Evidence map›Paper›PMID 41337488›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2025

Guiding esophagectomy with intraoperative NIR-II fluorescence video imaging and rapid computation.

Feifei Wang, Ian Yu Hong Wong, Haoran Liu, Zhisheng Wu, Claudia Lai Yin Wong, Danyang Xu, Desmond Kwan Kit Chan, Betty Tsz Ting Law, Fion Siu Yin Chan, Liangqiong Qu and 2 more

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. In Vivo Microendoscopy in the Near-Infrared II Window.Small (Weinheim an der Bergstrasse, Germany) · 2026
    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

12 authors.

Feifei Wang *Materials Innovation Institute for Life Sciences and Energy, The University of Hong Kong, Shenzhen 518048, China.ORCID 0000-0001-7687-3412
Ian Yu Hong Wong *Department of Surgery, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region 999077, China.
Haoran Liu *Materials Innovation Institute for Life Sciences and Energy, The University of Hong Kong, Shenzhen 518048, China.
Zhisheng Wu *Department of Electrical and Electronic Engineering, The University of Hong Kong, Hong Kong Special Administrative Region 999077, China.
Claudia Lai Yin WongDepartment of Surgery, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region 999077, China.
Danyang XuDepartment of Electrical and Electronic Engineering, The University of Hong Kong, Hong Kong Special Administrative Region 999077, China.
Desmond Kwan Kit ChanDepartment of Surgery, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region 999077, China.
Betty Tsz Ting LawDepartment of Surgery, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region 999077, China.
Fion Siu Yin ChanDepartment of Surgery, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region 999077, China.
Liangqiong QuDepartment of Statistics and Actuarial Science, The University of Hong Kong, Hong Kong Special Administrative Region 999077, China.
Simon Ying Kit LawDepartment of Surgery, School of Clinical Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region 999077, China.
Hongjie DaiMaterials Innovation Institute for Life Sciences and Energy, The University of Hong Kong, Shenzhen 518048, China.

Funding

Early Career Scheme 27204623General Research Fund 17212424
6 · The paper itself

Abstract

Preclinical shortwave infrared/near-infrared II (SWIR/NIR-II, 1,000 to 3,000 nm) fluorescence imaging has shown superior contrast, resolution, and penetration depth compared to traditional near-infrared I (NIR-I, 700 to 900 nm) imaging, owing to reduced light scattering and tissue autofluorescence. Here, we carried out clinical translation of NIR-II fluorescence imaging to guide esophagectomy through intraoperative video imaging and rapid analysis of blood perfusion in the gastric conduits (GC) of esophageal cancer patients, following intravenous administration of indocyanine green (ICG). Within <1 min, NIR-II video imaging clearly visualized the spatial and temporal blood flow features, and importantly, intraoperative principal component analysis (PCA) of the video revealed distinct perfusion patterns in GC. This led to rapid, subjective decision-making for targeted resection of poorly perfused tissue and informed reconstruction of the GC to reduce the risk of life-threatening anastomotic leakage. This approach enhances surgical precision and improves outcomes by providing operator-independent intraoperative guidance.

Indexed as

Esophageal NeoplasmsEsophagectomyOptical ImagingSurgery, Computer-AssistedFemaleHumansIndocyanine GreenMaleMiddle AgedSpectroscopy, Near-InfraredIndocyanine Greenclinical translationfluorescence imagingintraoperative image-guided surgeryNIR-II imagingshort-wave infrared

Identifiers

PMID41337488
PMCPMC12704744

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.