Evidence map›Paper›PMID 33289518›Full record

ReviewNeurosurgery2021

Fluorescence Guidance and Intraoperative Adjuvants to Maximize Extent of Resection.

Cordelia Orillac, Walter Stummer, Daniel A Orringer

Abstract readReview
In one paragraph

Review in Neurosurgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
–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

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Review
  6. Towards Optical Biopsy in Glioma Surgery.International journal of molecular sciences · 2025
    Review
  7. Current Treatment Paradigms for Advanced Melanoma with Brain Metastases.International journal of molecular sciences · 2025
    Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Next-generation agents for fluorescence-guided glioblastoma surgery.Bioengineering & translational medicine · 2024
    Article
  13. Article
  14. Fluorophores in Endoscopic Neurosurgery.Advances and technical standards in neurosurgery · 2024
    Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Cordelia OrillacDepartment of Neurosurgery, NYU Langone Health, New York, New York.
Walter StummerDepartment of Neurosurgery, University Hospital Münster, Münster, Germany.ORCID 0000-0002-3460-0640
Daniel A OrringerDepartment of Neurosurgery, NYU Langone Health, New York, New York.ORCID 0000-0001-6427-8376

Funding

Clinical Translation of Stimulated Raman HistologyR01CA226527 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ORRINGER, DANIEL · 2018 to 2025
$4.4M
NCI NIH HHS R01 CA226527
6 · The paper itself

Abstract

Safely maximizing extent of resection has become the central goal in glioma surgery. Especially in eloquent cortex, the goal of maximal resection is balanced with neurological risk. As new technologies emerge in the field of neurosurgery, the standards for maximal safe resection have been elevated. Fluorescence-guided surgery, intraoperative magnetic resonance imaging, and microscopic imaging methods are among the most well-validated tools available to enhance the level of accuracy and safety in glioma surgery. Each technology uses a different characteristic of glioma tissue to identify and differentiate tumor tissue from normal brain and is most effective in the context of anatomic, connectomic, and neurophysiologic context. While each tool is able to enhance resection, multiple modalities are often used in conjunction to achieve maximal safe resection. This paper reviews the mechanism and utility of the major adjuncts available for use in glioma surgery, especially in tumors within eloquent areas, and puts forth the foundation for a unified approach to how leverage currently available technology to ensure maximal safe resection.

Indexed as

Brain NeoplasmsGliomaAminolevulinic AcidFluorescenceHumansMagnetic Resonance ImagingNeurosurgical ProceduresAminolevulinic Acid5-aminolevulinic acid (5-ALA)Fluorescence-guided surgery (FGS)intraoperative MRI (iMRI)Raman microscopy

Identifiers

PMID33289518
PMCPMC8510852

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.