Evidence map›Paper›PMID 39980445›Full record

ArticleNeuro-oncology2025

A molecular array for 10-second diagnosis of common spinal tumor types with picosecond infrared laser mass spectrometry.

Alexa Fiorante, Michael Woolman, David G Munoz, Taira Kiyota, Lan Anna Ye, Yasmine Farahmand, Darah Vlaminck, Francis O Talbot, Sunit Das, Sorcha Kellett and 5 more

Abstract read
In one paragraph

Article in Neuro-oncology, 2025. 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
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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

15 authors.

Alexa FioranteDepartment of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada.
Michael WoolmanDepartment of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada.
David G MunozKeenan Research Center for Biomedical Science & The Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
Taira KiyotaDrug Discovery Group, Ontario Institute for Cancer Research (OICR), Toronto, Ontario, Canada.
Lan Anna YePrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Yasmine FarahmandPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Darah VlaminckDepartment of Medical Biophysics, University of Toronto, Toronto, Ontario, Canada.
Francis O TalbotPrincess Margaret Cancer Centre, University Health Network, Toronto, Ontario, Canada.
Sunit DasKeenan Research Center for Biomedical Science & The Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
Sorcha KellettKeenan Research Center for Biomedical Science & The Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
Christine GiuffridaKeenan Research Center for Biomedical Science & The Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
Gelareh ZadehDepartment of Surgery, University of Toronto, Toronto, Ontario, Canada.ORCID 0000-0002-6637-4502
Howard J GinsbergKeenan Research Center for Biomedical Science & The Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.
Ahmed AmanLeslie Dan, Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada.
Arash Zarrine-AfsarKeenan Research Center for Biomedical Science & The Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, Ontario, Canada.ORCID 0000-0002-8013-6893

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImproving the surgical outcomes for commonly occurring spinal neoplasms of extradural and intradural extramedullary origins requires precise intraoperative diagnosis provided by highly trained neuropathologists.

methodsThrough a retrospective study of n = 319 patient specimens, verified where appropriate by learning curve analysis to be sufficient for statistically significant observations, we aimed to assess the utility of 10-second picosecond infrared laser mass spectrometry (MS; PIRL-MS) for non-subjective diagnosis of major spinal tumor types of metastatic carcinoma, schwannoma, and meningiomas.

resultsThe sensitivity and specificity values of spinal tumor-type diagnosis (based on n = 182 independent specimens) were (93% ± 1)% and (97% ± 2)%, respectively. This classification utilizes n = 41 cellular lipids including phosphatidylcholines, sphingomyelins, phosphatidylethanolamines, and ceramides whose identities were established using high-resolution tandem MS. Furthermore, the accuracy of diagnosis of a model that contained n = 97 meningioma and n = 106 schwannoma was not drastically influenced by the presence of n = 54 additional intradural extramedullary spinal neoplasms of myxopapillary ependymoma, neurofibroma, paraganglioma, and solitary fibrous tumor types in the differential diagnosis, confirming the generalizability and robustness of the identified molecular array in rendering correct classification even in the presence of data not seen previously by the model.

conclusionsThe identified lipids form a "molecular array" for robust diagnosis of meningioma and schwannoma tumors by non-pathologists in a manner similar to genomic, transcriptomic, or methylomic arrays used to diagnose brain cancer types, albeit on a much faster timescale of seconds as opposed to hours.

Indexed as

Biomarkers, TumorMass SpectrometryMeningiomaNeurilemmomaSpinal NeoplasmsAdultAgedFemaleHumansLasersMaleMeningeal NeoplasmsMiddle AgedPrognosisRetrospective StudiesBiomarkers, Tumordiagnostic biomarkerslipidomicsmass spectrometrynon-subjective diagnosispicosecond infrared laser mass spectrometryrapid diagnosisspinal tumors

Identifiers

PMID39980445
PMCPMC12448866

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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.