Evidence map›Paper›PMID 42741671›Full record

ArticleFrontiers in surgery2026

Sodium fluorescein in pediatric brain tumor surgery: a retrospective volumetric analysis of resection extent and consistency.

Robert Chrenko, Dana Kuniakova, Milan Liska, Martin Hanko, Alexandra Kolenova, Salome Jakesova, Pavol Kardos, Barbora Nedomova

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Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Robert ChrenkoDepartment of Pediatric Neurosurgery, National Institute of Children's Diseases, Bratislava, Slovakia.
Dana KuniakovaDepartment of Pediatric Neurosurgery, National Institute of Children's Diseases, Bratislava, Slovakia.
Milan LiskaDepartment of Neurosurgery,Slovak Medical University and University Hospital Bratislava, Bratislava, Slovakia.
Martin HankoDepartment of Neurological and Spinal Surgery, Bory-Penta Hospitals, Bratislava, Slovakia.
Alexandra KolenovaMedical Faculty, Comenius University, Bratislava, Slovakia.
Salome JakesovaDepartment of Radiology, National Institute of Children's Diseases, Bratislava, Slovakia.
Pavol KardosDepartment of Pediatric Neurosurgery, National Institute of Children's Diseases, Bratislava, Slovakia.
Barbora NedomovaDepartment of Neurosurgery, Faculty of Medicine, Slovak Medical University, Bratislava, Slovakia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Maximizing the extent of resection (EOR) while preserving neurological function remains a key challenge in pediatric brain tumor surgery. Sodium fluorescein (SF) has been proposed as an adjunct to improve intraoperative visualization; however, evidence in pediatric populations is limited. This study evaluated the association between SF use and EOR, including the consistency of surgical outcomes. Methods: A retrospective single-center cohort of 58 pediatric patients (19 SF, 39 control) with intended gross total resection (GTR) was analyzed. EOR was assessed using postoperative volumetric MRI. Given the retrospective design and histological heterogeneity, analyses were considered exploratory. Results: The SF group showed greater mean EOR (99.67% ± 1.46 vs. 96.32% ± 11.53; Conclusion: SF-guided surgery was associated with a modestly greater extent of resection and significantly higher GTR rate in selected pediatric brain tumors, predominantly pilocytic astrocytomas, with reduced EOR dispersion as a secondary finding. Given the retrospective design, limited sample size, and potential confounding-including the

Indexed as

extent of resection (EOR)fluorescence-guided surgerypediatric neuro-oncologysurgical consistencyvolumetric magnetic resonance imaging

Identifiers

PMID42741671
PMCPMC13573661

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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.