Evidence map›Paper›PMID 35511208›Full record

ArticleHead & neck2022

Intraoperative delineation of p16+ oropharyngeal carcinoma of unknown primary origin with fluorescence lifetime imaging: Preliminary report.

Brent W Weyers, Andrew C Birkeland, Mark A Marsden, Athena Tam, Julien Bec, Roberto P Frusciante, Dorina Gui, Arnaud F Bewley, Marianne Abouyared, Laura Marcu and 1 more

Open access · bronzeAbstract read
In one paragraph

Article in Head & neck, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 8% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Initial Direct Laryngoscopy Versus TORS Alone for Unknown Primary HPV+ Oropharyngeal Squamous Cell Carcinoma.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025
    Article
  3. Article
  4. Review
  5. Article
  6. Review
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  8. Autofluorescence Image-Guided Endoscopy in the Management of Upper Aerodigestive Tract Tumors.International journal of environmental research and public health · 2022
    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

11 authors at 2 institutions in 1 country.

Brent W WeyersDepartment of Biomedical Engineering, University of California, Davis, Davis, California, USA.ORCID 0000-0002-1939-3401
Andrew C BirkelandDepartment of Otolaryngology - Head & Neck Surgery, University of California, Davis, Davis, California, USA.ORCID 0000-0003-2500-2857
Mark A MarsdenDepartment of Biomedical Engineering, University of California, Davis, Davis, California, USA.ORCID 0000-0002-8480-9653
Athena TamDepartment of Biomedical Engineering, University of California, Davis, Davis, California, USA.ORCID 0000-0001-6166-2487
Julien BecDepartment of Biomedical Engineering, University of California, Davis, Davis, California, USA.ORCID 0000-0003-1222-4071
Roberto P FruscianteDepartment of Biomedical Engineering, University of California, Davis, Davis, California, USA.ORCID 0000-0001-9305-9922
Dorina GuiDepartment of Pathology and Laboratory Medicine, University of California, Davis, Davis, California, USA.ORCID 0000-0002-1500-6689
Arnaud F BewleyDepartment of Otolaryngology - Head & Neck Surgery, University of California, Davis, Davis, California, USA.ORCID 0000-0002-1524-1806
Marianne AbouyaredDepartment of Otolaryngology - Head & Neck Surgery, University of California, Davis, Davis, California, USA.ORCID 0000-0002-2779-5494
Laura MarcuDepartment of Biomedical Engineering, University of California, Davis, Davis, California, USA.ORCID 0000-0003-2369-0748
Donald Gregory FarwellDepartment of Otolaryngology - Head & Neck Surgery, University of California, Davis, Davis, California, USA.ORCID 0000-0003-3421-4202
University of California, Davis · USUniversity of Pennsylvania · US

Funding

Staff InvestigatorsP30CA093373 · NCI · UNIVERSITY OF CALIFORNIA DAVIS · PI Gina M Dayton · 2002 to 2026
$84.9M
UC Davis Paul Calabresi K12 Clinical Oncology Research Career Development ProgramK12CA138464 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI BIRKELAND, ANDREW CHARLES, LARA, PRIMO N. · 2011 to 2025
$11.4M
TRD3: Data Analytics and Intelligent Systems (AI-ML-DL-Visualization)P41EB032840 · NIBIB · UNIVERSITY OF CALIFORNIA AT DAVIS · PI Griffith R. Harsh · 2022 to 2026
$6.7M
Fluorescence Lifetime Imaging/Spectroscopy System For Robotic Cancer Surgery GuidanceR01CA187427 · NCI · UNIVERSITY OF CALIFORNIA AT DAVIS · PI BIRKELAND, ANDREW CHARLES, MARCU, LAURA · 2014 to 2025
$4.6M
NCI NIH HHS K12 CA138464NCI NIH HHS P30 CA093373NCI NIH HHS R01 CA187427NIBIB NIH HHS P41 EB032840NIH HHS R01 CA187427
6 · The paper itself

Abstract

backgroundThis study evaluated whether fluorescence lifetime imaging (FLIm), coupled with standard diagnostic workups, could enhance primary lesion detection in patients with p16+ head and neck squamous cell carcinoma of the unknown primary (HNSCCUP).

methodsFLIm was integrated into transoral robotic surgery to acquire optical data on six HNSCCUP patients' oropharyngeal tissues. An additional 55-patient FLIm dataset, comprising conventional primary tumors, trained a machine learning classifier; the output predicted the presence and location of HNSCCUP for the six patients. Validation was performed using histopathology.

resultsAmong the six HNSCCUP patients, p16+ occult primary was surgically identified in three patients, whereas three patients ultimately had no identifiable primary site in the oropharynx. FLIm correctly detected HNSCCUP in all three patients (ROC-AUC: 0.90 ± 0.06), and correctly predicted benign oropharyngeal tissue for the remaining three patients. The mean sensitivity was 95% ± 3.5%, and specificity 89% ± 12.7%.

conclusionsFLIm may be a useful diagnostic adjunct for detecting HNSCCUP.

Indexed as

Carcinoma, Squamous CellHead and Neck NeoplasmsNeoplasms, Unknown PrimaryOropharyngeal NeoplasmsFluorescenceHumanscancer delineationendogenous autofluorescencefluorescence lifetime imaging (FLIm)intraoperative surgical guidancemachine learning in oncology applicationsoccult primary tumororopharyngeal cancer of unknown primary originp16+ squamous cell carcinomatransoral robotic surgery

Identifiers

PMID35511208
PMCPMC9979707
OpenAlexW4229027546

What OpenQuestion holds

Textmetadata
LicenceTDM
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.