Evidence map›Paper›PMID 40535745›Full record

ReviewWorld journal of otorhinolaryngology - head and neck surgery2025

Indocyanine green fluorescence-guided sentinel lymph node biopsy: A systematic review.

Sanjena Venkatesh, Emma De Ravin, Karthik Rajasekaran

Abstract readReview
In one paragraph

Review in World journal of otorhinolaryngology - head and neck surgery, 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. Article
  2. Indocyanine green fluorescence-guided sentinel lymph node biopsy: A systematic review.World journal of otorhinolaryngology - head and neck surgery · 2025
    Review
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

3 authors.

Sanjena VenkateshPerelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania USA.ORCID 0009-0009-4051-9994
Emma De RavinDepartment of Otolaryngology-Head and Neck Surgery Thomas Jefferson University Philadelphia Pennsylvania USA.ORCID 0000-0002-1076-1941
Karthik RajasekaranDepartment of Otorhinolaryngology-Head and Neck Surgery University of Pennsylvania Philadelphia Pennsylvania USA.ORCID https://orcid.org/0000-0003-2148-1643

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Accurate staging of cervical lymph nodes is crucial in the management of head and neck cancers (HNCs). Sentinel lymph node biopsy (SLNB) offers a minimally invasive alternative to neck dissection for identifying occult metastases. This review aims to assess the feasibility and effectiveness of indocyanine green (ICG) fluorescence-guided SLNB for HNCs. Methods: Systematic searches of the PubMed, Embase, and Scopus databases were conducted to identify all clinical articles on ICG-guided SLNB in HNC from database inception through May 1, 2022. Numerous variables were extracted across papers, including patient and study characteristics, imaging parameters, and SLN detection rates. Risk of bias was evaluated via the Methodological Index for Non-Randomized Studies (MINORS) criteria. Results: A final six studies met inclusion criteria, encompassing 86 distinct head and neck tumors. The mean number of SLNs identified was 2.46 for fluorescence imaging and 2.83 for gamma tracing. Fluorescence imaging exhibited a higher pooled SLN detection rate (98.0%) compared to gamma tracing (87.6%). Pooled sensitivity for fluorescence imaging (71.0%) was also determined to be higher than that for gamma tracing (66.7%). Pooled specificity was 100% across both modalities. Studies were assessed to be of moderate quality by the MINORS criteria, with an average score of 11.25 for noncomparative studies and 20.5 for comparative studies. Conclusions: ICG-guided SLNB procedures are feasible and effective in the context of HNCs. The technique offers potentially higher SLN detection rates and shows promise in enhancing clinical and oncologic outcomes when compared to standard lymphoscintigraphy. Further studies with standardized metrics are, however, needed to validate these findings and identify optimal imaging techniques and parameters.

Indexed as

indocyanine greensentinel lymph node biopsysquamous cell carcinoma of head and neck

Identifiers

PMID40535745
PMCPMC12172100

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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.