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Implementation and benchmarking of a novel analytical framework to clinically evaluate tumor-specific fluorescent tracers.


ABSTRACT: During the last decade, the emerging field of molecular fluorescence imaging has led to the development of tumor-specific fluorescent tracers and an increase in early-phase clinical trials without having consensus on a standard methodology for evaluating an optical tracer. By combining multiple complementary state-of-the-art clinical optical imaging techniques, we propose a novel analytical framework for the clinical translation and evaluation of tumor-targeted fluorescent tracers for molecular fluorescence imaging which can be used for a range of tumor types and with different optical tracers. Here we report the implementation of this analytical framework and demonstrate the tumor-specific targeting of escalating doses of the near-infrared fluorescent tracer bevacizumab-800CW on a macroscopic and microscopic level. We subsequently demonstrate an 88% increase in the intraoperative detection rate of tumor-involved margins in primary breast cancer patients, indicating the clinical feasibility and support of future studies to evaluate the definitive clinical impact of fluorescence-guided surgery.

SUBMITTER: Koller M 

PROVIDER: S-EPMC6143516 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature

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Implementation and benchmarking of a novel analytical framework to clinically evaluate tumor-specific fluorescent tracers.

Koller Marjory M   Qiu Si-Qi SQ   Linssen Matthijs D MD   Jansen Liesbeth L   Kelder Wendy W   de Vries Jakob J   Kruithof Inge I   Zhang Guo-Jun GJ   Robinson Dominic J DJ   Nagengast Wouter B WB   Jorritsma-Smit Annelies A   van der Vegt Bert B   van Dam Gooitzen M GM  

Nature communications 20180918 1


During the last decade, the emerging field of molecular fluorescence imaging has led to the development of tumor-specific fluorescent tracers and an increase in early-phase clinical trials without having consensus on a standard methodology for evaluating an optical tracer. By combining multiple complementary state-of-the-art clinical optical imaging techniques, we propose a novel analytical framework for the clinical translation and evaluation of tumor-targeted fluorescent tracers for molecular  ...[more]

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