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Record W4411363210 · doi:10.1055/s-0045-1809627

Recent Advances in Interventional Management of Extracranial Vascular Malformations in Children

2025· review· en· W4411363210 on OpenAlex
Kin Fen Kevin Fung, Moritz Wildgruber, Frederic J. Bertino, Jay Shah

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueSeminars in Interventional Radiology · 2025
Typereview
Languageen
FieldMedicine
TopicVascular Malformations and Hemangiomas
Canadian institutionsHospital for Sick Children
Fundersnot available
KeywordsMedicineInterventional radiologyRadiologyVascular diseaseVascular malformationSurgery

Abstract

fetched live from OpenAlex

Vascular malformations are congenital abnormalities arising from dysregulated angiogenesis, often due to gain-of-function somatic mutations. Extracranial disease involvement can cause significant pain, disfigurement, and functional limitations. Conventional sclerosing agents such as ethanol, sodium tetradecyl sulfate, and doxycycline are effective in treating the majority of slow-flow vascular malformations. However, these sclerosants have limited efficacy in lesions with significant lipomatous or stromal components and can be associated with significant local toxicity, especially if extravasated. The wider adoption of bleomycin and new interventional techniques such as bleomycin electrosclerotherapy using reversible electroporation and percutaneous thermal ablative modalities has shifted treatment paradigms for challenging cases which are refractory to conventional sclerosants. This article aims to provide an overview of these recent advances in interventional techniques and to highlight the importance of the integration of personalized precision medicine in the multidisciplinary care of children with extracranial vascular malformations.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Other design · Consensus signal: none
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.953
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0020.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0010.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.018
GPT teacher head0.347
Teacher spread0.330 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it