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Published on: March 25, 2019
Nanotechnology applications in surgical oncology
Sunil Singhal1, Shuming Nie, May D Wang
1Division of Thoracic Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA. sunil.singhal@uphs.upenn.edu
Nanotechnology offers innovative tools for surgical oncology. Nanoparticles enhance tumor margin delineation and detection of residual cancer cells, improving complete surgical resection and patient survival.
Area of Science:
- Oncology
- Nanotechnology
- Optical Instrumentation
Background:
- Complete surgical resection is crucial for cancer patient survival.
- Current surgical techniques face challenges in precisely delineating tumor margins and detecting residual disease.
- Advancements in nanotechnology and optical instrumentation present opportunities to overcome these limitations.
Purpose of the Study:
- To discuss recent advances in nanotechnology and optical instrumentation for surgical oncology.
- To explore the integration of these technologies for improved cancer surgery.
- To highlight the potential of nanoparticles in enhancing tumor visualization and detection.
Main Methods:
- Review of recent advances in nanotechnology, specifically nanoparticles like quantum dots and colloidal gold.
- Discussion of optical instrumentation developments relevant to surgical applications.
- Exploration of nanoparticle conjugation with targeting ligands (e.g., antibodies, peptides) for specific tumor cell targeting.
- Consideration of nanoparticles in the 10-100 nm size range for diagnostic and therapeutic applications.
Main Results:
- Nanoparticles possess unique properties not found in bulk materials or discrete molecules.
- Conjugated nanoparticles can target malignant cells and tumor microenvironments with high specificity and affinity.
- Large surface areas of mesoscopic nanoparticles allow for multimodal imaging and therapeutic agent conjugation.
- Integrated approaches using nanotechnology and optical tools can improve intraoperative tumor detection and margin assessment.
Conclusions:
- Nanotechnology, particularly functionalized nanoparticles, offers significant potential to enhance surgical oncology.
- These technologies can improve the surgeon's ability to achieve complete tumor resection by providing better visualization and detection of cancer.
- Integrated nanotechnology and optical instrumentation pave the way for advanced cancer imaging and therapy during surgery.
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