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Near-infrared fluorescent silica-coated gold nanoparticle clusters for x-ray computed tomography/optical dual modal imaging of the lymphatic system.

Abstract
Lymph nodes (LNs) are often removed to prevent the spread of cancer because they are frequently the first site of metastases. However, the enucleation of LNs requires difficult operative techniques and lymphedema can result as a complication. Although lymphedema can be cured by anastomosis of a lymph vessel (LV) to a vein, the operative procedure is extremely difficult because LNs and LVs are too small and indistinct to be identified. Therefore, visualization of LNs and LVs is important. The combination of X-ray computed tomography (CT) and fluorescence imaging, CT/fluorescence dual modal imaging, enables the visualization of LNs and LVs before and during surgery. To accomplish this, near-infrared fluorescent silica-coated gold nanoparticle clusters (Au@SiO₂) with a high X-ray absorption coefficient are synthesized. Both fluorescence imaging and CT show that the Au@SiO₂ nanoparticles gradually accumulate in LNs through LVs. CT determines the location and size of the LNs and LVs without dissection, and fluorescence imaging facilitates their identification. The Au@SiO₂ nanoparticles have neither hepatotoxicity nor nephrotoxicity. The results demonstrate that CT/fluorescence dual modal imaging using Au@SiO₂ nanoparticles provides anatomical information, including the location and size of LNs and LVs for determining a surgery plan, and provides intraoperative visualization of LNs and LVs to facilitate the operation.
AuthorsKoichiro Hayashi, Michihiro Nakamura, Kazunori Ishimura
JournalAdvanced healthcare materials (Adv Healthc Mater) Vol. 2 Issue 5 Pg. 756-63 (May 2013) ISSN: 2192-2640 [Print] Germany
PMID23184510 (Publication Type: Journal Article)
CopyrightCopyright © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.
Chemical References
  • Contrast Media
  • Fluorescent Dyes
  • Gold
Topics
  • Animals
  • Contrast Media (chemical synthesis)
  • Fluorescent Dyes
  • Gold
  • Lymphatic System (cytology)
  • Lymphography (methods)
  • Metal Nanoparticles (chemistry)
  • Mice
  • Mice, Inbred C57BL
  • Microscopy, Fluorescence (methods)
  • Subtraction Technique
  • Tomography, X-Ray Computed (methods)

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