Evidence map›Paper›PMID 34877830›Full record

ArticleJournal of breast cancer2021

Imaging Protocol and Criteria for Evaluation of Axillary Lymph Nodes in the NAUTILUS Trial.

Jung Min Chang, Hee Jung Shin, Ji Soo Choi, Sung Ui Shin, Bo Hwa Choi, Min Jung Kim, Jung Hyun Yoon, Jin Chung, Tae Hee Kim, Boo-Kyung Han and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of breast cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04303715 (No Axillary sUrgical Treatment In Clinically Lymph Node Negative Patients After UltraSonography[NAUTILUS]), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.3field-weighted citation impact, top 21% 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.

NCT04303715 naactive not recruitingnot on this map

No Axillary sUrgical Treatment In Clinically Lymph Node Negative Patients After UltraSonography[NAUTILUS]: A Prospective, Multicenter, Phase III Clinical Trial

TypeinterventionalSponsorSeoul National University HospitalRan2020 to 2027Enrolled1,734ConditionsBreast Cancer, Sentinel Lymph NodeArmsNo SLNB, SLNB
3 · Its place in the literature

Who cites it

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

12 authors at 8 institutions in 1 country.

Jung Min ChangDepartment of Radiology, Seoul National University Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-5726-9797
Hee Jung ShinDepartment of Radiology and Research Institute of Radiology, Asan Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0002-3398-1074
Ji Soo ChoiDepartment of Radiology and Center for Imaging Science, Samsung Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0003-1361-5269
Sung Ui ShinDepartment of Radiology, Seoul National University Bundang Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0001-6049-8419
Bo Hwa ChoiDepartment of Radiology, National Cancer Center, Goyang, Korea.ORCID https://orcid.org/0000-0001-7276-1579
Min Jung KimDepartment of Radiology, Research Institute of Radiological Science, Severance Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0003-4949-1237
Jung Hyun YoonDepartment of Radiology, Research Institute of Radiological Science, Severance Hospital, Seoul, Korea.ORCID https://orcid.org/0000-0002-2100-3513
Jin ChungDepartment of Radiology, Ewha Womans University Mokdong Hospital, Ewha Womans University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-9990-3768
Tae Hee KimDepartment of Radiology, Ajou University Medical Center, Suwon, Korea.ORCID https://orcid.org/0000-0002-0520-2395
Boo-Kyung HanDepartment of Radiology and Center for Imaging Science, Samsung Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0003-1896-0571
Hak Hee KimDepartment of Radiology and Research Institute of Radiology, Asan Medical Center, Seoul, Korea.ORCID https://orcid.org/0000-0002-2956-9212
Woo Kyung MoonDepartment of Radiology, Seoul National University Hospital, Seoul, Korea. moonwk@snu.ac.kr.ORCID https://orcid.org/0000-0001-8931-3772
Asan Medical Center · KRSamsung Medical Center · KRSeoul National University Hospital · KRSeverance Hospital · KRAjou University · KREwha Womans University · KRNational Cancer Center · KRSeoul National University Bundang Hospital · KR

Funding

Ministry of Health and Welfare HC19C0110Ministry of Health and Welfare HI19C0481
6 · The paper itself

Abstract

Axillary ultrasonography (US) is the most commonly used imaging modality for nodal evaluation in patients with breast cancer. No Axillary Surgical Treatment in Clinically Lymph Node-Negative Patients after Ultrasonography (NAUTILUS) is a prospective, multicenter, randomized controlled trial investigating whether sentinel lymph node biopsy (SLNB) can be safely omitted in patients with clinically and sonographically node-negative T1-2 breast cancer treated with breast-conserving therapy. In this trial, a standardized imaging protocol and criteria were established for the evaluation of axillary lymph nodes. Women lacking palpable lymph nodes underwent axillary US to dismiss suspicious nodal involvement. Patients with a round hypoechoic node with effaced hilum or indistinct margins were excluded. Patients with T1 tumors and a single node with a cortical thickness ≥ 3 mm underwent US-guided biopsy. Finally, patients with negative axillary US findings were included. The NAUTILUS axillary US nodal assessment criteria facilitate the proper selection of candidates who can omit SLNB. Trial Registration: ClinicalTrials.gov Identifier: NCT04303715.

Indexed as

Breast NeoplasmsSentinel Lymph Node BiopsyUltrasonography

Identifiers

PMID34877830
PMCPMC8724375
OpenAlexW3217514965

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.