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Intraoperative fluorescence imaging of peripheral and central nerves through a myelin-selective contrast agent.


ABSTRACT:

Purpose

Patients suffer from complications as a result of unintentional nerve damage during surgery. We focus on improving intraoperative visualization of nerves through the use of a targeted fluorophore and optical imaging instrumentation.

Procedure

A myelin-targeting fluorophore, GE3111, was synthesized, characterized for its optical and myelin-binding properties using purified myelin basic protein, and evaluated in mice. Additionally, a compact instrument was adapted to visualize nerves.

Results

GE3111 was synthesized using a versatile methodology. Its optical properties were sensitive to the local environment both in vitro and in vivo. Following intravenous injection, central and peripheral nerves were visualized, with the kinetics of nerve uptake modifiable depending on the formulation. Fluorescence polarization showed specific and strong binding to purified myelin basic protein. Nerves were visualized in vivo using a dedicated compact imaging device requiring less than 2.5 mW/cm(2) of illumination at 405 nm.

Conclusions

Fluorescence imaging of nerves through myelin showed a potential for use in image-guided surgery. Intraoperative nerve imaging is an example where contrast agent and instrument development come together as a result of clinical need.

SUBMITTER: Cotero VE 

PROVIDER: S-EPMC3492698 | biostudies-literature | 2012 Dec

REPOSITORIES: biostudies-literature

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Publications

Intraoperative fluorescence imaging of peripheral and central nerves through a myelin-selective contrast agent.

Cotero Victoria E VE   Siclovan Tiberiu T   Zhang Rong R   Carter Randall L RL   Bajaj Anshika A   LaPlante Nicole E NE   Kim Evgenia E   Gray Daniel D   Staudinger V Paul VP   Yazdanfar Siavash S   Tan Hehir Cristina A CA  

Molecular imaging and biology 20121201 6


<h4>Purpose</h4>Patients suffer from complications as a result of unintentional nerve damage during surgery. We focus on improving intraoperative visualization of nerves through the use of a targeted fluorophore and optical imaging instrumentation.<h4>Procedure</h4>A myelin-targeting fluorophore, GE3111, was synthesized, characterized for its optical and myelin-binding properties using purified myelin basic protein, and evaluated in mice. Additionally, a compact instrument was adapted to visuali  ...[more]

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