Evidence map›Paper›PMID 38337854›Full record

ArticleDiagnostics (Basel, Switzerland)2024

Optical Emission Spectroscopy for the Real-Time Identification of Malignant Breast Tissue.

Selin Guergan, Bettina Boeer, Regina Fugunt, Gisela Helms, Carmen Roehm, Anna Solomianik, Alexander Neugebauer, Daniela Nuessle, Mirjam Schuermann, Kristin Brunecker and 12 more

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
3.3field-weighted citation impact, top 9% 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

2 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. 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

22 authors at 2 institutions in 1 country.

Selin GuerganDepartment of Women's Health, Tuebingen University Hospital, 72076 Tübingen, Germany.ORCID 0000-0002-8837-8758
Bettina BoeerDepartment of Women's Health, Tuebingen University Hospital, 72076 Tübingen, Germany.
Regina FuguntDepartment of Women's Health, Tuebingen University Hospital, 72076 Tübingen, Germany.
Gisela HelmsDepartment of Women's Health, Tuebingen University Hospital, 72076 Tübingen, Germany.
Carmen RoehmDepartment of Women's Health, Tuebingen University Hospital, 72076 Tübingen, Germany.
Anna SolomianikDepartment of Women's Health, Tuebingen University Hospital, 72076 Tübingen, Germany.ORCID 0009-0000-9994-1836
Alexander NeugebauerErbe Elektromedizin GmbH, Waldhoernlestr. 17, 72072 Tübingen, Germany.
Daniela NuessleErbe Elektromedizin GmbH, Waldhoernlestr. 17, 72072 Tübingen, Germany.
Mirjam SchuermannErbe Elektromedizin GmbH, Waldhoernlestr. 17, 72072 Tübingen, Germany.
Kristin BruneckerErbe Elektromedizin GmbH, Waldhoernlestr. 17, 72072 Tübingen, Germany.
Ovidiu JurjutErbe Elektromedizin GmbH, Waldhoernlestr. 17, 72072 Tübingen, Germany.
Karen A BoehmeErbe Elektromedizin GmbH, Waldhoernlestr. 17, 72072 Tübingen, Germany.ORCID 0000-0001-9883-0501
Sascha DammeierErbe Elektromedizin GmbH, Waldhoernlestr. 17, 72072 Tübingen, Germany.
Markus D EnderleErbe Elektromedizin GmbH, Waldhoernlestr. 17, 72072 Tübingen, Germany.
Sabrina BettioInstitute of Pathology and Neuropathology, Tuebingen University Hospital, 72076 Tübingen, Germany.
Irene Gonzalez-MenendezInstitute of Pathology and Neuropathology, Tuebingen University Hospital, 72076 Tübingen, Germany.
Annette StaeblerInstitute of Pathology and Neuropathology, Tuebingen University Hospital, 72076 Tübingen, Germany.
Sara Y BruckerDepartment of Women's Health, Tuebingen University Hospital, 72076 Tübingen, Germany.ORCID 0000-0001-5162-1542
Bernhard KraemerDepartment of Women's Health, Tuebingen University Hospital, 72076 Tübingen, Germany.ORCID 0000-0002-8628-6745
Diethelm WallwienerDepartment of Women's Health, Tuebingen University Hospital, 72076 Tübingen, Germany.
Falko FendInstitute of Pathology and Neuropathology, Tuebingen University Hospital, 72076 Tübingen, Germany.ORCID 0000-0002-5496-293X
Markus HahnDepartment of Women's Health, Tuebingen University Hospital, 72076 Tübingen, Germany.
Erbe Elektromedizin (Germany) · DEUniversity of Tübingen · DE

Funding

Open Access Publishing Fund of the University of Tuebingen n/a
6 · The paper itself

Abstract

Breast conserving resection with free margins is the gold standard treatment for early breast cancer recommended by guidelines worldwide. Therefore, reliable discrimination between normal and malignant tissue at the resection margins is essential. In this study, normal and abnormal tissue samples from breast cancer patients were characterized ex vivo by optical emission spectroscopy (OES) based on ionized atoms and molecules generated during electrosurgical treatment. The aim of the study was to determine spectroscopic features which are typical for healthy and neoplastic breast tissue allowing for future real-time tissue differentiation and margin assessment during breast cancer surgery. A total of 972 spectra generated by electrosurgical sparking on normal and abnormal tissue were used for support vector classifier (SVC) training. Specific spectroscopic features were selected for the classification of tissues in the included breast cancer patients. The average classification accuracy for all patients was 96.9%. Normal and abnormal breast tissue could be differentiated with a mean sensitivity of 94.8%, a specificity of 99.0%, a positive predictive value (PPV) of 99.1% and a negative predictive value (NPV) of 96.1%. For 66.6% patients all classifications reached 100%. Based on this convincing data, a future clinical application of OES-based tissue differentiation in breast cancer surgery seems to be feasible.

Indexed as

breast cancerelectrosurgerymachine learningoptical emission spectroscopysupport vector machinetumor margintumor tissue

Identifiers

PMID38337854
PMCPMC10855719
OpenAlexW4391531338

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.