Evidence map›Paper›PMID 36890834›Full record

ArticleFrontiers in oncology2023

Flavin fluorescence lifetime and autofluorescence optical redox ratio for improved visualization and classification of brain tumors.

David Reichert, Lisa I Wadiura, Mikael T Erkkilae, Johanna Gesperger, Alexandra Lang, Thomas Roetzer-Pejrimovsky, Jessica Makolli, Adelheid Woehrer, Marco Wilzbach, Christoph Hauger and 6 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.9field-weighted citation impact, top 16% 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

11 citing papers in PubMed, 17 citations in OpenAlex.

  1. Qualitative and quantitative assessment ofBiomedical optics express · 2026
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  10. Meningiomas with CNS invasion.Frontiers in neuroscience · 2023
    Review
  11. Label-free spatially maintained measurements of metabolic phenotypes in cells.Frontiers in bioengineering and biotechnology · 2023
    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

16 authors at 4 institutions in 2 countries.

David ReichertCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.
Lisa I WadiuraDepartment of Neurosurgery, General Hospital and Medical University of Vienna, Vienna, Austria.
Mikael T ErkkilaeCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.
Johanna GespergerCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.
Alexandra LangDepartment of Neurosurgery, General Hospital and Medical University of Vienna, Vienna, Austria.
Thomas Roetzer-PejrimovskyDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Jessica MakolliDepartment of Neurosurgery, General Hospital and Medical University of Vienna, Vienna, Austria.
Adelheid WoehrerDivision of Neuropathology and Neurochemistry, Department of Neurology, Medical University of Vienna, Vienna, Austria.
Marco WilzbachAdvanced Development Microsurgery, Carl Zeiss Meditec AG, Oberkochen, Germany.
Christoph HaugerAdvanced Development Microsurgery, Carl Zeiss Meditec AG, Oberkochen, Germany.
Barbara KieselDepartment of Neurosurgery, General Hospital and Medical University of Vienna, Vienna, Austria.
Marco AndreanaCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.
Angelika UnterhuberCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.
Wolfgang DrexlerCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.
Georg WidhalmDepartment of Neurosurgery, General Hospital and Medical University of Vienna, Vienna, Austria.
Rainer A LeitgebCenter for Medical Physics and Biomedical Engineering, Medical University of Vienna, Vienna, Austria.
Medical University of Vienna · ATCarl Zeiss (Germany) · DEVienna General Hospital · ATChristian Doppler Laboratory for Thermoelectricity · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Modern techniques for improved tumor visualization have the aim to maximize the extent of resection during brain tumor surgery and thus improve patient prognosis. Optical imaging of autofluorescence is a powerful and non-invasive tool to monitor metabolic changes and transformation in brain tumors. Cellular redox ratios can be retrieved from fluorescence emitted by the coenzymes reduced nicotinamide adenine dinucleotide (phosphate) (NAD(P)H) and flavin adenine dinucleotide (FAD). Recent studies point out that the influence of flavin mononucleotide (FMN) has been underestimated. Experimental design: Fluorescence lifetime imaging and fluorescence spectroscopy were performed through a modified surgical microscope. We acquired 361 flavin fluorescence lifetime (500-580 nm) and fluorescence spectra (430-740 nm) data points on freshly excised different brain tumors: low-grade gliomas (N=17), high-grade gliomas (N=42), meningiomas (N=23), metastases (N=26) and specimens from the non-tumorous brain (N=3). Results: Protein-bound FMN fluorescence in brain tumors did increase with a shift toward a more glycolytic metabolism ( Conclusions: Our results shed light on FMN fluorescence in metabolic imaging and outline the potential for supporting the neurosurgeon in visualizing and classifying brain tumor tissue during surgery.

Indexed as

flavin mononucleotidefluorescence guided surgeryfluorescence lifetime imagingfluorescence spectroscopyoptical redox ratio

Identifiers

PMID36890834
PMCPMC9986542
OpenAlexW4321375919

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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.