Abstract | BACKGROUND AND STUDY AIMS: Although various improvements in tissue imaging modalities have recently been achieved, in-vivo molecular and subsurface imaging in the field of gastroenterology remains a technical challenge. In this study we evaluated a newly developed, handheld, miniaturized confocal laser microscopy probe for real-time in-vivo molecular and subsurface imaging in rodent models of human disease. MATERIALS AND METHODS: The minimicroscope uses a 488-nm, single line laser for fluorophore excitation. The optical slice thickness is 7 microm, the lateral resolution 0.7 microm. The range of the z-axis is 0-250 microm below the tissue surface. Imaging was performed using different fluorescent staining protocols; 5-carboxyfluorescein-labeled octreotate was synthesized for targeted molecular imaging. RESULTS: Cellular and subcellular details of the gastrointestinal tract could be visualized in vivo at high resolution. Confocal real-time microscopy allowed in-vivo identification of tumor vessels and liver metastases, as well as diagnosis of focal hepatic inflammation, necrosis, and associated perfusion anomalies. Somatostatin-receptor targeting permitted in-vivo molecular staining of AR42-J-induced carcinoma and pancreatic islet cells. CONCLUSIONS: Confocal mini-microscopy allows rapid in-vivo molecular and subsurface imaging of normal and pathological tissue in the gastrointestinal tract at high resolution. Because this technology is applicable to humans, it might impact on future in-vivo microsocpic and molecular diagnosis of diseases such as cancer and inflammation.
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Authors | M Goetz, C Fottner, E Schirrmacher, P Delaney, S Gregor, C Schneider, D Strand, S Kanzler, B Memadathil, E Weyand, M Holtmann, R Schirrmacher, M M Weber, M Anlauf, G Klöppel, M Vieth, P R Galle, P Bartenstein, M F Neurath, R Kiesslich |
Journal | Endoscopy
(Endoscopy)
Vol. 39
Issue 4
Pg. 350-6
(Apr 2007)
ISSN: 1438-8812 [Electronic] Germany |
PMID | 17427071
(Publication Type: Evaluation Study, Journal Article)
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Chemical References |
- Fluoresceins
- Fluorescent Dyes
- Receptors, Somatostatin
- 4-carboxyfluorescein
- Octreotide
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Topics |
- Animals
- Disease Models, Animal
- Equipment Design
- Female
- Fluoresceins
- Fluorescent Dyes
- Gastrointestinal Neoplasms
(pathology)
- Immunohistochemistry
- Inflammation
(pathology)
- Islets of Langerhans
(pathology)
- Liver Neoplasms, Experimental
(pathology)
- Male
- Mice
- Mice, Inbred BALB C
- Mice, Inbred C57BL
- Mice, Inbred Strains
- Microscopy, Confocal
(instrumentation, methods)
- Miniaturization
- Octreotide
- Pancreatic Neoplasms
(pathology)
- Receptors, Somatostatin
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