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Annals of Surgical Oncology
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18-12-2024 | ASO Author Reflections

ASO Author Reflections: Image-Guided Intraoperative Tissue Assessment for Guidance in Oncologic Surgery: From Frozen Section to Digital Surgery

Authors: Matteo Pavone, MD, Chiara Innocenzi, MD, Jacques Marescaux, MD, PhD, Giovanni Scambia, MD, PhD, Lise Lecointre, MD, PhD, Barbara Seeliger, MD, PhD, Denis Querleu, MD, PhD

Published in: Annals of Surgical Oncology | Issue 3/2025

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Excerpt

The demand for real-time diagnostic and image-guided tools during oncological surgery is steadily increasing. While histopathology remains the cornerstone of diagnostic accuracy, it cannot differentiate between cancerous and healthy tissue in vivo or in real time, and thus has limited intraoperative utility.1 Analysis of frozen sections may not always provide as detailed an analysis as the final histopathology, and may miss low-volume metastasis,2 leading surgeons to miss the opportunity for optimal tumor removal. …
Literature
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Cibula D, Dostalek L, Hillemanns P, Scambia G, Jarkovsky J, Persson J, et al. Completion of radical hysterectomy does not improve survival of patients with cervical cancer and intraoperatively detected lymph node involvement: ABRAX international retrospective cohort study. Eur J Cancer. 2021;143:88–100.CrossRefPubMed
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Agustí N, Viveros-Carreño D, Mora-Soto N, Ramírez PT, Rauh-Hain A, Wu CF, et al. Diagnostic accuracy of sentinel lymph node frozen section analysis in patients with early-stage cervical cancer: a systematic review and meta-analysis. Gynecol Oncol. 2023;177:157–64.CrossRefPubMed
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Pavone M, Spiridon IA, Lecointre L, Seeliger B, Scambia G, Venkatasamy A, et al. Full-field optical coherence tomography imaging for intraoperative microscopic extemporaneous lymph node assessment. Int J Gynecol Cancer. 2023;33(12):1985–7.CrossRefPubMed
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Pavone M, Innocenzi C, Carles E, et al. Cutting-edge microscopic intraoperative tissue assessment for guidance in oncologic surgery: a systematic review of the role of optical coherence tomography. Annals Surgical Oncology. Epub 8 Dec 2024. https://​doi.​org/​10.​1245/​s10434-024-16632-8
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Simon A, Badachi Y, Ropers J, Laurent I, Dong L, Da Maia E, et al. Value of high-resolution full-field optical coherence tomography and dynamic cell imaging for one-stop rapid diagnosis breast clinic. Cancer Med. 2023;12(19):19500–11.CrossRefPubMedPubMedCentral
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Izzetti R, Vitali S, Aringhieri G, Nisi M, Oranges T, Dini V, et al. Ultra-high frequency ultrasound, a promising diagnostic technique: review of the literature and single-center experience. Can Assoc Radiol J. 2021;72(3):418–31.CrossRefPubMed
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Wendler T, Van Leeuwen FWB, Navab N, Van Oosterom MN. How molecular imaging will enable robotic precision surgery: The role of artificial intelligence, augmented reality, and navigation. Eur J Nucl Med Mol Imaging. 2021;48(13):4201–24.CrossRefPubMedPubMedCentral
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Mascagni P, Alapatt D, Urade T, Vardazaryan A, Mutter D, Marescaux J, et al. A computer vision platform to automatically locate critical events in surgical videos: documenting safety in laparoscopic cholecystectomy. Ann Surg. 2021;274(1):e93–5.CrossRefPubMed
Metadata
Title
ASO Author Reflections: Image-Guided Intraoperative Tissue Assessment for Guidance in Oncologic Surgery: From Frozen Section to Digital Surgery
Authors
Matteo Pavone, MD
Chiara Innocenzi, MD
Jacques Marescaux, MD, PhD
Giovanni Scambia, MD, PhD
Lise Lecointre, MD, PhD
Barbara Seeliger, MD, PhD
Denis Querleu, MD, PhD
Publication date
18-12-2024
Publisher
Springer International Publishing
Published in
Annals of Surgical Oncology / Issue 3/2025
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-024-16760-1

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