Evidence map›Paper›PMID 34503192›Full record

ArticleCancers2021

Intraoperative Digital Analysis of Ablation Margins (DAAM) by Fluorescent Confocal Microscopy to Improve Partial Prostate Gland Cryoablation Outcomes.

Oscar Selvaggio, Ugo Giovanni Falagario, Salvatore Mariano Bruno, Marco Recchia, Maria Chiara Sighinolfi, Francesca Sanguedolce, Paola Milillo, Luca Macarini, Ardeshir R Rastinehad, Rafael Sanchez-Salas and 5 more

Abstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Review
  2. Article
  3. Motorized template for MRI-guided focal cryoablation of prostate cancer.IEEE transactions on medical robotics and bionics · 2023
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

15 authors.

Oscar SelvaggioDepartment of Urology and Organ Transplantation, University of Foggia, 71122 Foggia, Italy.
Ugo Giovanni FalagarioDepartment of Urology and Organ Transplantation, University of Foggia, 71122 Foggia, Italy.ORCID 0000-0002-1152-3005
Salvatore Mariano BrunoDepartment of Urology and Organ Transplantation, University of Foggia, 71122 Foggia, Italy.
Marco RecchiaDepartment of Urology and Organ Transplantation, University of Foggia, 71122 Foggia, Italy.
Maria Chiara SighinolfiDepartment of Urology, Azienda Ospedaliero-Universitaria di Modena, 41121 Modena, Italy.
Francesca SanguedolceDepartment of Pathology, University of Foggia, 71122 Foggia, Italy.
Paola MililloDepartment of Radiology, University of Foggia, 71122 Foggia, Italy.
Luca MacariniDepartment of Radiology, University of Foggia, 71122 Foggia, Italy.
Ardeshir R RastinehadDepartment of Urology, Lenox Hill Urology, Northwell Health System, New York, NY 10075, USA.
Rafael Sanchez-SalasUrology Department, Institut Mutualiste Montsouris, 75014 Paris, France.
Eric BarretUrology Department, Institut Mutualiste Montsouris, 75014 Paris, France.
Franco LugnaniHippocrates D.O.O. Center, 6215 Divaca, Slovenia.
Bernardo RoccoDepartment of Urology, ASST Santi Paolo e Carlo Dipartimento di Scienze della Salute, Università degli Studi di Milano, 20122 Milano, Italy.
Luigi CormioDepartment of Urology and Organ Transplantation, University of Foggia, 71122 Foggia, Italy.
Giuseppe CarrieriDepartment of Urology and Organ Transplantation, University of Foggia, 71122 Foggia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Partial gland cryoablation (PGC) aims at destroying prostate cancer (PCa) foci while sparing the unaffected prostate tissue and the functionally relevant structures around the prostate. Magnetic Resonance Imaging (MRI) has boosted PGC, but available evidence suggests that ablation margins may be positive due to MRI-invisible lesions. This study aimed at determining the potential role of intraoperative digital analysis of ablation margins (DAAM) by fluoresce confocal microscopy (FCM) of biopsy cores taken during prostate PGC. Ten patients with low to intermediate risk PCa scheduled for PGC were enrolled. After cryo-needles placement, 76 biopsy cores were taken from the ablation margins and stained by the urologist for FCM analysis. Digital images were sent for "real-time" pathology review. DAAM, always completed within the frame of PGC treatment (median time 25 min), pointed out PCa in 1/10 cores taken from 1 patient, thus prompting placement of another cryo-needle to treat this area. Standard HE evaluation confirmed 75 cores to be cancer-free while displayed a GG 4 PCa in 7% of the core positive at FCM. Our data point out that IDAAM is feasible and reliable, thus representing a potentially useful tool to reduce the risk of missing areas of PCa during PGC.

Indexed as

ablation marginsfluorescence confocal microscopyfocal therapyprostate biopsyprostate cancer

Identifiers

PMID34503192
PMCPMC8431702

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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.