Evidence map›Paper›PMID 34888007›Full record

ArticleWorld journal of gastrointestinal endoscopy2021

Needle-based confocal endomicroscopy in the discrimination of mucinous from non-mucinous pancreatic cystic lesions.

Helga Bertani, Raffaele Pezzilli, Flavia Pigò, Mauro Bruno, Claudio De Angelis, Guido Manfredi, Gabriele Delconte, Rita Conigliaro, Elisabetta Buscarini

Open access · diamondAbstract read
In one paragraph

Article in World journal of gastrointestinal endoscopy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Review
  2. Pancreas cystic lesion with surprise findings on confocal laser endomicroscopy.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2025
    Article
  3. Review
  4. Accuracy and agreement of a large panel of endosonographers for endomicroscopy-guided virtual biopsy of pancreatic cystic lesions.Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] · 2022
    Article
  5. Pancreatic Incidentaloma.Journal of clinical medicine · 2022
    Review
  6. Review
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

9 authors at 5 institutions in 1 country.

Helga BertaniGastroenterology and Digestive Endoscopy Unit, Azienda Ospedaliero Universitaria Policlinico di Modena, Modena 41124, Italy. bertani.helga@aou.mo.it.
Raffaele PezzilliDepartment of Internal Medicine, Policlinico S.Orsola Malpighi, Bologna 40121, Italy.
Flavia PigòGastroenterology and Digestive Endoscopy Unit, Azienda Ospedaliero Universitaria Policlinico di Modena, Modena 41124, Italy.
Mauro BrunoGastroenterology and Digestive Endoscopy Unit, AOU Città della Salute e della Scienza, University of Turin, Turin 10100, Italy.
Claudio De AngelisGastroenterology and Digestive Endoscopy Unit, AOU Città della Salute e della Scienza, University of Turin, Turin 10100, Italy.
Guido ManfrediGastroenterology and Digestive Endoscopy Department, Ospedale Maggiore, Crema 26013, Italy.
Gabriele DelconteDepartment of Diagnostic Endoscopy and Endoscopic Surgery, Istituto Nazionale Tumori, Milano 20019, Italy.
Rita ConigliaroGastroenterology and Digestive Endoscopy Unit, Azienda Ospedaliero Universitaria Policlinico di Modena, Modena 41124, Italy.
Elisabetta BuscariniGastroenterology and Digestive Endoscopy Department, Ospedale Maggiore, Crema 26013, Italy.
Azienda Ospedaliero-Universitaria di Modena · ITAzienda Ospedaliera Citta' della Salute e della Scienza di Torino · ITOspedale Maggiore · ITFondazione IRCCS Istituto Nazionale dei Tumori · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPancreatic cystic lesions (PCLs) are considered a precursor of pancreatic cancer. Needle-based confocal endomicroscopy (nCLE) is an imaging technique that enables visualization of the mucosal layer to a micron resolution. Its application has demonstrated promising results in the distinction of PCLs. This study evaluated the utility of nCLE in patients with indeterminate PCLs undergoing endoscopic ultrasound fine-needle aspiration (EUS-FNA) to distinguish mucinous from non-mucinous lesions.

aimTo evaluate the accuracy of nCLE in indeterminate PCLs undergoing EUS-FNA to distinguish mucinous from non-mucinous lesions.

methodsPatients who required EUS-FNA between 2015 and 2017 were enrolled prospectively. During EUS-FNA, confocal imaging, analyses of the tumor markers carcinoembryonic antigen and amylase, and cytologic examination were conducted. All patients were followed for at least 12 mo and underwent laboratory testing and computed tomography scanning or magnetic resonance imaging. nCLE videos were independently reviewed by 6 observers to reach a final diagnosis (mucinous

resultsFifty-nine patients were included in this study. Final diagnoses were derived from surgery in 10 patients, cytology in 13, and imaging and multidisciplinary team review in 36. Three patients were excluded from final diagnosis due to problems with nCLE acquisition. Fifty-six patients were included in the final analysis. The sensitivity, specificity, and accuracy of nCLE were 80% [95% confidence interval (CI): 65-90], 100% (95%CI: 72-100), and 84% (95%CI: 72-93), respectively. Post-procedure acute pancreatitis occurred in 5%.

conclusionEUS-nCLE performs better than standard EUS-FNA for the diagnosis of indeterminate PCL.

Indexed as

Endoscopic ultrasoundEndoscopic ultrasound fine-needle aspirationIntraductal papillary mucinous neoplasmNeedle-based confocal endomicroscopyPancreatic adenocarcinomaPancreatic cystic lesionSerous cyst adenoma

Identifiers

PMID34888007
PMCPMC8613675
OpenAlexW3213658962

What OpenQuestion holds

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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.