Evidence map›Paper›PMID 41685931›Full record

ArticleCancer medicine2026

Rapid and Accurate Diagnosis of Breast Cancer by Fine-Needle Aspiration Biopsy Using the "Click-to-Sense" Method.

Yuri Kitahara, Tomonori Tanei, Takaaki Hatano, Ambara R Pradipta, Koji Morimoto, Tadasuke Nagatomo, Kaori Abe, Nanae Masunaga, Chieko Mishima, Tetsuhiro Yoshinami and 8 more

Abstract read
In one paragraph

Article in Cancer medicine, 2026. 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. 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

18 authors.

Yuri KitaharaDepartment of Breast and Endocrine Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.
Tomonori TaneiDepartment of Breast and Endocrine Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.ORCID https://orcid.org/0000-0003-2183-8681
Takaaki HatanoDepartment of Breast and Endocrine Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.
Ambara R PradiptaDepartment of Chemical Science and Engineering, School of Materials and Chemical Technology, Tokyo Institute of Technology, Meguro, Japan.
Koji MorimotoDepartment of Health Science, Faculty of Human Science, Osaka International University, Moriguchi, Japan.
Tadasuke NagatomoDepartment of Pathology, Osaka University, Suita, Japan.
Kaori AbeDepartment of Breast and Endocrine Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.
Nanae MasunagaDepartment of Breast and Endocrine Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.
Chieko MishimaDepartment of Breast and Endocrine Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.
Tetsuhiro YoshinamiDepartment of Breast and Endocrine Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.
Masami TsukabeDepartment of Breast and Endocrine Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.
Yoshiaki SotaDepartment of Breast and Endocrine Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.
Tomohiro MiyakeDepartment of Breast and Endocrine Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.
Masafumi ShimodaDepartment of Breast and Endocrine Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.ORCID https://orcid.org/0000-0002-0832-9877
Yuichi MotoyamaDepartment of Pathology (C3), Graduate School of Medicine, Osaka University, Suita, Japan.
Eiichi MoriiDepartment of Pathology (C3), Graduate School of Medicine, Osaka University, Suita, Japan.
Katsunori TanakaDepartment of Chemical Science and Engineering, School of Materials and Chemical Technology, Tokyo Institute of Technology, Meguro, Japan.
Kenzo ShimazuDepartment of Breast and Endocrine Surgery, Graduate School of Medicine, Osaka University, Suita, Japan.ORCID https://orcid.org/0000-0002-0837-2357

Funding

AMED FORCECanon Foundation for Scientific ResearchJapan Agency for Medical Research and Development JP22ck0106783Japan Society for the Promotion of Science JP22K08709Japan Society for the Promotion of Science JP24K01625Japan Society for the Promotion of Science JP24K11762
6 · The paper itself

Abstract

backgroundWe have previously demonstrated the value of the "click-to-sense" (CTS) assay, in which a fluorescent probe targeting acrolein can detect cancer cells and differentiate between malignant and benign lesions in breast tissue. In this study, we assessed the usefulness of the CTS assay for diagnosis of breast tumors by fine-needle aspiration biopsy (FNAB).

methodsA total of 126 FNABs were performed on live tissue samples obtained by surgery (63 breast cancers, 31 benign breast tumors, and 32 normal breast glands). CTS reagents (CTS probe and Hoechst dye mixed with encapsulating agents) were added to the aspirated cells and placed on slides, which were then cover-slipped and imaged under a fluorescence microscope. Another FNAB slide was prepared for each of the same live tissue samples, fixed in ethanol, and subjected to Papanicolaou (PAP) staining. The diagnostic accuracy of the CTS assay was compared with that of PAP staining by histopathological examination of permanent sections.

resultsThe CTS assay had a sensitivity of 92.1%, a specificity of 96.8%, and an accuracy of 94.4% (119/126 samples); the respective values for PAP staining were 98.4%, 89.8%, and 94.2% (114/121 samples). The insufficiency/inadequacy rate was 0% for the CTS assay and 4% for PAP staining (5/126 samples).

conclusionThe CTS assay is as accurate as PAP staining for FNAB of breast lesions. This assay has the potential to establish a new diagnostic method in cytopathology in the future, because it has a lower inadequacy rate and is simpler and less labor-intensive and time-consuming to perform.

Indexed as

Breast NeoplasmsAdultAgedBiopsy, Fine-NeedleFemaleFluorescent DyesHumansMiddle AgedSensitivity and SpecificityFluorescent Dyesacroleinbiopsyclick‐to‐sensefine‐needlemammary neoplasms

Identifiers

PMID41685931
PMCPMC12903542

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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.