Near-infrared fatty acid molecular probe for image-guided surgery of glioblastoma

Meedie Ali1,2,3, Pavlo Khodakivskyi4, Ioannis Ntafoulis3

  • 1Department of Radiology and Nuclear Medicine, Erasmus MC Cancer Institute, Erasums university Medical Center, Dr. Molewaterplein 40, Rotterdam, The Netherlands.

Npj Imaging
|July 3, 2025
PubMed

Insights

Researchers developed a novel fatty acid (FA) near-infrared (NIR) imaging probe (FA-ICG) to visualize fatty acid absorption in real-time. This tool aids in image-guided cancer surgery and metabolic imaging for tumors like glioblastoma.

Area of Science:

  • Oncology
  • Biomedical Imaging
  • Molecular Imaging

Background:

  • Metabolic reprogramming is crucial for cancer growth, yet in vivo monitoring of fatty acid (FA) uptake remains difficult.
  • Fatty acids are vital energy sources for many tumor types, including glioblastoma (GBM).
  • Accurate assessment of tumor margins is critical for effective cancer surgery, particularly for GBM.

Purpose of the Study:

  • To develop a novel near-infrared (NIR) imaging reagent for real-time, non-invasive visualization of FA absorption.
  • To demonstrate the utility of this FA-NIR probe in image-guided cancer surgery.
  • To assess FA metabolism in glioblastoma models and companion animal cancers.

Main Methods:

  • Development of a novel long-chain fatty acid conjugated to an indocyanine green (FA-ICG) imaging reagent.
  • In vitro and in vivo imaging of FA absorption using the FA-ICG probe.
  • Application of the probe in orthotopic glioblastoma models and companion dogs with mastocytomas.

Main Results:

  • The FA-ICG probe enabled real-time, non-invasive imaging of FA uptake in vitro and in vivo.
  • Successful NIR imaging of FA uptake was demonstrated in two orthotopic GBM models.
  • Probe uptake was validated in companion dogs with mastocytomas, showing similar cancer pathology.
  • The probe combines NIR imaging benefits (sensitivity, low autofluorescence, deep penetration) with specific tumor targeting.

Conclusions:

  • The FA-ICG probe is a promising tool for metabolic imaging and image-guided cancer surgery.
  • It offers specific tumor metabolism-based targeting and retention for enhanced visualization.
  • Potential applications include metabolic imaging, drug development, and translation to clinical image-guided surgery.

Related Concept Videos