Evidence map›Paper›PMID 34724205›Full record

Trial reportJournal of surgical oncology2022

Magnetic resonance imaging system for intraoperative margin assessment for DCIS and invasive breast cancer using the ClearSight™ system in breast-conserving surgery-Results from a postmarketing study.

Marc Thill, Iris Szwarcfiter, Katharina Kelling, Viviane van Haasteren, Eyal Kolka, Josefa Noelke, Zachi Peles, Moshe Papa, Sebastian Aulmann, Tanir Allweis

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Journal of surgical oncology, 2022. 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 36% 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, 11 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Monitoring Pharmacological Treatment of Breast Cancer with MRI.Current issues in molecular biology · 2025
    Review
  6. Article
  7. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 2 countries.

Marc ThillDepartment of Gynecology and Gynecological Oncology, Agaplesion Markus Krankenhaus, Frankfurt, Germany.ORCID https://orcid.org/0000-0002-8800-8044
Iris SzwarcfiterClear-Cut Medical Ltd., Rehovot, Israel.
Katharina KellingDepartment of Gynecology and Gynecological Oncology, Agaplesion Markus Krankenhaus, Frankfurt, Germany.
Viviane van HaasterenDepartment of Gynecology and Gynecological Oncology, Agaplesion Markus Krankenhaus, Frankfurt, Germany.
Eyal KolkaClear-Cut Medical Ltd., Rehovot, Israel.
Josefa NoelkeDepartment of Gynecology and Gynecological Oncology, Agaplesion Markus Krankenhaus, Frankfurt, Germany.
Zachi PelesClear-Cut Medical Ltd., Rehovot, Israel.
Moshe PapaGeneral Surgery Unit, Assuta Medical Center, Tel-Aviv, Israel.
Sebastian AulmannOptiPath, Frankfurt, Germany.
Tanir AllweisMedical Director, Breast Health Center, Kaplan Medical Cente, Rehovot, Israel.
Agaplesion Markus Hospital · DEKaplan Medical Center · ILCardiovascular Center Frankfurt · DEHebrew University of Jerusalem · ILTel Aviv University · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesBreast-conserving surgery (BCS) is followed by reoperations in approximately 25%. Reoperations lead to an increased risk of infection and wound healing problems as well as a worse cosmetic outcome. Several technical approaches for an intraoperative margin assessment to decrease the reoperation rate are under evaluation, some of them are still experimental.

methodsA prospective single-arm post-marketing study with 60 patients undergoing BCS for ductal carcinoma in situ (DCIS) and invasive breast cancer was conducted. The specimen was intraoperatively examined by the ClearSight™ system, a mobile magnetic resonance imaging system that is based on a diffusion-weighted imaging protocol. However, the results were blinded to the surgeon.

resultsThe ClearSight™ system was performed for both ductal and lobular breast cancer and DCIS, with a sensitivity of 0.80 (95% confidence interval [CI]: 0.44-0.96) and a specificity of 0.84 (95% CI 0.72-0.92), with an overall diagnostic accuracy of 80%.

conclusionHad the ClearSight™ been known to the surgeon intraoperatively, the reoperation rate would have been reduced by 83% for invasive carcinoma, from 10% to 2%, and 50% for DCIS, from 30% to 15% reoperations. A trial designed to examine the impact on reoperation rates is currently ongoing.

Indexed as

Intraoperative CareMagnetic Resonance ImagingMargins of ExcisionAdultAgedBreast NeoplasmsCarcinoma, Ductal, BreastCarcinoma, Intraductal, NoninfiltratingFemaleHumansMastectomy, SegmentalMiddle AgedProduct Surveillance, PostmarketingProspective StudiesSensitivity and Specificitydiffusion weightedlumpectomyre-excision ratesurgical margins

Identifiers

PMID34724205
PMCPMC9298117
OpenAlexW3209402032

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.