Evidence map›Paper›PMID 33300316›Full record

ArticleJournal of biomedical optics2020

Development of a drug-device combination for fluorescence-guided surgery in neuroendocrine tumors.

Servando Hernandez Vargas, Christie Lin, Julie Voss, Sukhen C Ghosh, Daniel M Halperin, Solmaz AghaAmiri, Hop S Tran Cao, Naruhiko Ikoma, Adam J Uselmann, Ali Azhdarinia

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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.7field-weighted citation impact, top 33% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

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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 4 institutions in 1 country.

Servando Hernandez VargasThe University of Texas Health Science Center at Houston, The Brown Foundation Institute of Molecula, United States.
Christie LinOnLume, Inc., Madison, Wisconsin, United States.
Julie VossThe University of Texas Health Science Center at Houston, The Brown Foundation Institute of Molecula, United States.
Sukhen C GhoshThe University of Texas Health Science Center at Houston, The Brown Foundation Institute of Molecula, United States.
Daniel M HalperinThe University of Texas MD Anderson Cancer Center, Department of Gastrointestinal Medical Oncology,, United States.
Solmaz AghaAmiriThe University of Texas Health Science Center at Houston, The Brown Foundation Institute of Molecula, United States.
Hop S Tran CaoThe University of Texas MD Anderson Cancer Center, Department of Surgical Oncology, Division of Surg, United States.
Naruhiko IkomaThe University of Texas MD Anderson Cancer Center, Department of Surgical Oncology, Division of Surg, United States.
Adam J UselmannOnLume, Inc., Madison, Wisconsin, United States.
Ali AzhdariniaThe University of Texas Health Science Center at Houston, The Brown Foundation Institute of Molecula, United States.
Brown Foundation · USThe University of Texas MD Anderson Cancer Center · USCrystallume (United States) · USHealth First · US

Funding

Ergonomic fluorescence-guided surgery imaging platform for intraoperative assessment of blood and lymphatic vasculatureR44CA206754 · NCI · ONLUME, LLC · PI USELMANN, ADAM JOHN · 2020 to 2021
$1.9M
Development of hybrid somatostatin analogs for surgical guidanceR01EB017279 · NIBIB · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI AZHDARINIA, ALI · 2014 to 2017
$1.3M
Transient Lighting for Fluorescence Image-Guided SurgeryR43CA206754 · NCI · ONLUME, LLC · PI USELMANN, ADAM JOHN · 2016 to 2016
$300k
NCI NIH HHS R43 CA206754NCI NIH HHS R44 CA206754NIBIB NIH HHS R01 EB017279
6 · The paper itself

Abstract

significanceThe use of cancer-targeted contrast agents in fluorescence-guided surgery (FGS) has the potential to improve intraoperative visualization of tumors and surgical margins. However, evaluation of their translational potential is challenging.

aimWe examined the utility of a somatostatin receptor subtype-2 (SSTR2)-targeted fluorescent agent in combination with a benchtop near-infrared fluorescence (NIRF) imaging system to visualize mouse xenografts under conditions that simulate the clinical FGS workflow for open surgical procedures. APPROACH: The dual-labeled somatostatin analog, Ga67-MMC(IR800)-TOC, was injected into mice (n  =  24) implanted with SSTR2-expressing tumors and imaged with the customized OnLume NIRF imaging system (Madison, Wisconsin). In vivo and ex vivo imaging were performed under ambient light. The optimal dose (0.2, 0.5, and 2 nmol) and imaging time point (3, 24, 48, and 72 h) were determined using contrast-to-noise ratio (CNR) as the image quality parameter. Video captures of tumor resections were obtained to provide an FGS readout that is representative of clinical utility. Finally, a log-transformed linear regression model was fitted to assess congruence between fluorescence readouts and the underlying drug distribution.

resultsThe drug-device combination provided high in vivo and ex vivo contrast (CNRs  >  3, except lung at 3 h) at all time points with the optimal dose of 2 nmol. The optimal imaging time point was 24-h post-injection, where CNRs  >  6.5 were achieved in tissues of interest (i.e., pancreas, small intestine, stomach, and lung). Intraoperative FGS showed excellent utility for examination of the tumor cavity pre- and post-resection. The relationship between fluorescence readouts and gamma counts was linear and strongly correlated (n  =  334, R2  =  0.71; r  =  0.84; P  <  0.0001).

conclusionThe innovative OnLume NIRF imaging system enhanced the evaluation of Ga67-MMC(IR800)-TOC in tumor models. These components comprise a promising drug-device combination for FGS in patients with SSTR2-expressing tumors.

Indexed as

Neuroendocrine TumorsPharmaceutical PreparationsAnimalsCell Line, TumorHeterograftsHumansMiceOptical ImagingPharmaceutical Preparationscancer-targeted agentdual labelingfluorescence-guided surgeryfluorescence system instrumentationintraoperative imagingsomatostatin receptor

Identifiers

PMID33300316
PMCPMC7725236
OpenAlexW3111998792

What OpenQuestion holds

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LicenceCC BY
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.