Evidence map›Paper›PMID 34914024›Full record

ArticleNeurosurgical review2022

Stimulated Raman histology in the neurosurgical workflow of a major European neurosurgical center - part A.

Nicolas Neidert, Jakob Straehle, Daniel Erny, Vlad Sacalean, Amir El Rahal, David Steybe, Rainer Schmelzeisen, Andreas Vlachos, Peter Christoph Reinacher, Volker Arnd Coenen and 5 more

Abstract read
In one paragraph

Article in Neurosurgical review, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Article
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  3. The Freiburg framework for multimodalFrontiers in synaptic neuroscience · 2026
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  7. Article
  8. Article
  9. Review
  10. Review
  11. Advancements in Neurosurgical Intraoperative Histology.Tomography (Ann Arbor, Mich.) · 2024
    Review
  12. Review
  13. Clinical Validation of Stimulated Raman Histology for Rapid Intraoperative Diagnosis of Central Nervous System Tumors.Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc · 2023
    Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. 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.

Nicolas NeidertDepartment of Neurosurgery, Medical Center, University of Freiburg, Freiburg, Germany.
Jakob StraehleDepartment of Neurosurgery, Medical Center, University of Freiburg, Freiburg, Germany.
Daniel ErnyInstitute of Neuropathology, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Vlad SacaleanDepartment of Neurosurgery, Medical Center, University of Freiburg, Freiburg, Germany.
Amir El RahalDepartment of Neurosurgery, Medical Center, University of Freiburg, Freiburg, Germany.
David SteybeDepartment of Oral and Maxillofacial Surgery, Medical Center, University of Freiburg, Freiburg, Germany.
Rainer SchmelzeisenDepartment of Oral and Maxillofacial Surgery, Medical Center, University of Freiburg, Freiburg, Germany.
Andreas VlachosMedical Faculty, Freiburg University, Freiburg, Germany.
Peter Christoph ReinacherMedical Faculty, Freiburg University, Freiburg, Germany.
Volker Arnd CoenenMedical Faculty, Freiburg University, Freiburg, Germany.
Boris MizaikoffInstitute of Analytical and Bioanalytical Chemistry, Ulm University, Ulm, Germany.
Dieter Henrik HeilandDepartment of Neurosurgery, Medical Center, University of Freiburg, Freiburg, Germany.
Marco PrinzInstitute of Neuropathology, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Jürgen BeckDepartment of Neurosurgery, Medical Center, University of Freiburg, Freiburg, Germany.
Oliver SchnellDepartment of Neurosurgery, Medical Center, University of Freiburg, Freiburg, Germany. oliver.schnell@uniklinik-freiburg.de.ORCID http://orcid.org/0000-0002-1284-1427

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Histopathological diagnosis is the current standard for the classification of brain and spine tumors. Raman spectroscopy has been reported to allow fast and easy intraoperative tissue analysis. Here, we report data on the intraoperative implementation of a stimulated Raman histology (SRH) as an innovative strategy offering intraoperative near real-time histopathological analysis. A total of 429 SRH images from 108 patients were generated and analyzed by using a Raman imaging system (Invenio Imaging Inc.). We aimed at establishing a dedicated workflow for SRH serving as an intraoperative diagnostic, research, and quality control tool in the neurosurgical operating room (OR). First experiences with this novel imaging modality were reported and analyzed suggesting process optimization regarding tissue collection, preparation, and imaging. The Raman imaging system was rapidly integrated into the surgical workflow of a large neurosurgical center. Within a few minutes of connecting the device, the first high-quality images could be acquired in a "plug-and-play" manner. We did not encounter relevant obstacles and the learning curve was steep. However, certain prerequisites regarding quality and acquisition of tissue samples, data processing and interpretation, and high throughput adaptions must be considered. Intraoperative SRH can easily be integrated into the workflow of neurosurgical tumor resection. Considering few process optimizations that can be implemented rapidly, high-quality images can be obtained near real time. Hence, we propose SRH as a complementary tool for the diagnosis of tumor entity, analysis of tumor infiltration zones, online quality and safety control and as a research tool in the neurosurgical OR.

Indexed as

Brain NeoplasmsHumansNeurosurgical ProceduresOperating RoomsSpectrum Analysis, RamanWorkflowExtent of resectionNeurooncolocyNeurosurgeryStimulated Raman histologyTissue imaging

Identifiers

PMID34914024
PMCPMC8976801

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.