Evidence map›Paper›PMID 37543553›Full record

ReviewAnnals of surgical oncology2023

Identification of Pediatric Tumors Intraoperatively Using Indocyanine Green (ICG).

Luca Pio, Marc H W A Wijnen, Stefano Giuliani, Sabine Sarnacki, Andrew M Davidoff, Abdelhafeez H Abdelhafeez

Abstract readReview
PubMed Publisher
In one paragraph

Review in Annals of surgical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
7.5field-weighted citation impact, top 2% 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

17 citing papers in PubMed, 26 citations in OpenAlex.

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  11. Hepatoblastoma.Nature reviews. Disease primers · 2025
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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

6 authors at 4 institutions in 4 countries.

Luca PioDepartment of Surgery, MS133, St. Jude Children's Researsch Hospital, Memphis, TN, USA.
Marc H W A WijnenDepartment of Surgery, Princess Maxima Center for Pediatric Oncology, Utrecht, The Netherlands.
Stefano GiulianiWellcome/EPSRC Centre for Interventional and Surgical Sciences, University College London, London, UK.
Sabine SarnackiDepartment of Pediatric Surgery, Urology and Transplantation, Necker-Enfants Malades Hospital, GH Centre, APHP, Paris, France.
Andrew M DavidoffDepartment of Surgery, MS133, St. Jude Children's Researsch Hospital, Memphis, TN, USA.
Abdelhafeez H AbdelhafeezDepartment of Surgery, MS133, St. Jude Children's Researsch Hospital, Memphis, TN, USA. Hafeez.Abdelhafeez@stjude.org.
St. Jude Children's Research Hospital · USPrincess Máxima Center · NLUniversité Paris Cité · FRUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFluorescence-guided surgery (FGS) with indocyanine green (ICG) is increasingly applied in pediatric surgical oncology. However, FGS has been mostly reported in case studies of liver or renal tumors. Applying novel technologies in pediatric surgical oncology is more challenging than in adult surgical oncology due to differences in tumor histology, biology, and fewer cases. No consensus exists on ICG-guided FGS for surgically managing pediatric solid tumors. Therefore, we reviewed the literature and discuss the limitations and prospects of FGS.

methodsUsing PRISMA guidelines, we analyzed articles on ICG-guided FGS for childhood solid tumors. Case reports, opinion articles, and narrative reviews were excluded.

resultsOf the 108 articles analyzed, 17 (14 retrospective and 3 prospective) met the inclusion criteria. Most (70.6%) studies used ICG to identify liver tumors, but the timing and dose of ICG administered varied. Intraoperative outcomes, sensitivity and specificity, were reported in 23.5% of studies. Fluorescence-guided liver resections resulted in negative margins in 90-100% of cases; lung metastasis was detected in 33% of the studies. In otolaryngologic malignancies, positive margins without fluorescence signal were reported in 25% of cases. Overall, ICG appeared effective and safe for lymph node sampling and nephron-sparing procedures.

conclusionsDespite promising results from FGS, ICG use varies across the international pediatric surgical oncology community. Underreported intraoperative imaging outcomes and the diversity and rarity of childhood solid tumors hinder conclusive scientific evidence supporting adoption of ICG in pediatric surgical oncology. Further international collaborations are needed to study the applications and limitations of ICG in pediatric surgical oncology.

Indexed as

Coloring AgentsIndocyanine GreenNeoplasmsOptical ImagingSurgery, Computer-AssistedChildHumansPrognosisColoring AgentsIndocyanine GreenFluorescence-guided surgeryICGIntraoperative imagingPediatric surgical oncologyPediatric tumorsPrecision surgery

Identifiers

PMID37543553
OpenAlexW4385604358

What OpenQuestion holds

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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.