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大鼠模型中用于前哨淋巴结清扫的超顺磁性氧化铁注射优化

Optimization of SPIO Injection for Sentinel Lymph Node Dissection in a Rat Model.

作者信息

Peek Mirjam C L, Saeki Kohei, Ohashi Kaichi, Chikaki Shinichi, Baker Rose, Nakagawa Takayuki, Kusakabe Moriaki, Douek Michael, Sekino Masaki

机构信息

Division of Cancer Studies, King's College London, London SE1 9RT, UK.

Graduate School of Agricultural and Life Sciences, University of Tokyo, Tokyo 113-8657, Japan.

出版信息

Cancers (Basel). 2021 Oct 8;13(19):5031. doi: 10.3390/cancers13195031.


DOI:10.3390/cancers13195031
PMID:34638516
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8508039/
Abstract

The magnetic technique, consisting of a magnetic tracer and a handheld magnetometer, is a promising alternative technique for sentinel lymph node dissection (SLND) and was shown to be non-inferior to the standard technique in terms of identification rates. In this study, injection characteristics (iron dose, dilution, time course and massaging) were evaluated to optimize magnetic tracer uptake in the sentinel lymph nodes (SLN) in a rat hindleg model. 202 successful SLNDs were performed. Iron uptake in the SLN is proportional (10% utilization rate) to the injection dose between 20 and 200 μg, showing a plateau uptake of 80 μg in the SLN around 1000 μg injection. Linear regression showed that time had a higher impact than dilution, on the SLN iron uptake. Massaging showed no significant change in iron uptake. The amount of residual iron at the injection site was also proportional to the injection dose without any plateau. Time was a significant factor for wash-out of residual iron. From these results, preoperative injection may be advantageous for SLN detection as well as reduction in residual iron at the injection site by potential decrease in required injection dose.

摘要

由磁性示踪剂和手持式磁力计组成的磁性技术,是一种用于前哨淋巴结清扫术(SLND)的有前景的替代技术,并且在识别率方面已被证明不劣于标准技术。在本研究中,在大鼠后肢模型中评估了注射特性(铁剂量、稀释度、时间进程和按摩),以优化前哨淋巴结(SLN)对磁性示踪剂的摄取。进行了202次成功的SLND。SLN中的铁摄取与20至200μg之间的注射剂量成正比(利用率为10%),在注射约1000μg时,SLN中的摄取量达到80μg的平台期。线性回归表明,时间对SLN中铁摄取的影响比稀释度更大。按摩对铁摄取无显著影响。注射部位的残留铁量也与注射剂量成正比,没有任何平台期。时间是残留铁清除的一个重要因素。根据这些结果,术前注射可能有利于SLN检测,以及通过潜在降低所需注射剂量来减少注射部位的残留铁。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cff/8508039/01e3a8439ab3/cancers-13-05031-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cff/8508039/13af9b0a7585/cancers-13-05031-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cff/8508039/9b4f677325d6/cancers-13-05031-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cff/8508039/e5b9ae7449dd/cancers-13-05031-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cff/8508039/01e3a8439ab3/cancers-13-05031-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cff/8508039/13af9b0a7585/cancers-13-05031-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cff/8508039/9b4f677325d6/cancers-13-05031-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cff/8508039/e5b9ae7449dd/cancers-13-05031-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cff/8508039/01e3a8439ab3/cancers-13-05031-g004.jpg

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Optimization of SPIO Injection for Sentinel Lymph Node Dissection in a Rat Model.

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[5]
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[6]
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[10]
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引用本文的文献

[1]
Magnetic particle imaging enables nonradioactive quantitative sentinel lymph node identification: feasibility proof in murine models.

Radiol Adv. 2024-10-25

[2]
Efficacy of sentinel lymph-node biopsy after neoadjuvant chemotherapy in clinically axilla node-negative patients.

Surg Today. 2024-9

[3]
Use of Superparamagnetic Iron Oxide (SPIO) Versus Conventional Technique in Sentinel Lymph Node Detection for Breast Cancer: A Randomised Controlled Trial.

Ann Surg Oncol. 2023-6

[4]
Evolution and refinement of magnetically guided sentinel lymph node detection in breast cancer: meta-analysis.

Br J Surg. 2023-3-30

[5]
Exploratory Study of Superparamagnetic Iron Oxide Dose Optimization in Breast Cancer Sentinel Lymph Node Identification Using a Handheld Magnetic Probe and Iron Quantitation.

Cancers (Basel). 2022-3-10

[6]
A Propensity Score Matched Analysis of Superparamagnetic Iron Oxide versus Radioisotope Sentinel Node Biopsy in Breast Cancer Patients after Neoadjuvant Chemotherapy.

Cancers (Basel). 2022-1-28

本文引用的文献

[1]
Magnetic-Guided Axillary UltraSound (MagUS) Sentinel Lymph Node Biopsy and Mapping in Patients with Early Breast Cancer. A Phase 2, Single-Arm Prospective Clinical Trial.

Cancers (Basel). 2021-8-25

[2]
Optimizing Dose and Timing in Magnetic Tracer Techniques for Sentinel Lymph Node Detection in Early Breast Cancers: The Prospective Multicenter SentiDose Trial.

Cancers (Basel). 2021-2-9

[3]
Effects of iron oxide particles on MRI and mammography in breast cancer patients after a sentinel lymph node biopsy with paramagnetic tracers.

Clin Imaging. 2021-7

[4]
The ARRIVE guidelines 2.0: Updated guidelines for reporting animal research.

PLoS Biol. 2020-7-14

[5]
A randomized study comparing different doses of superparamagnetic iron oxide tracer for sentinel lymph node biopsy in breast cancer: The SUNRISE study.

Eur J Surg Oncol. 2020-12

[6]
Multicenter clinical trial on sentinel lymph node biopsy using superparamagnetic iron oxide nanoparticles and a novel handheld magnetic probe.

J Surg Oncol. 2019-10-30

[7]
The Tumor Microenvironment Innately Modulates Cancer Progression.

Cancer Res. 2019-7-26

[8]
Unexpected Finding on Mammography and MRI due to Accumulation of Iron Oxide Particles Used for Sentinel Lymph Node Detection.

Eur J Breast Health. 2019-7-1

[9]
SentimagIC: A Non-inferiority Trial Comparing Superparamagnetic Iron Oxide Versus Technetium-99m and Blue Dye in the Detection of Axillary Sentinel Nodes in Patients with Early-Stage Breast Cancer.

Ann Surg Oncol. 2019-7-11

[10]
Effect of preoperative injection of superparamagnetic iron oxide particles on rates of sentinel lymph node dissection in women undergoing surgery for ductal carcinoma in situ (SentiNot study).

Br J Surg. 2019-3-6

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