Evidence map›Paper›PMID 36138818›Full record

ArticleBiology2022

Intraoperative Flow Cytometry for the Characterization of Gynecological Malignancies.

Zoi Anastasiadi, Stefania Mantziou, Christos Akrivis, Minas Paschopoulos, Eufemia Balasi, Georgios D Lianos, George A Alexiou, Michail Mitsis, George Vartholomatos, Georgios S Markopoulos

Open access · goldAbstract read
In one paragraph

Article in Biology, 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
0.9field-weighted citation impact, top 27% 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, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Advances in Intraoperative Flow Cytometry.International journal of molecular sciences · 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

10 authors at 3 institutions in 1 country.

Zoi AnastasiadiDepartment of Obstetrics and Gynecology, 'G. Chatzikosta' General Hospital, 45001 Ioannina, Greece.
Stefania MantziouHaematology Laboratory-Unit of Molecular Biology, University Hospital of Ioannina, 45500 Ioannina, Greece.
Christos AkrivisDepartment of Obstetrics and Gynecology, 'G. Chatzikosta' General Hospital, 45001 Ioannina, Greece.
Minas PaschopoulosDepartment of Obstetrics and Gynecology, University Hospital of Ioannina, 45500 Ioannina, Greece.
Eufemia BalasiPathology Department, 'G. Chatzikosta' General Hospital, 45001 Ioannina, Greece.
Georgios D LianosDepartment of Surgery, University Hospital of Ioannina, 45500 Ioannina, Greece.ORCID 0000-0002-6106-8178
George A AlexiouDepartment of Neurosurgery, University Hospital of Ioannina, 45500 Ioannina, Greece.
Michail MitsisDepartment of Surgery, University Hospital of Ioannina, 45500 Ioannina, Greece.
George VartholomatosHaematology Laboratory-Unit of Molecular Biology, University Hospital of Ioannina, 45500 Ioannina, Greece.
Georgios S MarkopoulosHaematology Laboratory-Unit of Molecular Biology, University Hospital of Ioannina, 45500 Ioannina, Greece.ORCID 0000-0002-7700-7003
University Hospital of Ioannina · GRGeneral Hospital of Ioannina G. Hatzikosta · GRUniversity of Ioannina · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cell-cycle analysis has shown the presence of aneuploidy to be associated with poor prognosis. We developed an innovative rapid cell-cycle analysis protocol (the Ioannina protocol) that permitted the intraoperative identification of neoplastic cells in a plethora of malignancies. Herein, we aimed to investigate the potential role of cell-cycle analysis in the intraoperative characterization of gynecological malignancies. Women who underwent surgery for gynecological malignancies in our institution over a three-year period were included in this study. Permanent section pathology evaluation was used as the gold standard for malignancy evaluation. Total accordance was observed between flow cytometry and pathology evaluation. In total, 21 aneuploid cancers were detected following DNA index calculation. Of these, 20 were hyperploid and 1 was hypoploid. In addition, tumor samples were characterized by a significantly lower percentage of cells in G0/G1, as well as an induced tumor index. The response time for flow cytometry to obtain results was 5-6 min per sample. It seems that flow cytometry analyses for intraoperative tumor evaluation can be safely expanded to gynecological malignancies. This is a novel practical approach that has been proven valuable in several tumor types to date, and also seems to be reliable for gynecological malignancies. Intraoperative flow cytometry is expected to be crucial in decisions of lymph node dissection in endometrial cancers, due to its rapid response regarding the tumor invasion of part or all of the myometrial thickness. In this way, the surgeon can quickly modify the plane of dissection. Our results warrant the further investigation of applying iFC in larger, multicenter studies.

Indexed as

cancerflow cytometrygynecological malignanciessurgical oncologysurgical treatment

Identifiers

PMID36138818
PMCPMC9495699
OpenAlexW4295559790

What OpenQuestion holds

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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.