Evidence map›Paper›PMID 40563668›Full record

ReviewCancers2025

Fluorescence Guidance in Glioma Surgery: A Narrative Review of Current Evidence and the Drive Towards Objective Margin Differentiation.

Matthew Elliot, Silvère Ségaud, Jose Pedro Lavrador, Francesco Vergani, Ranjeev Bhangoo, Keyoumars Ashkan, Yijing Xie, Graeme J Stasiuk, Tom Vercauteren, Jonathan Shapey

Abstract readReview
In one paragraph

Review in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Multidisciplinary consensus recommendations for the management of IDH-mutant grade 2 gliomas in Spain: a Delphi study.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  3. Observational
  4. Review
  5. Review
  6. Review
  7. 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

10 authors.

Matthew ElliotDepartment of Surgical Interventional Engineering, School of Biomedical Engineering and Imaging Sciences, King's College London, London SE1 7EH, UK.ORCID 0000-0003-4111-9414
Silvère SégaudDepartment of Surgical Interventional Engineering, School of Biomedical Engineering and Imaging Sciences, King's College London, London SE1 7EH, UK.
Jose Pedro LavradorDepartment of Neurosurgery, King's College London Hospital NHS Foundation Trust, London SE5 9RS, UK.ORCID 0000-0002-9518-111X
Francesco VerganiDepartment of Neurosurgery, King's College London Hospital NHS Foundation Trust, London SE5 9RS, UK.
Ranjeev BhangooDepartment of Neurosurgery, King's College London Hospital NHS Foundation Trust, London SE5 9RS, UK.
Keyoumars AshkanDepartment of Surgical Interventional Engineering, School of Biomedical Engineering and Imaging Sciences, King's College London, London SE1 7EH, UK.
Yijing XieDepartment of Surgical Interventional Engineering, School of Biomedical Engineering and Imaging Sciences, King's College London, London SE1 7EH, UK.ORCID 0000-0002-3432-8587
Graeme J StasiukDepartment of Imaging Chemistry and Biology, School of Biomedical Engineering and Imaging Sciences, King's College London, London SE1 7EH, UK.ORCID 0000-0002-0076-2246
Tom VercauterenDepartment of Surgical Interventional Engineering, School of Biomedical Engineering and Imaging Sciences, King's College London, London SE1 7EH, UK.ORCID 0000-0003-1794-0456
Jonathan ShapeyDepartment of Surgical Interventional Engineering, School of Biomedical Engineering and Imaging Sciences, King's College London, London SE1 7EH, UK.ORCID 0000-0003-0291-348X

Funding

Royal Academy of Engineering RSCRF1819/7/34Wellcome TrustWellcome Trust WT223880/X/21/Z
6 · The paper itself

Abstract

Fluorescence-guided surgery (FGS) was pioneered for glioma and is now established as the standard of care. Gliomas are infiltrative tumours with diffuse margins. FGS provides improved intra-operative identification of tumour margins based on tumour-specific emission visible to the operating surgeon, resulting in increased rates of gross total resection. Multiple fluorescence agents may be used including 5-ALA, fluorescein sodium, and indocyanine green (ICG). This review details the indication, required equipment, mechanism of action, evidence base, limitations, and regulatory issues for each fluorophore as utilised in current clinical practice. FGS for glioma is limited by a reliance on subjective interpretation of visible fluorescence, which is often not present in low-grade glioma (LGG) or at the infiltrative tumour margin. Consequently, there has been a drive to develop enhanced, objective FGS techniques utilising both quantitative fluorescence (QF) imaging systems and novel fluorophores. This review provides an overview of emerging QF imaging systems for FGS. The pipeline for novel fluorophore development is also summarised.

Indexed as

5-ALAfluoresceinfluorescencefluorescence-guided surgerygliomaICGPpIXquantitative fluorescence

Identifiers

PMID40563668
PMCPMC12190578

What OpenQuestion holds

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Registered trials

None linked

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.