZapardielGynecologic Oncology Unit, La Paz University Hospital-IdiPAZ, Madrid, Spain.
Julio AlvarezObstetrics and Gynecology Department, Infanta Sofia University Hospital, Madrid, Spain.
Manel BarahonaGynecology Department, Puerto Real University Hospital, Cádiz, Spain.
Pere BarriGynecologic Surgery Unit, Hospital Quiron Dexeus, Barcelona, Spain.
Ana BoldoObstetrics and Gynecology Department, Hospital de la Plana, Castellón, Spain.
Pera BrescoGynecology Department, Hospital de Igualada, Barcelona, Spain.
Isabel GascaGynecology Department, Hospital de Valme, Seville, Spain.
Ibon JaunarenaGynecologic Unit, Donostia University Hospital-Biodonostia Health Research Institute, Basque Country University, San Sebastián, Spain.
Ali KucukmetinNorthern Gynaecological Oncology Centre, Queen Elizabeth Hospital, Gateshead, UK.
Gloria ManceboGynecologic Oncology Unit, Hospital Universitario del Mar, Barcelona, Spain.
Borja OteroGynecology Department, Hospital Universitario de Cruces, Bilbao, Spain.
Fernando RoldanGynecology Department, Hospital Clinico Universitario Lozano Blesa, Saragossa, Spain.
Ramón RoviraGynecology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
Enma SuarezGynecology Department, Hospital Universitario Vall d´Hebron, Barcelona, Spain.
Alvaro TejerizoGynecologic Oncology Unit, 12 de Octubre Universitary Hospital, Madrid, Spain.
Anna TorrentGynecology Department, Hospital Universitario Son Espases, Majorca, Spain.
Mikel GorostidiGynecologic Unit, Donostia University Hospital-Biodonostia Health Research Institute, Basque Country University, San Sebastián, Spain. mikelgorostidi@icloud.com.ORCID http://orcid.org/0000-0001-5150-2797
Biogipuzkoa Health Research Institute · ESAyuntamiento de Castellón de la Plana · ESHospital Clínico Universitario Lozano Blesa · ESHospital de Cruces · ESHospital Del Mar · ESHospital de Sant Pau · ESHospital d'Igualada · ESHospital Universitario de Valme · ESHospital Universitario Dexeus · ESHospital Universitario Infanta Sofía · ESHospital Universitario La Paz · ESHospital Universitario Puerto Real · ESHospital Universitario Son Espases · ESQueen Elizabeth Hospital · GBVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to review the current knowledge on the utility of intraoperative fluorescence imaging in gynecologic surgery and to give evidence-based recommendations to improve the quality of care for women who undergo gynecologic surgery.

methodsA computer-based systematic review of the MEDLINE, CENTRAL, Pubmed, EMBASE, and SciSearch databases as well as institutional guidelines was performed. The time limit was set at 2000-2019. For the literature search, PRISMA guidelines were followed. A modified-Delphi method was performed in three rounds by a panel of experts to reach a consensus of conclusions and recommendations.

resultsIndocyanine green (ICG) is used primarily in gynecology for sentinel node-mapping. In endometrial and cervical cancer, ICG is a feasible, safe, time-efficient, and reliable method for lymphatic mapping, with better bilateral detection rates. Experience in vulvar cancer is more limited, with ICG used together with Tc-99 m as a dual tracer and alone in video endoscopic inguinal lymphadenectomy. In early ovarian cancer, results are still preliminary but promising. Indocyanine green fluorescence imaging also is used for ureteral assessment, allowing intraoperative ureteral visualization, to reduce the risk of ureteral injury during gynecologic surgery.

conclusionsFor most gynecologic cancers, ICG fluorescence imaging is considered the tracer of choice for lymphatic mapping. The use of this new technology expands to a better ureteral assessment.

Indexed as

Sentinel Lymph NodeSentinel Lymph Node BiopsyColoring AgentsConsensusFemaleFluorescenceGynecologic Surgical ProceduresHumansIndocyanine GreenOptical ImagingColoring AgentsIndocyanine Green

Identifiers

PMID33095359
OpenAlexW3093921776

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.