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Near-Infrared Imaging Using a Cathepsin-Targeted, Quenched Activity-Based Probe Identifies Naturally Occurring Canine

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Summary
This summary is machine-generated.

A novel cathepsin-targeted probe (VGT-309) shows promise for detecting osteosarcoma in dogs. This imaging tool may help surgeons achieve complete tumor removal during limb-sparing surgery.

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Area of Science:

  • Oncology
  • Medical Imaging
  • Translational Research

Background:

  • Osteosarcoma is the most common primary bone cancer.
  • Current treatments have not significantly improved survival rates.
  • Complete tumor excision is crucial for better prognosis.

Purpose of the Study:

  • To evaluate the safety and feasibility of a cathepsin-targeted activity-based probe (VGT-309) in dogs with osteosarcoma.
  • To assess the probe's ability to delineate tumor margins.
  • To explore its potential as an intraoperative tool for limb-sparing surgery.

Main Methods:

  • Twelve dogs with appendicular osteosarcoma received intravenous VGT-309.
  • Limb amputation was performed 16-20 hours post-injection.
  • Fluorescence imaging was compared with MRI and histopathology.

Main Results:

  • All osteosarcomas fluoresced, correlating with MRI and histopathology.
  • Fluorescence was visible through cortical bone but didn't always show intramedullary extension.
  • Necrotic tumor areas did not fluoresce.

Conclusions:

  • VGT-309 is safe and feasible for assessing canine osteosarcoma extent.
  • The probe shows potential for intraoperative detection in human limb-sparing surgery.
  • It is most useful for assessing residual tumor after resection, with caution for necrotic areas.