Sensitivity and specificity of sentinel lymph node biopsy in patients with oral squamous cell carcinomas using Indocyanine Green Fluorescence Imaging
Standard
Sensitivity and specificity of sentinel lymph node biopsy in patients with oral squamous cell carcinomas using Indocyanine Green Fluorescence Imaging. / Al-Dam, Ahmed; Precht, Clarissa; Barbe, Armelle; Kohlmeier, Carsten; Hanken, Henning; Wikner, Johannes; Schön, Gerhard; Heiland, Max; Assaf, Alexandre T.
in: J CRANIO MAXILL SURG, Jahrgang 46, Nr. 8, 08.2018, S. 1379-1384.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - Sensitivity and specificity of sentinel lymph node biopsy in patients with oral squamous cell carcinomas using Indocyanine Green Fluorescence Imaging
AU - Al-Dam, Ahmed
AU - Precht, Clarissa
AU - Barbe, Armelle
AU - Kohlmeier, Carsten
AU - Hanken, Henning
AU - Wikner, Johannes
AU - Schön, Gerhard
AU - Heiland, Max
AU - Assaf, Alexandre T.
N1 - doi: 10.1016/j.jcms.2018.05.039
PY - 2018/8
Y1 - 2018/8
N2 - PURPOSE: The purpose of this clinical study was to evaluate the sensitivity and specificity of cervical sentinel lymph node biopsy after mapping with indocyanine green fluorescence (ICG) for imaging early-stage oral cancer.PATIENTS AND METHODS: A sentinel lymph node biopsy (SLNB) was performed during a selective neck dissection (SND) in 20 patients with oral squamous cell carcinoma (OSCC, cT1 or cT2, N0 status). The sentinel lymph nodes (SLN) were identified using an infrared video camera after ICG injection. Lymph nodes were examined histologically. The endpoint of this study was to investigate the rate of false-negative results in SLNB.RESULTS: Sentinel lymph nodes could be detected after 8.1 min (range 1-22 min). In eight out of 20 cases, lymph node metastases were found during histopathological evaluation of the neck dissection specimen. In four cases a metastasis could be found in the detected SLN (sensitivity 50%). In the other four cases metastases were found in different lymph nodes. Specificity was 100%, positive predictive value 100%, and negative predictive value 75%.CONCLUSION: In this study, reliability of sentinel lymph node biopsy after ICG imaging could not be verified, as there were false-negative results in 50% of the cases. Therefore, SND can still be recommended as for patients with cT1 or cT2 OSCC, and a N0 neck status.
AB - PURPOSE: The purpose of this clinical study was to evaluate the sensitivity and specificity of cervical sentinel lymph node biopsy after mapping with indocyanine green fluorescence (ICG) for imaging early-stage oral cancer.PATIENTS AND METHODS: A sentinel lymph node biopsy (SLNB) was performed during a selective neck dissection (SND) in 20 patients with oral squamous cell carcinoma (OSCC, cT1 or cT2, N0 status). The sentinel lymph nodes (SLN) were identified using an infrared video camera after ICG injection. Lymph nodes were examined histologically. The endpoint of this study was to investigate the rate of false-negative results in SLNB.RESULTS: Sentinel lymph nodes could be detected after 8.1 min (range 1-22 min). In eight out of 20 cases, lymph node metastases were found during histopathological evaluation of the neck dissection specimen. In four cases a metastasis could be found in the detected SLN (sensitivity 50%). In the other four cases metastases were found in different lymph nodes. Specificity was 100%, positive predictive value 100%, and negative predictive value 75%.CONCLUSION: In this study, reliability of sentinel lymph node biopsy after ICG imaging could not be verified, as there were false-negative results in 50% of the cases. Therefore, SND can still be recommended as for patients with cT1 or cT2 OSCC, and a N0 neck status.
U2 - 10.1016/j.jcms.2018.05.039
DO - 10.1016/j.jcms.2018.05.039
M3 - SCORING: Journal article
C2 - 29907432
VL - 46
SP - 1379
EP - 1384
JO - J CRANIO MAXILL SURG
JF - J CRANIO MAXILL SURG
SN - 1010-5182
IS - 8
ER -