Optimization of near-infrared fluorescent sentinel lymph node mapping for vulvar cancer

Objectives Near-infrared fluorescence imaging has the potential to improve sentinel lymph node mapping in vulvar cancer, which was assessed in the current study. Furthermore, dose optimization of indocyanine green adsorbed to human serum albumin was performed. Study Design Nine vulvar cancer patient...

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Veröffentlicht in:American journal of obstetrics and gynecology 2012-01, Vol.206 (1), p.89.e1-89.e5
Hauptverfasser: Hutteman, Merlijn, PhD, van der Vorst, Joost R., MD, Gaarenstroom, Katja N., MD, PhD, Peters, Alexander A.W., MD, PhD, Mieog, J. Sven D., MD, Schaafsma, Boudewijn E., MD, Löwik, Clemens W.G.M., PhD, Frangioni, John V., MD, PhD, van de Velde, Cornelis J.H., MD, PhD, Vahrmeijer, Alexander L., MD, PhD
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container_end_page 89.e5
container_issue 1
container_start_page 89.e1
container_title American journal of obstetrics and gynecology
container_volume 206
creator Hutteman, Merlijn, PhD
van der Vorst, Joost R., MD
Gaarenstroom, Katja N., MD, PhD
Peters, Alexander A.W., MD, PhD
Mieog, J. Sven D., MD
Schaafsma, Boudewijn E., MD
Löwik, Clemens W.G.M., PhD
Frangioni, John V., MD, PhD
van de Velde, Cornelis J.H., MD, PhD
Vahrmeijer, Alexander L., MD, PhD
description Objectives Near-infrared fluorescence imaging has the potential to improve sentinel lymph node mapping in vulvar cancer, which was assessed in the current study. Furthermore, dose optimization of indocyanine green adsorbed to human serum albumin was performed. Study Design Nine vulvar cancer patients underwent the standard sentinel lymph node procedure using99m technetium-nancolloid and patent blue. In addition, intraoperative imaging was performed after peritumoral injection of 1.6 mL of 500, 750, or 1000 μM of indocyanine green adsorbed to human serum albumin. Results Near-infrared fluorescence sentinel lymph node mapping was successful in all patients. A total of 14 sentinel lymph nodes (average, 1.6; range, 1–4) were detected: 14 radioactive (100%), 11 blue (79%), and 14 near-infrared fluorescent (100%). Conclusion This study demonstrates feasibility and accuracy of sentinel lymph node mapping using indocyanine green adsorbed to human serum albumin. Considering safety, cost, and pharmacy preferences, an indocyanine green adsorbed to human serum albumin concentration of 500 μM appears optimal for sentinel lymph node mapping in vulvar cancer.
doi_str_mv 10.1016/j.ajog.2011.07.039
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Sven D., MD ; Schaafsma, Boudewijn E., MD ; Löwik, Clemens W.G.M., PhD ; Frangioni, John V., MD, PhD ; van de Velde, Cornelis J.H., MD, PhD ; Vahrmeijer, Alexander L., MD, PhD</creator><creatorcontrib>Hutteman, Merlijn, PhD ; van der Vorst, Joost R., MD ; Gaarenstroom, Katja N., MD, PhD ; Peters, Alexander A.W., MD, PhD ; Mieog, J. Sven D., MD ; Schaafsma, Boudewijn E., MD ; Löwik, Clemens W.G.M., PhD ; Frangioni, John V., MD, PhD ; van de Velde, Cornelis J.H., MD, PhD ; Vahrmeijer, Alexander L., MD, PhD</creatorcontrib><description>Objectives Near-infrared fluorescence imaging has the potential to improve sentinel lymph node mapping in vulvar cancer, which was assessed in the current study. Furthermore, dose optimization of indocyanine green adsorbed to human serum albumin was performed. Study Design Nine vulvar cancer patients underwent the standard sentinel lymph node procedure using99m technetium-nancolloid and patent blue. In addition, intraoperative imaging was performed after peritumoral injection of 1.6 mL of 500, 750, or 1000 μM of indocyanine green adsorbed to human serum albumin. Results Near-infrared fluorescence sentinel lymph node mapping was successful in all patients. A total of 14 sentinel lymph nodes (average, 1.6; range, 1–4) were detected: 14 radioactive (100%), 11 blue (79%), and 14 near-infrared fluorescent (100%). Conclusion This study demonstrates feasibility and accuracy of sentinel lymph node mapping using indocyanine green adsorbed to human serum albumin. Considering safety, cost, and pharmacy preferences, an indocyanine green adsorbed to human serum albumin concentration of 500 μM appears optimal for sentinel lymph node mapping in vulvar cancer.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/j.ajog.2011.07.039</identifier><identifier>PMID: 21963099</identifier><identifier>CODEN: AJOGAH</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Carcinoma - diagnostic imaging ; Carcinoma - pathology ; Dose-Response Relationship, Drug ; Female ; Female genital diseases ; Fluorescent Dyes ; Gynecology. Andrology. Obstetrics ; Humans ; image-guided surgery ; Indocyanine Green ; Lymph Nodes - diagnostic imaging ; Lymph Nodes - pathology ; Lymphatic Metastasis ; Medical sciences ; Middle Aged ; near-infrared fluorescence imaging ; Obstetrics and Gynecology ; Radionuclide Imaging ; Radiopharmaceuticals ; Sentinel Lymph Node Biopsy - methods ; sentinel lymph node mapping ; Spectroscopy, Near-Infrared - methods ; Technetium Tc 99m Aggregated Albumin ; Tumors ; vulvar cancer ; Vulvar Neoplasms - diagnostic imaging ; Vulvar Neoplasms - pathology</subject><ispartof>American journal of obstetrics and gynecology, 2012-01, Vol.206 (1), p.89.e1-89.e5</ispartof><rights>Mosby, Inc.</rights><rights>2012 Mosby, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Mosby, Inc. 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In addition, intraoperative imaging was performed after peritumoral injection of 1.6 mL of 500, 750, or 1000 μM of indocyanine green adsorbed to human serum albumin. Results Near-infrared fluorescence sentinel lymph node mapping was successful in all patients. A total of 14 sentinel lymph nodes (average, 1.6; range, 1–4) were detected: 14 radioactive (100%), 11 blue (79%), and 14 near-infrared fluorescent (100%). Conclusion This study demonstrates feasibility and accuracy of sentinel lymph node mapping using indocyanine green adsorbed to human serum albumin. 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Obstetrics</topic><topic>Humans</topic><topic>image-guided surgery</topic><topic>Indocyanine Green</topic><topic>Lymph Nodes - diagnostic imaging</topic><topic>Lymph Nodes - pathology</topic><topic>Lymphatic Metastasis</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>near-infrared fluorescence imaging</topic><topic>Obstetrics and Gynecology</topic><topic>Radionuclide Imaging</topic><topic>Radiopharmaceuticals</topic><topic>Sentinel Lymph Node Biopsy - methods</topic><topic>sentinel lymph node mapping</topic><topic>Spectroscopy, Near-Infrared - methods</topic><topic>Technetium Tc 99m Aggregated Albumin</topic><topic>Tumors</topic><topic>vulvar cancer</topic><topic>Vulvar Neoplasms - diagnostic imaging</topic><topic>Vulvar Neoplasms - pathology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hutteman, Merlijn, PhD</creatorcontrib><creatorcontrib>van der Vorst, Joost R., MD</creatorcontrib><creatorcontrib>Gaarenstroom, Katja N., MD, PhD</creatorcontrib><creatorcontrib>Peters, Alexander A.W., MD, PhD</creatorcontrib><creatorcontrib>Mieog, J. Sven D., MD</creatorcontrib><creatorcontrib>Schaafsma, Boudewijn E., MD</creatorcontrib><creatorcontrib>Löwik, Clemens W.G.M., PhD</creatorcontrib><creatorcontrib>Frangioni, John V., MD, PhD</creatorcontrib><creatorcontrib>van de Velde, Cornelis J.H., MD, PhD</creatorcontrib><creatorcontrib>Vahrmeijer, Alexander L., MD, PhD</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hutteman, Merlijn, PhD</au><au>van der Vorst, Joost R., MD</au><au>Gaarenstroom, Katja N., MD, PhD</au><au>Peters, Alexander A.W., MD, PhD</au><au>Mieog, J. Sven D., MD</au><au>Schaafsma, Boudewijn E., MD</au><au>Löwik, Clemens W.G.M., PhD</au><au>Frangioni, John V., MD, PhD</au><au>van de Velde, Cornelis J.H., MD, PhD</au><au>Vahrmeijer, Alexander L., MD, PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Optimization of near-infrared fluorescent sentinel lymph node mapping for vulvar cancer</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>2012-01-01</date><risdate>2012</risdate><volume>206</volume><issue>1</issue><spage>89.e1</spage><epage>89.e5</epage><pages>89.e1-89.e5</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><coden>AJOGAH</coden><abstract>Objectives Near-infrared fluorescence imaging has the potential to improve sentinel lymph node mapping in vulvar cancer, which was assessed in the current study. Furthermore, dose optimization of indocyanine green adsorbed to human serum albumin was performed. Study Design Nine vulvar cancer patients underwent the standard sentinel lymph node procedure using99m technetium-nancolloid and patent blue. In addition, intraoperative imaging was performed after peritumoral injection of 1.6 mL of 500, 750, or 1000 μM of indocyanine green adsorbed to human serum albumin. Results Near-infrared fluorescence sentinel lymph node mapping was successful in all patients. A total of 14 sentinel lymph nodes (average, 1.6; range, 1–4) were detected: 14 radioactive (100%), 11 blue (79%), and 14 near-infrared fluorescent (100%). Conclusion This study demonstrates feasibility and accuracy of sentinel lymph node mapping using indocyanine green adsorbed to human serum albumin. Considering safety, cost, and pharmacy preferences, an indocyanine green adsorbed to human serum albumin concentration of 500 μM appears optimal for sentinel lymph node mapping in vulvar cancer.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>21963099</pmid><doi>10.1016/j.ajog.2011.07.039</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
Biological and medical sciences
Carcinoma - diagnostic imaging
Carcinoma - pathology
Dose-Response Relationship, Drug
Female
Female genital diseases
Fluorescent Dyes
Gynecology. Andrology. Obstetrics
Humans
image-guided surgery
Indocyanine Green
Lymph Nodes - diagnostic imaging
Lymph Nodes - pathology
Lymphatic Metastasis
Medical sciences
Middle Aged
near-infrared fluorescence imaging
Obstetrics and Gynecology
Radionuclide Imaging
Radiopharmaceuticals
Sentinel Lymph Node Biopsy - methods
sentinel lymph node mapping
Spectroscopy, Near-Infrared - methods
Technetium Tc 99m Aggregated Albumin
Tumors
vulvar cancer
Vulvar Neoplasms - diagnostic imaging
Vulvar Neoplasms - pathology
title Optimization of near-infrared fluorescent sentinel lymph node mapping for vulvar cancer
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