Evidence map›Paper›PMID 39034960›Full record

ArticleJournal of biomedical optics2025

Exploring near-infrared autofluorescence properties in parathyroid tissue: an analysis of fresh and paraffin-embedded thyroidectomy specimens.

Bo Wang, Chi-Peng Zhou, Wei Ao, Shao-Jun Cai, Zhi-Wen Ge, Jun Wang, Wen-Yu Huang, Jia-Fan Yu, Si-Bin Wu, Shou-Yi Yan and 7 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of biomedical optics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07010380 (A Multicenter Prospective Paired Observational Study Evaluating the Performance of the PTFinder Dual-Channel Near-Infrared and White-Light Imaging System With AI-Assisted Analysis for Rapid Identification of Parathyroid Glands in Surgical Specimens), which is not on this 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.

NCT07010380 recruitingnot on this map

A Multicenter Prospective Paired Observational Study Evaluating the Performance of the PTFinder Dual-Channel Near-Infrared and White-Light Imaging System With AI-Assisted Analysis for Rapid Identification of Parathyroid Glands in Surgical Specimens

Typeobservational_patient_registrySponsorBo Wang,MDRan2025 to 2029Enrolled180ConditionsThyroid Neoplasms, Hyperparathyroidism, Parathyroid GlandArmsPTFinder Dual-Channel NIR Autofluorescence Imaging System, Offline Machine-Learning Algorithm (PTFinder-AI Beta)
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  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

17 authors.

Bo WangFujian Medical University Union Hospital, Department of Thyroid Surgery, Fuzhou, China.ORCID 0000-0003-1029-3954
Chi-Peng ZhouFujian Medical University Union Hospital, Department of Thyroid Surgery, Fuzhou, China.ORCID 0009-0008-3469-4123
Wei AoFujian Medical University Union Hospital, Department of Thyroid Surgery, Fuzhou, China.ORCID 0000-0001-9367-1425
Shao-Jun CaiFujian Medical University Union Hospital, Department of Thyroid Surgery, Fuzhou, China.ORCID 0000-0003-2501-3951
Zhi-Wen GeFujian Medical University Union Hospital, Department of Pathology, Fuzhou, China.ORCID 0009-0004-6750-1288
Jun WangFujian Medical University Union Hospital, Department of Thyroid Surgery, Fuzhou, China.ORCID 0009-0000-5015-6845
Wen-Yu HuangFujian Medical University Union Hospital, Department of Thyroid Surgery, Fuzhou, China.ORCID 0009-0005-9236-9941
Jia-Fan YuFujian Medical University Union Hospital, Department of Thyroid Surgery, Fuzhou, China.ORCID 0000-0003-4906-7874
Si-Bin WuFujian Medical University Union Hospital, Department of Thyroid Surgery, Fuzhou, China.ORCID 0009-0001-1155-6333
Shou-Yi YanFujian Medical University Union Hospital, Department of Thyroid Surgery, Fuzhou, China.ORCID 0000-0003-3092-2842
Li-Yong ZhangFujian Medical University Union Hospital, Department of Thyroid Surgery, Fuzhou, China.ORCID 0000-0003-1817-4511
Si-Si WangFujian Medical University Union Hospital, Department of Thyroid Surgery, Fuzhou, China.ORCID 0000-0002-0194-8595
Zhi-Hong WangThe First Affiliated Hospital of China Medical University, Department of Thyroid Surgery, Shenyang, China.ORCID 0000-0002-4465-1441
Surong HuaPeking Union Medical College, Department of General Surgery, Peking, China.ORCID 0000-0003-3630-3954
Amr H Abdelhamid AhmedHarvard Medical School, Division of Thyroid and Parathyroid Endocrine Surgery, Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, United States.ORCID 0000-0001-5611-5833
Gregory W RandolphHarvard Medical School, Division of Thyroid and Parathyroid Endocrine Surgery, Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts, United States.ORCID 0000-0001-5373-9181
Wen-Xin ZhaoFujian Medical University Union Hospital, Department of Thyroid Surgery, Fuzhou, China.ORCID 0000-0003-2025-4246

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Significance: Near-infrared autofluorescence (NIRAF) utilizes the natural autofluorescence of parathyroid glands (PGs) to improve their identification during thyroid surgeries, reducing the risk of inadvertent removal and subsequent complications such as hypoparathyroidism. This study evaluates NIRAF's effectiveness in real-world surgical settings, highlighting its potential to enhance surgical outcomes and patient safety. Aim: We evaluate the effectiveness of NIRAF in detecting PGs during thyroidectomy and central neck dissection and investigate autofluorescence characteristics in both fresh and paraffin-embedded tissues. Approach: We included 101 patients diagnosed with papillary thyroid cancer who underwent surgeries in 2022 and 2023. We assessed NIRAF's ability to locate PGs, confirmed via parathyroid hormone assays, and involved both junior and senior surgeons. We measured the accuracy, speed, and agreement levels of each method and analyzed autofluorescence persistence and variation over 10 years, alongside the expression of calcium-sensing receptor (CaSR) and vitamin D. Results: NIRAF demonstrated a sensitivity of 89.5% and a negative predictive value of 89.1%. However, its specificity and positive predictive value (PPV) were 61.2% and 62.3%, respectively, which are considered lower. The kappa statistic indicated moderate to substantial agreement (kappa = 0.478; Conclusions: NIRAF is useful for PG identification in thyroid and neck surgeries, enhancing efficiency and reducing inadvertent PG removals. The stability of autofluorescence in paraffin samples suggests its long-term viability, with false positives providing insights for further improvements in NIRAF technology.

Indexed as

Optical ImagingParathyroid GlandsSpectroscopy, Near-InfraredThyroidectomyAdultAgedFemaleHumansMaleMiddle AgedParaffin EmbeddingReceptors, Calcium-SensingThyroid Cancer, PapillaryReceptors, Calcium-Sensingcentral necknear-infrared autofluorescenceparathyroid glandthyroidectomy

Identifiers

PMID39034960
PMCPMC11256002

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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.