Evidence map›Paper›PMID 33241673›Full record

ArticleJournal of biomedical optics2020

Rapid assessment of breast tumor margins using deep ultraviolet fluorescence scanning microscopy.

Tongtong Lu, Julie M Jorns, Mollie Patton, Renee Fisher, Amanda Emmrich, Todd Doehring, Taly Gilat Schmidt, Dong Hye Ye, Tina Yen, Bing Yu

Open access · goldAbstract read
In one paragraph

Article in Journal of biomedical optics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.0field-weighted citation impact, top 27% 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

13 citing papers in PubMed, 23 citations in OpenAlex.

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  13. Analysis of Deep Ultraviolet Fluorescence Images for Intraoperative Breast Tumor Margin Assessment.Proceedings of SPIE--the International Society for Optical Engineering
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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

10 authors at 2 institutions in 1 country.

Tongtong LuMarquette University and Medical College of Wisconsin, Department of Biomedical Engineering, Milwauk, United States.
Julie M JornsMedical College of Wisconsin, Department of Pathology, Milwaukee, Wisconsin, United States.
Mollie PattonMedical College of Wisconsin, Department of Pathology, Milwaukee, Wisconsin, United States.
Renee FisherMarquette University and Medical College of Wisconsin, Department of Biomedical Engineering, Milwauk, United States.
Amanda EmmrichMedical College of Wisconsin, Department of Surgery, Milwaukee, Wisconsin, United States.
Todd DoehringAbemis LLC, Cleveland, Ohio, United States.
Taly Gilat SchmidtMarquette University and Medical College of Wisconsin, Department of Biomedical Engineering, Milwauk, United States.
Dong Hye YeMarquette University, Department of Electrical and Computer Engineering, Milwaukee, Wisconsin, United States.
Tina YenMedical College of Wisconsin, Department of Surgery, Milwaukee, Wisconsin, United States.
Bing YuMarquette University and Medical College of Wisconsin, Department of Biomedical Engineering, Milwauk, United States.
Medical College of Wisconsin · USMarquette University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

significanceRe-excision rates for women with invasive breast cancer undergoing breast conserving surgery (or lumpectomy) have decreased in the past decade but remain substantial. This is mainly due to the inability to assess the entire surface of an excised lumpectomy specimen efficiently and accurately during surgery.

aimThe goal of this study was to develop a deep-ultraviolet scanning fluorescence microscope (DUV-FSM) that can be used to accurately and rapidly detect cancer cells on the surface of excised breast tissue. APPROACH: A DUV-FSM was used to image the surfaces of 47 (31 malignant and 16 normal/benign) fresh breast tissue samples stained in propidium iodide and eosin Y solutions. A set of fluorescence images were obtained from each sample using low magnification (4  ×  ) and fully automated scanning. The images were stitched to form a color image. Three nonmedical evaluators were trained to interpret and assess the fluorescence images. Nuclear-cytoplasm ratio (N/C) was calculated and used for tissue classification.

resultsDUV-FSM images a breast sample with subcellular resolution at a speed of 1.0  min  /  cm2. Fluorescence images show excellent visual contrast in color, tissue texture, cell density, and shape between invasive carcinomas and their normal counterparts. Visual interpretation of fluorescence images by nonmedical evaluators was able to distinguish invasive carcinoma from normal samples with high sensitivity (97.62%) and specificity (92.86%). Using N/C alone was able to differentiate patch-level invasive carcinoma from normal breast tissues with reasonable sensitivity (81.5%) and specificity (78.5%).

conclusionsDUV-FSM achieved a good balance between imaging speed and spatial resolution with excellent contrast, which allows either visual or quantitative detection of invasive cancer cells on the surfaces of a breast surgical specimen.

Indexed as

Breast NeoplasmsMastectomy, SegmentalBreastFemaleHumansMargins of ExcisionMicroscopy, Confocalbreast-conserving surgeryfluorescence imagingtumor marginultraviolet light

Identifiers

PMID33241673
PMCPMC7688317
OpenAlexW3108319072

What OpenQuestion holds

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LicenceCC BY
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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.