Evidence map›Paper›PMID 36241982›Full record

Trial reportBMC cancer2022

Sentinel lymph node mapping with superparamagnetic iron oxide for melanoma: a pilot study in healthy participants to establish an optimal MRI workflow protocol.

Loeki Aldenhoven, Caroline Frotscher, Rachelle Körver-Steeman, Milou H Martens, Damir Kuburic, Alfred Janssen, Geerard L Beets, James van Bastelaar

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05054062 (Sentinel Lymph Node Mapping With Superparamagnetic Iron Oxide for Melanoma), which is not on this map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
0.9field-weighted citation impact, top 23% 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.

NCT05054062 nacompletednot on this map

Sentinel Lymph Node Mapping With Superparamagnetic Iron Oxide for Melanoma: a Pilot Study in Healthy Participants to Establish an Optimal MRI Workflow Protocol

TypeinterventionalSponsorZuyderland Medisch CentrumRan2021 to 2021Enrolled6ConditionsMelanomaArmsSentinel node mapping using MRI
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
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  3. Article
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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

8 authors at 2 institutions in 1 country.

Loeki AldenhovenDepartment of Surgery, Zuyderland Medical Center, Dr. H. van der Hoffplein 1, 6262 BG, Sittard-Geleen, the Netherlands. l.aldenhoven@zuyderland.nl.
Caroline FrotscherDepartment of Radiology, Zuyderland Medical Center, Dr. H. van der Hoffplein 1, 6262 BG, Sittard-Geleen, the Netherlands.
Rachelle Körver-SteemanDepartment of Radiology, Zuyderland Medical Center, Dr. H. van der Hoffplein 1, 6262 BG, Sittard-Geleen, the Netherlands.
Milou H MartensDepartment of Surgery, Zuyderland Medical Center, Dr. H. van der Hoffplein 1, 6262 BG, Sittard-Geleen, the Netherlands.
Damir KuburicDepartment of Radiology, Zuyderland Medical Center, Dr. H. van der Hoffplein 1, 6262 BG, Sittard-Geleen, the Netherlands.
Alfred JanssenDepartment of Surgery, Zuyderland Medical Center, Dr. H. van der Hoffplein 1, 6262 BG, Sittard-Geleen, the Netherlands.
Geerard L BeetsPresent address: Department of Surgery, Zuyderland Medical Center, Postbus 5500 , 6130 , MB, Sittard, the Netherlands.
James van BastelaarDepartment of Surgery, Zuyderland Medical Center, Dr. H. van der Hoffplein 1, 6262 BG, Sittard-Geleen, the Netherlands.
Zuyderland Medisch Centrum · NLMaastricht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent pre-operative Sentinel Lymph Node (SLN) mapping using dual tracing is associated with drawbacks (radiation exposure, logistic challenges). Superparamagnetic iron oxide (SPIO) is a non-inferior alternative for SLN mapping in breast cancer patients. Limited research has been performed on SPIO use and pre-operative MRI in melanoma patients to identify SLNs. 

methodsHealthy participants underwent MRI-scanning pre- and post SPIO-injection during 20 min. Workflow protocols varied in dosage, massage duration, route of administration and injection sites. The first lymph node showing a susceptibility artefact caused by SPIO accumulation was considered as SLN.

resultsArtefacts were identified in 5/6 participants. Two participants received a 0.5 ml subcutaneous injection and 30-s massage, of which one showed an artefact after one hour. Four participants received a 1.0 ml intracutaneous injection and two-minute massage, leading to artefacts in all participants. All SLNs were observed within five minutes, except after lower limb injection (30 min).

conclusionSPIO and pre-operative MRI-scanning seems to be a promising alternative for SLN visualization in melanoma patients. An intracutaneous injection of 1.0 ml SPIO tracer, followed by a two-minute massage seems to be the most effective technique, simplifying the pre-operative pathway. Result will be used in a larger prospective study with melanoma patients.

trial registrationClinicalTrials.gov (NCT05054062) - September 9, 2021.

Indexed as

MelanomaSentinel Lymph NodeFerric CompoundsHealthy VolunteersHumansLymph NodesMagnetic Iron Oxide NanoparticlesMagnetic Resonance ImagingPilot ProjectsProspective StudiesSentinel Lymph Node BiopsyWorkflowFerric Compoundsferric oxideMagnetic iron oxide nanoparticlesMelanomaSentinel lymph node biopsySurgical oncology

Identifiers

PMID36241982
PMCPMC9563818
OpenAlexW4306168802

What OpenQuestion holds

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LicenceCC BY
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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.