Use of Intraoperative Fluorophores

Alexander J Schupper1, Constantinos Hadjipanayis2

  • 1Department of Neurosurgery, Icahn School of Medicine at Mount Sinai, Mount Sinai Health System, New York, NY, USA.

Insights

Fluorescence-guided surgery enhances brain tumor visualization for surgeons. Advancements in imaging and agents improve tumor resection, aiding neurosurgeons in achieving maximal safe removal.

Area of Science:

  • Neurosurgery
  • Medical Imaging
  • Oncology

Background:

  • Fluorescence-guided surgery (FGS) improves intraoperative visualization of brain tumors.
  • Accurate tumor resection is critical for patient outcomes in neuro-oncology.
  • Current methods rely on various fluorescent agents and imaging technologies.

Purpose of the Study:

  • To review the role of fluorescence-guided surgery in brain tumor resection.
  • To discuss the advancements in fluorescent agents and visualization devices.
  • To highlight the potential for improved maximal safe resection of gliomas.

Main Methods:

  • Review of current literature on fluorescence-guided surgery for brain tumors.
  • Analysis of different types of fluorescent agents (targeted and non-targeted).
  • Discussion of fluorescence detection in visible and near-infrared spectra.

Main Results:

  • Fluorescence-guided surgery offers enhanced visualization of tumor tissue.
  • Both targeted and non-targeted fluorescent agents are utilized for glioblastoma.
  • Advancements in visualization devices enable cellular-level fluorescence detection.

Conclusions:

  • Fluorescence-guided surgery is a valuable tool for maximal safe resection of brain tumors.
  • Ongoing technological advancements promise further improvements in surgical precision.
  • Enhanced visualization aids neurosurgeons in differentiating tumor from healthy tissue.

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