Evidence map›Paper›PMID 38233608›Full record

Trial reportEuropean journal of nuclear medicine and molecular imaging2024

Steerable DROP-IN radioguidance during minimal-invasive non-robotic cervical and endometrial sentinel lymph node surgery.

Matthias N van Oosterom, Berta Diaz-Feijóo, Maria Isabel Santisteban, Núria Sánchez-Izquierdo, Andrés Perissinotti, Ariel Glickman, Tiermes Marina, Aureli Torné, Fijs W B van Leeuwen, Sergi Vidal-Sicart

Registry-linked trialOpen access · hybridAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in European journal of nuclear medicine and molecular imaging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04492995 (Sentinel Node in Endometrial Cancer by Detection of Hybrid), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.3field-weighted citation impact, top 14% 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.

NCT04492995 phase2unknown statusnot on this map

Sentinel Node in Endometrial Cancer by Detection of Hybrid ([99mTc] Tc-albumin Nanocoloid-ICG). A Comparative Pilot Study Between the Lymphatic Map Derived From the Cervical Puncture Versus Myometrial

TypeinterventionalSponsorJudit Pich MartínezRan2020 to 2023Enrolled70ConditionsEndometrial CancerArmsinjection via TUMIR of the tracer [99mTc] Tc-albumin nanocoloid-ICG (6 mCi, 4 ml), injection via TUMIR of [99mTc] Tc-albumin nanocoloid (6mCi, 8ml).
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Review
  3. Nuclear medicine in the operating room: present and future.The British journal of radiology · 2026
    Review
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

10 authors at 2 institutions in 2 countries.

Matthias N van OosteromInterventional Molecular Imaging Laboratory, Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands. m.n.van_oosterom@lumc.nl.ORCID 0000-0003-0306-2568
Berta Diaz-FeijóoGynecology Oncology Unit, Institute Clínic of Gynecology, Obstetrics, and Neonatology, Hospital Clinic of Barcelona, Barcelona, Spain.ORCID 0000-0002-6451-1817
Maria Isabel SantistebanNuclear Medicine Department, Hospital Clínic of Barcelona, Barcelona, Spain.
Núria Sánchez-IzquierdoFundació de Recerca Clínic Barcelona - Institut d'Investigacions Biomèdiques August Pi I Sunyer (FRCB-IDIBAPS), Barcelona, Spain.
Andrés PerissinottiFundació de Recerca Clínic Barcelona - Institut d'Investigacions Biomèdiques August Pi I Sunyer (FRCB-IDIBAPS), Barcelona, Spain.ORCID 0000-0003-4190-2425
Ariel GlickmanGynecology Oncology Unit, Institute Clínic of Gynecology, Obstetrics, and Neonatology, Hospital Clinic of Barcelona, Barcelona, Spain.ORCID 0000-0002-5233-5545
Tiermes MarinaGynecology Oncology Unit, Institute Clínic of Gynecology, Obstetrics, and Neonatology, Hospital Clinic of Barcelona, Barcelona, Spain.ORCID 0000-0002-3307-5346
Aureli TornéGynecology Oncology Unit, Institute Clínic of Gynecology, Obstetrics, and Neonatology, Hospital Clinic of Barcelona, Barcelona, Spain.ORCID 0000-0003-4700-9507
Fijs W B van LeeuwenInterventional Molecular Imaging Laboratory, Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands.ORCID 0000-0002-6844-4025
Sergi Vidal-SicartFundació de Recerca Clínic Barcelona - Institut d'Investigacions Biomèdiques August Pi I Sunyer (FRCB-IDIBAPS), Barcelona, Spain.ORCID 0000-0002-6303-3606
Hospital Clínic de Barcelona · ESLeiden University Medical Center · NL

Funding

Sociedad Española de Medicina Nuclear e Imagen Molecular SEMNIM-Janssen-Cilag S.A. (2021)Stichting voor de Technische Wetenschappen KICH1.ST03.21.030Stichting voor de Technische Wetenschappen VICI TTW 16141
6 · The paper itself

Abstract

purposeThe recently introduced tethered DROP-IN gamma probe has revolutionized the way robotic radioguided surgery is performed, fully exploiting the nature of steerable robotic instruments. Given this success, the current first-in-human study investigates if the DROP-IN can also provide benefit in combination with steerable non-robotic instruments during conventional laparoscopic surgery, showing equivalence or even benefit over a traditional rigid gamma probe.

methodsThe evaluation was performed in ten patients during laparoscopic cervical (n = 4) and endometrial (n = 6) cancer sentinel lymph node (SLN) procedures. Surgical guidance was provided using the hybrid, or bi-modal, SLN tracer ICG-

resultsThe gynecologists experienced an enlarged freedom of movement when using the DROP-IN + LaproFlex combination compared to the rigid laparoscopic probe, making it possible to better isolate the SLN signal from background signals. This did not translate into a change in the SLN find rate yet. In both cervical and endometrial cancer combined, the rigid probe and DROP-IN + LaproFlex combination provided an equivalent detection rate of 96%, while fluorescence provided 85%.

conclusionWe have successfully demonstrated the in-human use of steerable DROP-IN radioguidance during laparoscopic cervical and endometrial cancer SLN procedures, expanding the utility beyond robotic procedures. Indicating an improved surgical experience, these findings encourage further investigation and consideration on a path towards routine clinical practice and improved patient outcome.

trial registrationHCB/2021/0777 and NCT04492995; https://clinicaltrials.gov/study/NCT04492995.

Indexed as

Endometrial NeoplasmsSentinel Lymph NodeUterine Cervical NeoplasmsAdultAgedFemaleHumansLaparoscopyMiddle AgedPilot ProjectsSentinel Lymph Node BiopsySurgery, Computer-AssistedCervical cancerEndometrial cancerLaparoscopic surgeryRadioguided surgerySentinel lymph nodeSteerable instruments

Identifiers

PMID38233608
PMCPMC11300633
OpenAlexW4390979673

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.