Blood contamination, such as bloody
ascites or
hemorrhages during surgery, is a potential hazard for clinical application of fluorescence imaging. In order to overcome this problem, we investigate if fluorescence-lifetime imaging helps to overcome this problem. Samples were prepared at concentrations ranging 0.3-2.4 μm and mixed with 0-10% of blood. Fluorescence intensities and lifetimes of samples were measured using a time-domain fluorescence imager.
Ovarian cancer SHIN3 cells overexpressing the
D-galactose receptor were injected into the peritoneal cavity 2.5 weeks before the experiments.
Galactosyl serum albumin-rhodamine green (
GSA-RhodG), which bound to the
D-galactose receptor and was internalized thereafter, was administered intraperitoneally to peritoneal
ovarian cancer-bearing mice with various degrees of bloody
ascites. In vitro study showed a linear correlation between fluorescence intensity and probe concentration (r(2) > 0.99), whereas the fluorescence lifetime was consistent (range, 3.33 ± 0.15-3.75 ± 0.04 ns). By adding 10% of blood to samples, fluorescence intensities decreased to <1%, while fluorescence lifetimes were consistent. In vivo fluorescence lifetime of
GSA-RhodG stained
tumors was longer than the autofluorescence lifetime (threshold, 2.87 ns).
Tumor lesions under hemorrhagic
peritonitis were not depicted using fluorescence intensity imaging; however, fluorescence-lifetime imaging clearly detected
tumor lesions by prolonged lifetimes. In conclusion, fluorescence-lifetime imaging with
GSA-RhodG depicted
ovarian cancer lesions, which were invisible in intensity images, in hemorrhagic
ascites.