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吲哚菁绿荧光成像在外科肿瘤学中的主要应用。

The primary application of indocyanine green fluorescence imaging in surgical oncology.

作者信息

Dai Zhang-Yi, Shen Cheng, Mi Xing-Qi, Pu Qiang

机构信息

Department of Thoracic Surgery, Sichuan University West China Medical Center, Chengdu, China.

Western China Collaborative Innovation Center for Early Diagnosis and Multidisciplinary Therapy of Lung Cancer, Sichuan University, Chengdu, China.

出版信息

Front Surg. 2023 Feb 17;10:1077492. doi: 10.3389/fsurg.2023.1077492. eCollection 2023.

DOI:10.3389/fsurg.2023.1077492
PMID:36874469
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9982003/
Abstract

BACKGROUND

Indocyanine green (ICG) is a nontoxic, albumin-bound, liver-metabolized fluorescent iodide dye that has been widely utilized in clinical applications since the mid-1950s. However, after the 1970s, in-depth research on the fluorescence properties of ICG greatly expanded its application in the medical field.

METHODS

In our mini-review, we searched the relevant literature on common oncology surgeries from PubMed, including lung cancer, breast cancer, gastric cancer, colorectal cancer, liver cancer, and pituitary tumors, using keywords such as indocyanine green, fluorescence imaging technology, and near-infrared fluorescence imaging. In addition, the application of targeted ICG photothermal technology in tumor therapy is briefly mentioned.

RESULTS

In this mini-review, we analyzed studies on ICG fluorescence imaging in common surgical oncology and offered a thorough analysis of each form of cancer or tumor.

CONCLUSION

ICG has demonstrated significant potential in the detection and treatment of tumors in current clinical practice, although many applications are still in the preliminary stages, and multicenter studies are still required to more precisely define its indications, effectiveness, and safety.

摘要

背景

吲哚菁绿(ICG)是一种无毒、与白蛋白结合、经肝脏代谢的荧光碘化物染料,自20世纪50年代中期以来已广泛应用于临床。然而,20世纪70年代以后,对ICG荧光特性的深入研究极大地扩展了其在医学领域的应用。

方法

在我们的小型综述中,我们使用吲哚菁绿、荧光成像技术和近红外荧光成像等关键词,在PubMed上搜索了有关常见肿瘤外科手术的相关文献,包括肺癌、乳腺癌、胃癌、结直肠癌、肝癌和垂体肿瘤。此外,还简要提及了靶向ICG光热技术在肿瘤治疗中的应用。

结果

在本小型综述中,我们分析了ICG荧光成像在常见肿瘤外科手术中的研究,并对每种癌症或肿瘤形式进行了全面分析。

结论

尽管目前许多应用仍处于初步阶段,且仍需要多中心研究来更精确地确定其适应症、有效性和安全性,但ICG在当前临床实践中的肿瘤检测和治疗方面已显示出巨大潜力。

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本文引用的文献

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Applications of Indocyanine Green-Guided Near-Infrared Fluorescence Imaging in Pediatric Minimally Invasive Surgery Urology: A Narrative Review.吲哚菁绿引导近红外荧光成像在小儿微创泌尿外科中的应用:一篇叙述性综述。
J Laparoendosc Adv Surg Tech A. 2022 Dec;32(12):1280-1287. doi: 10.1089/lap.2022.0231. Epub 2022 Nov 25.
2
Indocyanine green fluorescence-guided laparoscopic hepatectomy versus conventional laparoscopic hepatectomy for hepatocellular carcinoma: A single-center propensity score matching study.吲哚菁绿荧光引导下腹腔镜肝切除术与传统腹腔镜肝切除术治疗肝细胞癌的单中心倾向评分匹配研究
Front Oncol. 2022 Jul 19;12:930065. doi: 10.3389/fonc.2022.930065. eCollection 2022.
3
The oncologic safety and accuracy of indocyanine green fluorescent dye marking in securing the proximal resection margin during totally laparoscopic distal gastrectomy for gastric cancer: a retrospective comparative study.吲哚菁绿荧光染料标记在全腹腔镜胃癌根治术保近端切缘中的肿瘤安全性和准确性:一项回顾性对比研究。
World J Surg Oncol. 2022 Jan 28;20(1):26. doi: 10.1186/s12957-022-02494-5.
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