Evidence map›Paper›PMID 34561973›Full record

ArticleJournal of biomedical optics2021

Optical coherence tomography of small intestine allograft biopsies using a handheld surgical probe.

Evan T Jelly, Jean Kwun, Robin Schmitz, Alton B Farris, Zachary A Steelman, Debra L Sudan, Stuart J Knechtle, Adam Wax

Open access · goldAbstract read
In one paragraph

Article in Journal of biomedical optics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 43% 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

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. 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

8 authors at 3 institutions in 1 country.

Evan T JellyDuke University, Department of Biomedical Engineering, Durham, North Carolina, United States.
Jean KwunDuke University Medical Center, Duke Transplant Center, Department of Surgery, Durham, United States.
Robin SchmitzDuke University Medical Center, Duke Transplant Center, Department of Surgery, Durham, United States.
Alton B FarrisEmory University, Department of Pathology, Atlanta, Georgia, United States.
Zachary A SteelmanDuke University, Department of Biomedical Engineering, Durham, North Carolina, United States.
Debra L SudanDuke University Medical Center, Duke Transplant Center, Department of Surgery, Durham, United States.
Stuart J KnechtleDuke University Medical Center, Duke Transplant Center, Department of Surgery, Durham, United States.
Adam WaxDuke University, Department of Biomedical Engineering, Durham, North Carolina, United States.
Duke Medical Center · USDuke University · USEmory University · US

Funding

Advanced a/LCI systems for improved clinical utilityR01CA210544 · NCI · DUKE UNIVERSITY · PI SHAHEEN, NICHOLAS J, WAX, ADAM · 2017 to 2021
$2.7M
NCI NIH HHS R01 CA210544
6 · The paper itself

Abstract

significanceThe current gold standard for monitoring small intestinal transplant (IT) rejection is endoscopic visual assessment and biopsy of suspicious lesions; however, these lesions are only superficially visualized by endoscopy. Invasive biopsies provide a coarse sampling of tissue health without depicting the true presence and extent of any pathology. Optical coherence tomography (OCT) presents a potential alternative approach with significant advantages over traditional white-light endoscopy.

aimThe aim of our investigation was to evaluate OCT performance in distinguishing clinically relevant morphological features associated with IT graft failure. APPROACH: OCT was applied to evaluate the small bowel tissues of two rhesus macaques that had undergone IT of the ileum. The traditional assessment from routine histological observation was compared with OCT captured using a handheld surgical probe during the days post-transplant and subsequently was compared with histophaology.

resultsThe reported OCT system was capable of identifying major biological landmarks in healthy intestinal tissue. Following IT, one nonhuman primate (NHP) model suffered a severe graft ischemia, and the second NHP graft failed due to acute cellular rejection. OCT images show visual evidence of correspondence with histological signs of IT rejection.

conclusionsResults suggest that OCT imaging has significant potential to reveal morphological changes associated with IT rejection and to improve patient outcomes overall.

Indexed as

EndoscopyTomography, Optical CoherenceAllograftsAnimalsBiopsyMacaca mulattadiagnostic imagingendoscopygastroenterologyimaging systemsoptical coherence tomography

Identifiers

PMID34561973
PMCPMC8461564
OpenAlexW3199855022

What OpenQuestion holds

Textmetadata
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.