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Fluorescence-lifetime molecular imaging can detect invisible peritoneal ovarian tumors in bloody ascites.

Abstract
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.
AuthorsTakahito Nakajima, Kohei Sano, Kazuhide Sato, Rira Watanabe, Toshiko Harada, Hirofumi Hanaoka, Peter L Choyke, Hisataka Kobayashi
JournalCancer science (Cancer Sci) Vol. 105 Issue 3 Pg. 308-14 (Mar 2014) ISSN: 1349-7006 [Electronic] England
PMID24479901 (Publication Type: Journal Article, Research Support, N.I.H., Intramural)
CopyrightPublished 2013. This article is a U.S. Government work and is in the public domain in the USA. Cancer Science published by Wiley Publishing Asia Pty Ltd on behalf of Japanese Cancer Association.
Chemical References
  • Albumins
  • Fluorescent Dyes
  • Rhodamines
  • galactosyl serum albumin-rhodamine green
Topics
  • Albumins
  • Animals
  • Ascites (pathology)
  • Blood Loss, Surgical
  • Cell Line, Tumor
  • Female
  • Fluorescent Dyes
  • Humans
  • Mice
  • Mice, Nude
  • Molecular Imaging
  • Neoplasm Transplantation
  • Optical Imaging
  • Ovarian Neoplasms (pathology)
  • Peritoneal Neoplasms (secondary)
  • Peritoneum (surgery)
  • Rhodamines
  • Whole Body Imaging

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