Evidence map›Paper›PMID 38741783›Full record

ArticleFrontiers in oncology2024

Automated online safety margin (GLIOVIS) for glioma surgery model.

Marianne Mazevet, Christian Oberli, Sebastiano Marinelli, Ismail Zaed, Stefanie Bauer, Alain Kaelin-Lang, Francesco Marchi, Roberto Gardenghi, Michael Reinert, Andrea Cardia

Abstract read
In one paragraph

Article in Frontiers in oncology, 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
–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

2 citing papers in PubMed.

  1. Review
  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

10 authors.

Marianne MazevetDepartment of Innovative Technologies, University of Applied Sciences and Arts of Southern Switzerland, Lugano, Switzerland.
Christian OberliDepartment of Innovative Technologies, University of Applied Sciences and Arts of Southern Switzerland, Lugano, Switzerland.
Sebastiano MarinelliDepartment of Innovative Technologies, University of Applied Sciences and Arts of Southern Switzerland, Lugano, Switzerland.
Ismail ZaedDepartment of Neurosurgery, Neurocenter of Southern Switzerland, Ente Ospedaliero Cantonale, Lugano, Switzerland.
Stefanie BauerFaculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland.
Alain Kaelin-LangFaculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland.
Francesco MarchiDepartment of Neurosurgery, Neurocenter of Southern Switzerland, Ente Ospedaliero Cantonale, Lugano, Switzerland.
Roberto GardenghiDepartment of Innovative Technologies, University of Applied Sciences and Arts of Southern Switzerland, Lugano, Switzerland.
Michael ReinertFaculty of Biomedical Sciences, Università della Svizzera Italiana, Lugano, Switzerland.
Andrea CardiaDepartment of Neurosurgery, Neurocenter of Southern Switzerland, Ente Ospedaliero Cantonale, Lugano, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Glioblastoma is the most common type of primary brain malignancy and has a poor prognosis. The standard treatment strategy is based on maximal safe surgical resection followed by radiotherapy and chemotherapy. Surgical resection can be optimized by using 5-delta-aminolevulinic acid (5-ALA)-induced fluorescence, which is the current mainstay. Although 5-ALA-induced fluorescence has gained general acceptance, it is also limited by inter-observer variability and non-standardized fluorescence parameters. We present a new software for processing images analysis to better recognize the tumor infiltration margins using an intraoperative immediate safety map of 5-ALA-induced fluorescence. We tested this in a brain model using a commercial surgical exoscope. Methods: A dedicated software GLIOVIS (ACQuF-II, Advanced Colorimetry-based Quantification of Fluorescence) was designed for processing analysis of images taken on the Intraoperative Orbital Camera Olympus Orbeye (IOC) to determine the relative quantification of Protoporphyrin IX (5-ALA metabolite) fluorescence. The software allows to superpose the new fluorescence intensity map and the safety margins over the original images. The software was tested on gel-based brain models. Results: Two surrogate models were developed: PpIX agarose gel-integrated in gelatin-based brain model at different scales (1:25 and 1:1). The images taken with the IOC were then processed using GLIOVIS. The intensity map and safety margins could be obtained for all available models. Conclusions: GLIOVIS for 5-ALA-guided surgery image processing was validated on various gelatin-based brain models. Different levels of fluorescence could be qualitatively digitalized using this technique. These results need to be further confirmed and corroborated

Indexed as

5-ALA–guided surgeryfluorescence quantificationglioblastomagliolansafety margins

Identifiers

PMID38741783
PMCPMC11089175

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