Evidence map›Paper›PMID 36765858›Full record

ReviewCancers2023

Intraoperative Imaging Techniques to Improve Surgical Resection Margins of Oropharyngeal Squamous Cell Cancer: A Comprehensive Review of Current Literature.

Bertram J de Kleijn, Gijs T N Heldens, Jasmijn M Herruer, Cornelis F M Sier, Cesare Piazza, Remco de Bree, Orlando Guntinas-Lichius, Luiz P Kowalski, Vincent Vander Poorten, Juan P Rodrigo and 7 more

Abstract readReview
In one paragraph

Review in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Invasive Squamous Cell Carcinoma of the Larynx in a Dog.Case reports in veterinary medicine · 2026
    Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. 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

17 authors.

Bertram J de KleijnDepartment of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, 6225 GA Nijmegen, The Netherlands.
Gijs T N HeldensDepartment of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, 6225 GA Nijmegen, The Netherlands.ORCID 0000-0003-4912-7806
Jasmijn M HerruerDepartment of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, 6225 GA Nijmegen, The Netherlands.
Cornelis F M SierDepartment of Oncologic Surgery, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands.ORCID 0000-0002-4337-2758
Cesare PiazzaUnit of Otorhinolaryngology-Head and Neck Surgery, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, 25123 Brescia, Italy.
Remco de BreeDepartment of Head and Neck Surgical Oncology, University Medical Center Utrecht, 3584 CX Utrecht, The Netherlands.ORCID 0000-0001-7128-5814
Orlando Guntinas-LichiusDepartment of Otorhinolaryngology, Jena University Hospital, 07747 Jena, Germany.ORCID 0000-0001-9671-0784
Luiz P KowalskiDepartment of Head and Neck Surgery, University of Sao Paulo Medical School, Sao Paulo 01509, Brazil.ORCID 0000-0002-0481-156X
Vincent Vander PoortenDepartment of Otorhinolaryngology-Head and Neck Surgery, University Hospitals Leuven, 3000 Leuven, Belgium.ORCID 0000-0003-1341-829X
Juan P RodrigoDepartment of Otolaryngology, Hospital Universitario Central de Asturias, University of Oviedo, ISPA, IUOPA, CIBERONC, 33011 Oviedo, Spain.ORCID 0000-0003-3063-0890
Nina ZidarInstitute of Pathology, Faculty of Medicine, University of Ljubljana, 1000 Ljubljana, Slovenia.ORCID 0000-0001-6866-3220
Cherie-Ann NathanDepartment of Otolaryngology-Head and Neck Surgery, Louisiana State University-Health Shreveport, Shreveport, LA 71101, USA.ORCID 0000-0001-7386-318X
Raymond K TsangDepartment of Otolaryngology-Head and Neck Surgery, National University of Singapore, Level 7 Tower Block, National University Hospital, 1E Kent Ridge Road, Singapore 119228, Singapore.ORCID 0000-0003-1956-5821
Pawel GolusinskiDepartment of Otolaryngology and Maxillofacial Surgery, University of Zielona Gora, 65-417 Zielona Gora, Poland.ORCID 0000-0002-3937-5315
Ashok R ShahaHead and Neck Service, Department of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.
Alfio FerlitoCoordinator of the International Head and Neck Scientific Group, 35122 Padua, Italy.ORCID 0000-0002-8247-8002
Robert P TakesDepartment of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, 6225 GA Nijmegen, The Netherlands.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Inadequate resection margins in head and neck squamous cell carcinoma surgery necessitate adjuvant therapies such as re-resection and radiotherapy with or without chemotherapy and imply increasing morbidity and worse prognosis. On the other hand, taking larger margins by extending the resection also leads to avoidable increased morbidity. Oropharyngeal squamous cell carcinomas (OPSCCs) are often difficult to access; resections are limited by anatomy and functionality and thus carry an increased risk for close or positive margins. Therefore, there is a need to improve intraoperative assessment of resection margins. Several intraoperative techniques are available, but these often lead to prolonged operative time and are only suitable for a subgroup of patients. In recent years, new diagnostic tools have been the subject of investigation. This study reviews the available literature on intraoperative techniques to improve resection margins for OPSCCs. A literature search was performed in Embase, PubMed, and Cochrane. Narrow band imaging (NBI), high-resolution microendoscopic imaging, confocal laser endomicroscopy, frozen section analysis (FSA), ultrasound (US), computed tomography scan (CT), (auto) fluorescence imaging (FI), and augmented reality (AR) have all been used for OPSCC. NBI, FSA, and US are most commonly used and increase the rate of negative margins. Other techniques will become available in the future, of which fluorescence imaging has high potential for use with OPSCC.

Indexed as

augmented reality(auto) fluorescence imagingcomputed tomographyconfocal laser endomicroscopyfrozen section analysishigh resolution microendoscopic imagingintraoperative imagingnarrow band imagingtransoral surgeryultrasound

Identifiers

PMID36765858
PMCPMC9913756

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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.