Evidence map›Paper›PMID 40427190›Full record

ArticleCancers2025

Multi-Observer Study on Diagnostic Accuracy of Pediatric Renal Tumors Imaged with Higher-Harmonic-Generation Microscopy.

Sylvia Spies, Elina Nazarian, Srinivas Annavarapu, Paola Collini, Aurore Coulomb L'Hermine, Ellen D'Hooghe, Jozef Kobos, Guillaume Morcrette, Mariana A Morini, Sergey D Popov and 6 more

Abstract read
In one paragraph

Article in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Unified Vibrational and Multiphoton Label-Free Nonlinear Microscopy for Simultaneous Chemical and Structural Imaging.IEEE journal of selected topics in quantum electronics : a publication of the IEEE Lasers and Electro-optics Society
    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

16 authors.

Sylvia SpiesLaserLab Amsterdam, Department of Physics, Faculty of Science, Vrije Universiteit Amsterdam, 1081 HZ Amsterdam, The Netherlands.ORCID 0009-0005-8536-4632
Elina NazarianLaserLab Amsterdam, Department of Physics, Faculty of Science, Vrije Universiteit Amsterdam, 1081 HZ Amsterdam, The Netherlands.ORCID 0009-0003-8065-1566
Srinivas AnnavarapuReal-World Research Ontada, Boston, MA 02110, USA.
Paola ColliniSoft Tissue Tumor Pathology Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, 20133 Milan, Italy.ORCID 0000-0002-6158-210X
Aurore Coulomb L'HermineDepartment of Pathology, APHP, Armand Trousseau Hospital, Sorbonne University, 75012 Paris, France.
Ellen D'HoogheDepartment of Pathology, Oslo University Hospital, Rikshospitalet, P.O. Box 4950 Oslo, Norway.ORCID 0000-0002-0603-8048
Jozef KobosDepartment of Histology and Embriology, Medical University of Lodz, 90-419 Lodz, Poland.ORCID 0000-0001-7197-3334
Guillaume MorcretteDepartment of Fetopathology, Robert Debré Hospital, Université Paris Cité, APHP, 75019 Paris, France.
Mariana A MoriniInstituto D'Or for Research and Education (IDOR), São Paulo 05403, Brazil.ORCID 0009-0008-4741-8371
Sergey D PopovDepartment of Pathology, Sidra Medicine, Doha P.O. Box 26999, Qatar.
Rajeev ShuklaDepartment of Paediatric Histopathology, Alder Hey Children's NHS Foundation Trust Hospital, Liverpool L12 2AP, UK.
Isabela Werneck da CunhaInstituto D'Or for Research and Education (IDOR), São Paulo 05403, Brazil.ORCID 0000-0002-2029-5139
Cornelis P van de VenPrincess Máxima Center for Pediatric Oncology, 3584 CS Utrecht, The Netherlands.
Marry M van den Heuvel-EibrinkPrincess Máxima Center for Pediatric Oncology, 3584 CS Utrecht, The Netherlands.ORCID 0000-0002-7760-879X
Ronald R de KrijgerPrincess Máxima Center for Pediatric Oncology, 3584 CS Utrecht, The Netherlands.ORCID 0000-0001-6871-1296
Marie Louise GrootLaserLab Amsterdam, Department of Physics, Faculty of Science, Vrije Universiteit Amsterdam, 1081 HZ Amsterdam, The Netherlands.ORCID 0000-0001-5360-6987

Funding

Horizon 2020 Framework Program 654148Horizon 2020 Framework Program 871124Instant Pathology, Open Technology (partly financed by Dutch Research Council) project number 15825
6 · The paper itself

Abstract

BACKGROUND/

objectivesWilms tumors, the most common pediatric renal tumors, are heterogeneous and consist of varying amounts of three components: blastema, epithelium, and stroma. Postoperative chemotherapy is tailored based on risk group classification and stage. Due to this heterogeneity, pathologists perform extensive tumor sampling to ensure accurate classification. Higher-harmonic-generation microscopy (HHGM) is an innovative imaging technique that enables rapid visualization of fresh tissue without preparation or staining. This makes it particularly valuable for sample selection, as the tissue can be reused for further analysis. This study aims to evaluate the accuracy of pathologists in distinguishing normal renal tissue, abnormal renal tissue, and three types of pediatric renal tumors, Wilms tumor, renal cell carcinoma, and congenital mesoblastic nephroma, in HHGM images.

methodsTwenty-nine samples from eighteen patients with a pediatric renal tumor were imaged using an HHG microscope and subsequently processed for histological analysis. Overview images of the samples were acquired at a rate of 10 s per mm

resultsPathologists were able to differentiate between normal and abnormal tissue with 100% (29/29) accuracy and correctly identified tumor versus non-tumor tissue with 97% (28/29) accuracy.

conclusionsThese results show that HHGM is a highly promising technique for the rapid assessment of pediatric renal tumor samples, particularly for evaluating sample representativeness.

Indexed as

congenital mesoblastic nephromanephroblastomanonlinear microscopypediatric kidney tumorsrenal cell carcinomarenal pathologysecond-harmonic generationthird-harmonic generationtwo-photon excited autofluorescenceWilms tumor

Identifiers

PMID40427190
PMCPMC12109953

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Registered trials

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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.