Graduate School of Engineering, The University of Tokyo, Tokyo, 113-8656, Japan.
Department of Surgery, Keio University School of Medicine, Tokyo, 160-8582, Japan.
Sci Rep. 2020 Feb 4;10(1):1798. doi: 10.1038/s41598-020-58530-5.
New laparoscopic sentinel lymph node navigation using a dedicated magnetic probe and magnetic nanoparticle tracer for gastric cancer patients allows minimally invasive surgeries. By identifying the sentinel lymph nodes containing magnetic nanoparticles, patients can avoid excessive lymph node extraction without nuclear facilities and radiation exposure. This paper describes the development of the laparoscopic magnetic probe, ACDC-probe, for laparoscopic sentinel lymph node identification utilizing the nonlinear response of the magnetic nanoparticles magnetized by an alternating magnetic field with a static magnetic field. For highly sensitive detection, the ratio of static to alternating magnetic fields was optimized to approximately 5. The longitudinal detection length was approximately 10 mm for 140 μg of iron, and the detectable amount of iron was approximately 280 ng at a distance of 1 mm. To demonstrate the feasibility of laparoscopic detection using the ACDC-probe and magnetic tracers, an experiment was performed on a wild swine. The gastric sentinel lymph node was clearly identified during laparoscopic navigation. These results suggest that the newly developed ACDC-probe is useful for laparoscopic sentinel lymph node detection and this magnetic technique appears to be a promising method for future sentinel lymph node navigation of gastric cancer patients.
新型专用磁探针对胃癌患者进行腹腔镜前哨淋巴结导航,可实现微创手术。通过识别含有磁性纳米颗粒的前哨淋巴结,患者可以避免在没有核设施和辐射暴露的情况下过度提取淋巴结。本文描述了一种新型的腹腔镜磁探针 ACDC-probe 的开发,该探针利用外加静态磁场使磁性纳米颗粒产生非线性响应,从而实现对腹腔镜下前哨淋巴结的识别。为了实现高灵敏度检测,优化了静态磁场与交变磁场的比值,约为 5。对于 140μg 的铁,纵向检测长度约为 10mm,在 1mm 的距离处可检测到约 280ng 的铁。为了验证使用 ACDC-probe 和磁性示踪剂进行腹腔镜检测的可行性,在野猪身上进行了实验。在腹腔镜导航过程中,胃前哨淋巴结被清晰识别。这些结果表明,新开发的 ACDC-probe 可用于腹腔镜前哨淋巴结检测,这种磁性技术似乎是未来胃癌患者前哨淋巴结导航的一种有前途的方法。
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