Taruno Kanae, Kuwahata Akihiko, Sekino Masaki, Nakagawa Takayuki, Kurita Tomoko, Enokido Katsutoshi, Nakamura Seigo, Takei Hiroyuki, Kusakabe Moriaki
Division of Breast Surgical Oncology, Department of Surgery, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8555, Japan.
Department of Electrical Engineering and Information Systems, Graduate School of Engineering, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8656, Japan.
Cancers (Basel). 2022 Mar 10;14(6):1409. doi: 10.3390/cancers14061409.
This exploratory study compared doses of ferucarbotran, a superparamagnetic iron oxide nanoparticle, in sentinel lymph nodes (SLNs) and quantified the SLN iron load by dose and localization. Eighteen females aged ≥20 years scheduled for an SLN biopsy with node-negative breast cancer were divided into two equal groups and administered either 1 mL or 0.5 mL ferucarbotran. Iron content was evaluated with a handheld magnetometer and quantification device. The average iron content was 42.8 µg (range, 1.3-95.0; 0.15% of the injected dose) and 21.9 µg (1.1-71.0; 0.16%) in the 1-mL and 0.5-mL groups, respectively ( = 0.131). The iron content of the closest SLN compared to the second SLN was 53.0 vs. 10.0 µg (19% of the injected dose) and 34.8 vs. 4.1 µg (11.1%) for the 1-mL and 0.5-mL groups, respectively ( = 0.001 for both). The magnetic field was high in both groups (average 7.30 µT and 6.00 µT in the 1-mL and 0.5-mL groups, respectively) but was not statistically significant ( = 0.918). The magnetic field and iron content were correlated (overall SLNs, = 0.02; 1-mL, = 0.014; 0.5-mL, = 0.010). A 0.5-mL dose was sufficient for SLN identification. Primary and secondary SLNs could be differentiated based on iron content. Handheld magnetometers could be used to assess the SLN iron content.
本探索性研究比较了超顺磁性氧化铁纳米颗粒 ferucarbotran 在前哨淋巴结(SLN)中的剂量,并按剂量和定位对 SLN 的铁负荷进行了量化。18 名年龄≥20 岁、计划进行 SLN 活检且患有淋巴结阴性乳腺癌的女性被分为两组,每组人数相等,分别给予 1 mL 或 0.5 mL 的 ferucarbotran。使用手持式磁力计和定量装置评估铁含量。1 mL 组和 0.5 mL 组的平均铁含量分别为 42.8 μg(范围为 1.3 - 95.0;占注射剂量的 0.15%)和 21.9 μg(1.1 - 71.0;0.16%)(P = 0.131)。与第二个 SLN 相比,最接近的 SLN 的铁含量在 1 mL 组和 0.5 mL 组中分别为 53.0 μg 对 10.0 μg(占注射剂量的 19%)和 34.8 μg 对 4.1 μg(11.1%)(两组 P 均 = 0.001)。两组的磁场强度都较高(1 mL 组平均为 7.30 μT,0.5 mL 组平均为 6.00 μT),但差异无统计学意义(P = 0.918)。磁场与铁含量相关(总体 SLN,P = 0.02;1 mL 组,P = 0.014;0.5 mL 组,P = 0.010)。0.5 mL 的剂量足以识别 SLN。可根据铁含量区分初级和次级 SLN。手持式磁力计可用于评估 SLN 的铁含量。