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Updated: Mar 30, 2026

Tissue-simulating Phantoms for Assessing Potential Near-infrared Fluorescence Imaging Applications in Breast Cancer Surgery
Published on: September 19, 2014
Current status and future perspectives of fluorescence-guided surgery for cancer
Jonathan C DeLong1, Robert M Hoffman1,2, Michael Bouvet1
1a Department of Surgery , University of California San Diego , San Diego , CA , USA.
Abstract:
Curative cancer surgery is dependent on the removal of all primary tumor and metastatic cancer cells. Preoperative imaging, intraoperative inspection and palpation, as well as pathological margin confirmation aid the surgeon, but these methods are lacking in sensitivity and can be highly subjective. Techniques in fluorescence-guided surgery (FGS) are emerging that selectively illuminate cancer cells, enhancing the distinction between tumors and surrounding tissues with the potential for single-cell sensitivity. FGS enhances tumor detection, surgical navigation, margin confirmation, and in some cases can be combined with therapeutic techniques to eliminate microscopic disease. In this review, we describe the preclinical developments and currently-used techniques for FGS.
Insights
Fluorescence-guided surgery (FGS) illuminates cancer cells for improved detection and removal during operations. This technique offers enhanced precision over traditional methods, aiding surgeons in achieving complete tumor resection.
Area of Science:
- Oncology
- Surgical Innovation
- Medical Imaging
Background:
- Complete removal of cancerous cells is crucial for curative cancer surgery.
- Current methods for tumor detection and margin assessment lack sensitivity and can be subjective.
- Fluorescence-guided surgery (FGS) offers a promising approach to overcome these limitations.
Purpose of the Study:
- To review the preclinical developments and current techniques of fluorescence-guided surgery (FGS).
- To highlight the potential of FGS in improving cancer surgery outcomes.
Main Methods:
- Review of existing literature on fluorescence-guided surgery.
- Description of preclinical advancements and currently utilized FGS techniques.
- Analysis of FGS's role in tumor detection, navigation, and margin confirmation.
Main Results:
- FGS techniques selectively illuminate cancer cells, improving the distinction between tumors and healthy tissues.
- The potential for single-cell sensitivity in FGS enhances detection capabilities.
- FGS improves tumor detection, surgical navigation, and margin confirmation.
Conclusions:
- Fluorescence-guided surgery represents an emerging technology with the potential to significantly improve the efficacy of cancer surgery.
- FGS can aid in the complete removal of both primary and metastatic cancer cells.
- Further development and application of FGS techniques are expected to enhance surgical precision and patient outcomes.
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