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影像引导下的肿瘤手术:纳米技术的新兴作用。

Image-guided tumor surgery: The emerging role of nanotechnology.

机构信息

Eppley Institute for Research in Cancer and Allied Diseases, University of Nebraska Medical Center, Omaha, Nebraska.

Fred and Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, Nebraska.

出版信息

Wiley Interdiscip Rev Nanomed Nanobiotechnol. 2020 Jul;12(4):e1624. doi: 10.1002/wnan.1624. Epub 2020 Mar 11.

Abstract

Surgical resection is a mainstay treatment for solid tumors. Yet, methods to distinguish malignant from healthy tissue are primarily limited to tactile and visual cues as well as the surgeon's experience. As a result, there is a possibility that a positive surgical margin (PSM) or the presence of residual tumor left behind after resection may occur. It is well-documented that PSMs can negatively impact treatment outcomes and survival, as well as pose an economic burden. Therefore, surgical tumor imaging techniques have emerged as a promising method to decrease PSM rates. Nanoparticles (NPs) have unique characteristics to serve as optical contrast agents during image-guided surgery (IGS). Recently, there has been tremendous growth in the volume and types of NPs used for IGS, including clinical trials. Herein, we describe the most recent contributions of nanotechnology for surgical tumor identification. This article is categorized under: Therapeutic Approaches and Drug Discovery > Nanomedicine for Oncologic Disease Implantable Materials and Surgical Technologies > Nanoscale Tools and Techniques in Surgery Diagnostic Tools > in vivo Nanodiagnostics and Imaging.

摘要

手术切除是治疗实体瘤的主要方法。然而,区分恶性组织和健康组织的方法主要仅限于触觉和视觉线索以及外科医生的经验。因此,有可能出现阳性手术切缘(PSM)或切除后仍残留肿瘤。有充分的证据表明,PSM 会对治疗结果和生存产生负面影响,并带来经济负担。因此,外科肿瘤成像技术已成为降低 PSM 发生率的一种有前途的方法。纳米粒子(NPs)具有独特的特性,可以在图像引导手术(IGS)中作为光学对比剂。最近,用于 IGS 的 NPs 的数量和类型都有了巨大的增长,包括临床试验。在此,我们描述了纳米技术在外科肿瘤识别方面的最新贡献。本文属于以下类别:治疗方法和药物发现 > 用于肿瘤疾病的纳米医学 植入材料和手术技术 > 手术中的纳米工具和技术 诊断工具 > 体内纳米诊断和成像。

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