Insights

This study introduces a compact fluorescence imaging sensor for detecting residual cancer cells after surgery. The novel device enables real-time visualization of tiny tumor clusters in complex surgical sites.

Area of Science:

  • Biomedical Engineering
  • Surgical Oncology
  • Medical Imaging

Background:

  • Identifying residual cancer cells post-surgery is critical for effective treatment.
  • Current fluorescence imaging devices are limited by bulky optics for detecting small tumor clusters in surgical cavities.
  • Need for advanced imaging technologies to improve intraoperative cancer detection.

Purpose of the Study:

  • To develop a compact, contact fluorescence image sensor for in vivo detection of residual cancer tissue.
  • To enhance the visualization of small tumor cell clusters in complex surgical environments.
  • To improve surgical outcomes by enabling real-time identification of remaining cancerous cells.

Main Methods:

  • Development of a small-scale contact fluorescence image sensor with angle-selective gratings and an amorphous silicon optical wavelength filter.
  • Creation of a custom fluorescent probe by conjugating IR700DX dye with Trastuzumab antibody.
  • In vivo imaging of HER2+ breast cancer in mouse models using the developed sensor and probe.

Main Results:

  • The custom probe significantly enhanced HER2+ breast cancer tissue intensity (3.8±0.8 times brighter) compared to other tissues in vivo.
  • The developed sensor successfully imaged excised tumors and residual cancer on healthy tissue.
  • Real-time detection of residual cancer was achieved with a high signal-to-noise ratio (SNR) of 45 dB and a short integration time (40 ms).

Conclusions:

  • The developed compact fluorescence image sensor effectively detects residual cancer tissue in vivo.
  • This technology offers a promising solution for improving intraoperative cancer margin assessment.
  • The sensor's small size and high sensitivity facilitate real-time imaging in challenging surgical conditions.

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