用于肝细胞癌成像和发光引导手术的近红外发射持续发光纳米粒子。

Near infrared-emitting persistent luminescent nanoparticles for Hepatocellular Carcinoma imaging and luminescence-guided surgery.

机构信息

Department of Hepatobiliary Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, 510280, PR China; CAS Key Laboratory of Molecular Imaging, The State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, 100190, PR China; Guang dong Provincial Clinical and Engineering Center of Digital Medicine, Guangzhou, 510280, PR China.

CAS Key Laboratory of Molecular Imaging, The State Key Laboratory of Management and Control for Complex Systems, Institute of Automation, Chinese Academy of Sciences, Beijing, 100190, PR China.

出版信息

Biomaterials. 2018 Jun;167:216-225. doi: 10.1016/j.biomaterials.2018.01.031. Epub 2018 Feb 3.

Abstract

Hepatocellular carcinoma (HCC), the fifth most common cancer worldwide, is increasing nowadays and poses a serious threat to human health. However, if treated effectively and timely, it is clinically manageable or curable. Therefore, accurate detection and complete surgical resection remain priorities for HCC with a high potential of improving both survival and quality of life. Lacking of real-time guide technology, traditional surgery are usually relied on the subjective experience of surgeon, which have the limitation of high sensitivity detection tumor. Here, we developed a contrast agent, ZnGaOCr (ZGC), used for guided surgery during operation to accurate delineation of HCC. ZGC showed excellent long-lasting afterglow properties that lasted for hours, which can aid in real-time guided surgery. Meanwhile, ZGC display high spatial resolution and deep penetration during pre-operation for diagnostic computed tomography (CT). Interestingly, we observed reverse imaging in the tumor region, known as a "dark hole", which further improves the contrast for surgery. This new multi-modality nanoparticle has great potential for accurate liver cancer imaging and resection guidance.

摘要

肝细胞癌(HCC)是全球第五大常见癌症,其发病率正在上升,对人类健康构成严重威胁。然而,如果能及时有效地进行治疗,HCC 在临床上是可以控制或治愈的。因此,对于 HCC 患者,准确的检测和完整的手术切除仍然是重中之重,这可以提高患者的生存率和生活质量。由于缺乏实时引导技术,传统手术通常依赖于外科医生的主观经验,因此存在检测肿瘤灵敏度高的局限性。在这里,我们开发了一种造影剂 ZnGaOCr(ZGC),可用于手术期间的引导手术,以准确描绘 HCC。ZGC 表现出优异的长时间后发光性能,可持续数小时,可辅助实时引导手术。同时,ZGC 在术前进行诊断计算机断层扫描(CT)时显示出高空间分辨率和深穿透性。有趣的是,我们观察到在肿瘤区域出现了反转成像,称为“黑洞”,这进一步提高了手术的对比度。这种新型多模态纳米颗粒具有准确进行肝癌成像和切除引导的巨大潜力。

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