Real-time sentinel lymph node biopsy guidance using combined ultrasound, photoacoustic, fluorescence imaging: in vivo proof-of-principle and validation with nodal obstruction
Identifieur interne : 000240 ( Main/Exploration ); précédent : 000239; suivant : 000241Real-time sentinel lymph node biopsy guidance using combined ultrasound, photoacoustic, fluorescence imaging: in vivo proof-of-principle and validation with nodal obstruction
Auteurs : Jeeun Kang [Corée du Sud] ; Jin Ho Chang [Corée du Sud] ; Sun Mi Kim [Corée du Sud] ; Hak Jong Lee [Corée du Sud] ; Haemin Kim [Corée du Sud] ; Brian C. Wilson [Canada] ; Tai-Kyong Song [Corée du Sud]Source :
- Scientific Reports [ 2045-2322 ] ; 2017.
Abstract
Precise sentinel lymph node (SLN) identification is crucial not only for accurate diagnosis of micro-metastases at an early stage of cancer progression but also for reducing the number of SLN biopsies (SLNB) to minimize their severe side effects. Furthermore, it is desirable that an SLNB guidance should be as safe as possible in routine clinical use. Although there are currently various SLNB guidance methods for pre-operative or intra-operative assessment, none are ideal. We propose a real-time SLNB guidance method using contrast-enhanced tri-modal images (i.e., ultrasound, photoacoustic, and fluorescence) acquired by a recently developed hand-held tri-modal probe. The major advantage of tri-modal imaging is demonstrated here through an
Url:
DOI: 10.1038/srep45008
PubMed: 28327582
PubMed Central: 5361205
Affiliations:
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Chang</name><affiliation wicri:level="1"><nlm:aff id="a1"><institution>Department of Electronic Engineering, Sogang University</institution>, Seoul, 04107,<country>South Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="a2"><institution>Sogang Institute of Advanced Technology, Sogang University</institution>, Seoul, 04107,<country>South Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="a3"><institution>Department of Biomedical Engineering, Sogang University</institution>, Seoul, 04107,<country>South Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Sun Mi" sort="Kim, Sun Mi" uniqKey="Kim S" first="Sun Mi" last="Kim">Sun Mi Kim</name><affiliation wicri:level="1"><nlm:aff id="a4"><institution>Department of Radiology, Seoul National University of Bundang Hospital</institution>, Kyeonggi-do, 13620,<country>South Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Lee, Hak Jong" sort="Lee, Hak Jong" uniqKey="Lee H" first="Hak Jong" last="Lee">Hak Jong Lee</name><affiliation wicri:level="1"><nlm:aff id="a4"><institution>Department of Radiology, Seoul National University of Bundang Hospital</institution>, Kyeonggi-do, 13620,<country>South Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Haemin" sort="Kim, Haemin" uniqKey="Kim H" first="Haemin" last="Kim">Haemin Kim</name><affiliation wicri:level="1"><nlm:aff id="a3"><institution>Department of Biomedical Engineering, Sogang University</institution>, Seoul, 04107,<country>South Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Wilson, Brian C" sort="Wilson, Brian C" uniqKey="Wilson B" first="Brian C." last="Wilson">Brian C. Wilson</name><affiliation wicri:level="1"><nlm:aff id="a5"><institution>Princess Margaret Cancer Centre, University Health Network</institution>, M5G 1L7,<country>Canada</country></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="a6"><institution>Department of Medical Biophysics, Faculty of Medicine, University of Toronto</institution>, Ontario M5G 1L7,<country>Canada</country></nlm:aff><country xml:lang="fr">Canada</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Song, Tai Kyong" sort="Song, Tai Kyong" uniqKey="Song T" first="Tai-Kyong" last="Song">Tai-Kyong Song</name><affiliation wicri:level="1"><nlm:aff id="a1"><institution>Department of Electronic Engineering, Sogang University</institution>, Seoul, 04107,<country>South Korea</country></nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Scientific Reports</title><idno type="eISSN">2045-2322</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Precise sentinel lymph node (SLN) identification is crucial not only for accurate diagnosis of micro-metastases at an early stage of cancer progression but also for reducing the number of SLN biopsies (SLNB) to minimize their severe side effects. Furthermore, it is desirable that an SLNB guidance should be as safe as possible in routine clinical use. Although there are currently various SLNB guidance methods for pre-operative or intra-operative assessment, none are ideal. We propose a real-time SLNB guidance method using contrast-enhanced tri-modal images (i.e., ultrasound, photoacoustic, and fluorescence) acquired by a recently developed hand-held tri-modal probe. The major advantage of tri-modal imaging is demonstrated here through an <italic>in vivo</italic> study of the technically-difficult case of nodal obstruction that frequently leads to false-negative results in patients. The results in a tumor model in rabbits and normal controls showed that tri-modal imaging is capable of clearly identifying obstructed SLNs and of indicating their metastatic involvement. Based on these findings, we propose an SLNB protocol to help surgeons take full advantage of the complementary information obtained from tri-modal imaging, including for pre-operative localization, intra-operative biopsy guidance and post-operative analysis.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Lyman, G H" uniqKey="Lyman G">G. H. Lyman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lyman, G H" uniqKey="Lyman G">G. H. Lyman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chen, S L" uniqKey="Chen S">S. L. Chen</name></author><author><name sortKey="Iddings, D M" uniqKey="Iddings D">D. M. Iddings</name></author><author><name sortKey="Scheri, R P" uniqKey="Scheri R">R. P. Scheri</name></author><author><name sortKey="Bilchik, A J" uniqKey="Bilchik A">A. J. 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Siegel</name></author><author><name sortKey="Miller, K D" uniqKey="Miller K">K. D. Miller</name></author><author><name sortKey="Jemal, A" uniqKey="Jemal A">A. Jemal</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Rautiainen, S" uniqKey="Rautiainen S">S. Rautiainen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Huynh, E" uniqKey="Huynh E">E. Huynh</name></author><author><name sortKey="Jin, C S" uniqKey="Jin C">C. S. Jin</name></author><author><name sortKey="Wilson, B C" uniqKey="Wilson B">B. C. Wilson</name></author><author><name sortKey="Zheng, G" uniqKey="Zheng G">G. Zheng</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lovell, J F" uniqKey="Lovell J">J. F. Lovell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Huynh, E" uniqKey="Huynh E">E. Huynh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Huynh, E" uniqKey="Huynh E">E. Huynh</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kang, J" uniqKey="Kang J">J. Kang</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Canada</li><li>Corée du Sud</li></country></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Kang, Jeeun" sort="Kang, Jeeun" uniqKey="Kang J" first="Jeeun" last="Kang">Jeeun Kang</name></noRegion><name sortKey="Chang, Jin Ho" sort="Chang, Jin Ho" uniqKey="Chang J" first="Jin Ho" last="Chang">Jin Ho Chang</name><name sortKey="Chang, Jin Ho" sort="Chang, Jin Ho" uniqKey="Chang J" first="Jin Ho" last="Chang">Jin Ho Chang</name><name sortKey="Chang, Jin Ho" sort="Chang, Jin Ho" uniqKey="Chang J" first="Jin Ho" last="Chang">Jin Ho Chang</name><name sortKey="Kim, Haemin" sort="Kim, Haemin" uniqKey="Kim H" first="Haemin" last="Kim">Haemin Kim</name><name sortKey="Kim, Sun Mi" sort="Kim, Sun Mi" uniqKey="Kim S" first="Sun Mi" last="Kim">Sun Mi Kim</name><name sortKey="Lee, Hak Jong" sort="Lee, Hak Jong" uniqKey="Lee H" first="Hak Jong" last="Lee">Hak Jong Lee</name><name sortKey="Song, Tai Kyong" sort="Song, Tai Kyong" uniqKey="Song T" first="Tai-Kyong" last="Song">Tai-Kyong Song</name></country><country name="Canada"><noRegion><name sortKey="Wilson, Brian C" sort="Wilson, Brian C" uniqKey="Wilson B" first="Brian C." last="Wilson">Brian C. Wilson</name></noRegion><name sortKey="Wilson, Brian C" sort="Wilson, Brian C" uniqKey="Wilson B" first="Brian C." last="Wilson">Brian C. Wilson</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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