Evidence map›Paper›PMID 36612208›Full record

ArticleCancers2022

Intraoperative Assessment of Tumor Margins in Tissue Sections with Hyperspectral Imaging and Machine Learning.

David Pertzborn, Hoang-Ngan Nguyen, Katharina Hüttmann, Jonas Prengel, Günther Ernst, Orlando Guntinas-Lichius, Ferdinand von Eggeling, Franziska Hoffmann

Abstract read
In one paragraph

Article in Cancers, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
–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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Label-free optical biomarker for prostate cancer diagnosis.Molecular medicine (Cambridge, Mass.) · 2026
    Article
  5. Review
  6. Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Artificial Intelligence Assurance in Head and Neck Surgery: Now and Next.Proceedings. IEEE International Symposium on Computer-Based Medical Systems · 2025
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. 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

8 authors.

David PertzbornInnovative Biophotonics & MALDI Imaging, ENT Department, Jena University Hospital, 07747 Jena, Germany.ORCID 0000-0002-0230-7765
Hoang-Ngan NguyenInnovative Biophotonics & MALDI Imaging, ENT Department, Jena University Hospital, 07747 Jena, Germany.
Katharina HüttmannInnovative Biophotonics & MALDI Imaging, ENT Department, Jena University Hospital, 07747 Jena, Germany.
Jonas PrengelInnovative Biophotonics & MALDI Imaging, ENT Department, Jena University Hospital, 07747 Jena, Germany.ORCID 0000-0003-3051-2835
Günther ErnstInnovative Biophotonics & MALDI Imaging, ENT Department, Jena University Hospital, 07747 Jena, Germany.
Orlando Guntinas-LichiusInnovative Biophotonics & MALDI Imaging, ENT Department, Jena University Hospital, 07747 Jena, Germany.ORCID 0000-0001-9671-0784
Ferdinand von EggelingInnovative Biophotonics & MALDI Imaging, ENT Department, Jena University Hospital, 07747 Jena, Germany.ORCID 0000-0002-8062-6999
Franziska HoffmannInnovative Biophotonics & MALDI Imaging, ENT Department, Jena University Hospital, 07747 Jena, Germany.ORCID 0000-0002-6872-924X

Funding

Carl Zeiss Foundation WerkstattEU Horizon 2020-ICT 101016923 CRIMSON - Coherent Raman Imaging for the molecular study of origin of diseasesHORIZON-EIC-2021-TRANSITIONCHALLENGES-01 101058004 CHARM - Chemometric Histopathology via Coherent Raman Imaging for precision medicine
6 · The paper itself

Abstract

The intraoperative assessment of tumor margins of head and neck cancer is crucial for complete tumor resection and patient outcome. The current standard is to take tumor biopsies during surgery for frozen section analysis by a pathologist after H&E staining. This evaluation is time-consuming, subjective, methodologically limited and underlies a selection bias. Optical methods such as hyperspectral imaging (HSI) are therefore of high interest to overcome these limitations. We aimed to analyze the feasibility and accuracy of an intraoperative HSI assessment on unstained tissue sections taken from seven patients with oral squamous cell carcinoma. Afterwards, the tissue sections were subjected to standard histopathological processing and evaluation. We trained different machine learning models on the HSI data, including a supervised 3D convolutional neural network to perform tumor detection. The results were congruent with the histopathological annotations. Therefore, this approach enables the delineation of tumor margins with artificial HSI-based histopathological information during surgery with high speed and accuracy on par with traditional intraoperative tumor margin assessment (Accuracy: 0.76, Specificity: 0.89, Sensitivity: 0.48). With this, we introduce HSI in combination with ML hyperspectral imaging as a potential new tool for intraoperative tumor margin assessment.

Indexed as

hyperspectral imagingintraoperative assessmentmachine learningoral squamous cell carcinomatumor detectiontumor margins

Identifiers

PMID36612208
PMCPMC9818424

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.