{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,11]],"date-time":"2026-07-11T22:20:13Z","timestamp":1783808413988,"version":"3.55.0"},"reference-count":60,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,4,20]],"date-time":"2025-04-20T00:00:00Z","timestamp":1745107200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Special Support for Postdoctoral Research Project of Sichuan Province","award":["TB2024077"],"award-info":[{"award-number":["TB2024077"]}]},{"name":"Sichuan Province","award":["2024NSFSC1676"],"award-info":[{"award-number":["2024NSFSC1676"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The mapping technique significantly influences the detection rate of sentinel lymph nodes in cervical cancer. This study aims to evaluate the clinical efficacy of carbon nanoparticle suspensions (CNSs) in guiding sentinel lymph node biopsy (SLNB) for cervical cancer patients.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Systematic search of China National Knowledge Infrastructure, Cqvip, Wanfang, PubMed, EMBASE, Web of Science, and the Cochrane Library from inception until June 2024. Studies on cervical cancer patients receiving SLNB with CNSs are included. An individual participant data meta-analysis was conducted. The protocol was prospectively registered on the International Prospective Register of Systematic Reviews (PROSPERO: CRD42024569290).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>In total, 26 publications involving 1671 patients were analyzed. The overall detection rate of CNSs in SLNB for cervical cancer was 0.92, with bilateral and unilateral detection rates of 0.74 and 0.20, respectively. This detection rate exhibited a correlation with lesion size and the administration of neoadjuvant chemotherapy. The pooled sensitivity, specificity, positive likelihood ratio, and negative likelihood ratio were 0.93 (95% CI: 0.88\u20130.96, I2\u00a0=\u00a035.89%), 1.00 (95% CI: 0.98\u20131.00, I2\u00a0=\u00a090.01%), 216.84 (95% CI: 40.47\u20131161.85, I2\u00a0=\u00a077.68%), and 0.07 (95% CI: 0.05\u20130.12, I2\u00a0=\u00a054.96%), respectively. The area under the curve of the summary receiver operating characteristic curve was 0.97. No significant differences were found in subgroup analyses based on the method, time, and dose of CNS injection. However, significant publication bias was detected among the included studies based on Deeks\u2019 funnel plot [Slope (Bias)\u00a0=\u00a0\u221215.61, P\u00a0=\u00a0.001]. Nonetheless, sensitivity analysis confirmed the reliability and stability of the results.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This meta-analysis highlights the accuracy and feasibility of using CNSs for SLNB in patients with cervical cancer, particularly for lesions &amp;lt;2.0\u00a0cm and patients untreated with neoadjuvant chemotherapy.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/jjco\/hyaf063","type":"journal-article","created":{"date-parts":[[2025,4,20]],"date-time":"2025-04-20T11:00:41Z","timestamp":1745146841000},"page":"889-900","source":"Crossref","is-referenced-by-count":1,"title":["Sentinel lymph node biopsy mapped with carbon nanoparticle suspensions in patients with cervical cancer: a systematic review and meta-analysis"],"prefix":"10.1093","volume":"55","author":[{"given":"Ting","family":"Qu","sequence":"first","affiliation":[{"name":"Sichuan Enray Pharmaceutical Sciences Company , No. 1480 North Tianfu Avenue, High - tech Zone, Chengdu 610041 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guangfu","family":"Zeng","sequence":"additional","affiliation":[{"name":"Sichuan Enray Pharmaceutical Sciences Company , No. 1480 North Tianfu Avenue, High - tech Zone, Chengdu 610041 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinmei","family":"Yang","sequence":"additional","affiliation":[{"name":"Sichuan Enray Pharmaceutical Sciences Company , No. 1480 North Tianfu Avenue, High - tech Zone, Chengdu 610041 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kexin","family":"Tang","sequence":"additional","affiliation":[{"name":"Sichuan Enray Pharmaceutical Sciences Company , No. 1480 North Tianfu Avenue, High - tech Zone, Chengdu 610041 ,","place":["China"]},{"name":"Department of Biology, Emory University , 1510 Clifton Road NE, Atlanta, GA 30322 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ping","family":"Xie","sequence":"additional","affiliation":[{"name":"Sichuan Enray Pharmaceutical Sciences Company , No. 1480 North Tianfu Avenue, High - tech Zone, Chengdu 610041 ,","place":["China"]},{"name":"State Key Laboratory of Oral Diseases, West China, College of Stomatology, Sichuan University , No. 14, Section 3, Renmin South Road, Chengdu 610041 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaohai","family":"Tang","sequence":"additional","affiliation":[{"name":"Sichuan Enray Pharmaceutical Sciences Company , No. 1480 North Tianfu Avenue, High - tech Zone, Chengdu 610041 ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,4,20]]},"reference":[{"key":"2025080402265353300_ref1","doi-asserted-by":"publisher","first-page":"1224","DOI":"10.6004\/jnccn.2023.0062","article-title":"NCCN guidelines\u00ae insights: cervical cancer, version 1.2024","volume":"21","author":"Abu-Rustum","year":"2023","journal-title":"J Natl Compr Cancer Netw"},{"key":"2025080402265353300_ref2","doi-asserted-by":"publisher","first-page":"540","DOI":"10.1016\/j.jmig.2013.12.095","article-title":"Sentinel lymph node evaluation in women with cervical cancer","volume":"21","author":"Holman","year":"2014","journal-title":"J Minim Invasive Gynecol"},{"key":"2025080402265353300_ref3","doi-asserted-by":"publisher","first-page":"S170","DOI":"10.1016\/j.ygyno.2007.07.026","article-title":"Early stage cervical cancer: adjuvant treatment in negative lymph node cases","volume":"107","author":"Sartori","year":"2007","journal-title":"Gynecol Oncol"},{"key":"2025080402265353300_ref4","doi-asserted-by":"publisher","first-page":"1052","DOI":"10.3892\/mco.2016.837","article-title":"Prognostic significance of positive lymph node number in early cervical cancer","volume":"4","author":"Park","year":"2016","journal-title":"Mol Clin Oncol"},{"key":"2025080402265353300_ref5","doi-asserted-by":"publisher","first-page":"1923","DOI":"10.1002\/1097-0142(19900501)65:9&lt;1923::aid-cncr2820650909&gt;3.0.co;2-m","article-title":"The prognostic significance of number of positive nodes in cervical carcinoma stages IB, IIA, and IIB","volume":"65","author":"Inoue","year":"1990","journal-title":"Cancer"},{"key":"2025080402265353300_ref6","doi-asserted-by":"publisher","first-page":"11641","DOI":"10.3390\/ijerph191811641","article-title":"Radical hysterectomy for early stage cervical cancer","volume":"19","author":"Bogani","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"2025080402265353300_ref7","doi-asserted-by":"publisher","first-page":"2311","DOI":"10.1245\/s10434-017-5917-0","article-title":"Can we define the risk of lymph node metastasis in early-stage cervical cancer patients? 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