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Related Experiment Videos

Pan and sentinel lymph node visualization using a near-infrared fluorescent probe.

Lee Josephson1, Umar Mahmood, Patrick Wunderbaldinger

  • 1MGH/Harvard Medical School, Building 149, 13th Street, Charlestown, MA 02129, USA. ljosephson@partners.org

Molecular Imaging
|August 21, 2003
PubMed
Summary

A novel near-infrared fluorescent (NIRF) probe, Cy5.5-PGC, effectively visualizes lymph nodes for surgical guidance. This non-radioactive imaging method aids in identifying sentinel lymph nodes and reducing tissue damage during dissection.

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Area of Science:

  • Biomedical Imaging
  • Medical Diagnostics
  • Surgical Technology

Background:

  • Lymph node visualization is crucial for diagnosing metastases and minimizing tissue damage.
  • Current methods for lymph node imaging have limitations.
  • Sentinel lymph node biopsy is a key diagnostic procedure.

Purpose of the Study:

  • To evaluate a novel macromolecular near-infrared fluorescent (NIRF) probe, Cy5.5-PGC, for lymph node visualization.
  • To assess the probe's efficacy for both pan-node and sentinel node visualization.
  • To determine the probe's utility in guiding interventional radiologic and surgical procedures.

Main Methods:

  • Cy5.5-PGC was administered intravenously (i.v.) or subcutaneously (s.c.) into nude mice.
  • Near-infrared fluorescent (NIRF) and white light imaging were performed on live animals, partially dissected animals, and tissue specimens.

Related Experiment Videos

  • Image acquisition occurred 24 hours post-injection.
  • Main Results:

    • Intravenous Cy5.5-PGC allowed visualization of axillary lymph nodes in live mice.
    • Partial dissection revealed concentrated NIRF signals in iliac and aortic nodes.
    • Subcutaneous injection enabled clear visualization of draining axillary and brachial nodes.
    • NIRF imaging successfully visualized lymph nodes through tissue layers.

    Conclusions:

    • Cy5.5-PGC is an effective NIRF probe for visualizing lymph nodes via i.v. or s.c. administration.
    • NIRF imaging offers a non-radioactive alternative for lymph node detection and surgical guidance.
    • This technique has potential to improve accuracy and reduce invasiveness in nodal staging procedures.