tracer

示踪剂
  • 文章类型: Journal Article
    椎间盘退变是一种主要影响椎间盘的病理生理状况,导致背痛和神经功能缺损.它是由遗传易感性等几个因素的贡献引起的,与年龄有关的变性,以及肥胖和体育锻炼等生活方式的选择。即使有治疗疼痛的药物,缺乏完全治愈的药物。主要困难在于对椎间盘形态和功能变化的诊断不良。随着生物成像技术研究的不断深入,正在开发新技术,并重新用于评估椎间盘的形状和组成,以及它们的缺陷,如椎间盘变薄或畸形,导致椎间盘退变的正确诊断干预。在这次审查中,我们旨在对临床前和临床阶段用于椎间盘退变诊断的影像学技术进行全面概述。首先,我们将讨论关于病理解剖和病理生理学的退行性椎间盘疾病的意义和简要描述各种染料和示踪剂用于生物成像。然后,我们将阐明椎间盘退变诊断方式的最新进展;通过分析用于确定椎间盘退变机制和开发治疗策略的方法和实验系统的影响来总结。
    Intervertebral Disc Degeneration is a pathophysiological condition that primarily affects the spinal discs, causing back pain and neurological deficits. It is caused by the contribution of several factors such as genetic predisposition, age-related degeneration, and lifestyle choices like obesity and physical activity. Even though there are medications to treat pain, there is a lack of medicines for a complete cure. The main difficulty lies in poor diagnosis of the morphological and functional changes in the disc. With the ever-increasing research on bioimaging techniques, new techniques are being developed and repurposed to evaluate disc shape and composition, and their defects like thinning or deformities on the disc, leading to the proper diagnostic intervention in intervertebral disc degeneration. In this review, we aim to present a comprehensive overview of the imaging techniques used in the pre-clinical and clinical stages for the diagnosis of intervertebral disc degeneration. First, we will discuss about patho-anatomy and the pathophysiology of degenerative disc disease with the significance and a brief description of various dyes and tracers utilized for bioimaging. Then we will shed light on the latest advancements in diagnostic modalities in intervertebral disc degeneration; concluded by an analysis of the repercussions of the methodologies and experimental systems employed in identifying mechanisms and developing therapeutic strategies in intervertebral disc degeneration.
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  • 文章类型: Journal Article
    河床沉积物已被确定为微塑料颗粒(MPs)的临时和长期积累场所,但是河床中的搬迁和保留机制仍然需要更好地理解。在这项研究中,我们调查了特定深度的发生和分布(丰度,type,和大小)河流沉积物中的MP,深度为100厘米,以前没有在河床中进行过调查。在为Main河(德国)采取的四个沉积物冻结岩心中,使用两种互补的分析方法(光谱学和热分析)在整个深度上检测到MPs(≥100µm),平均为21.7±21.4MP/kg或31.5±28.0mg/kg。可以得出MP丰度的三个垂直趋势,在顶层相当恒定(0-30厘米),减少中间层(30-60厘米),和深层的强烈增加(60-100厘米)。主要的聚合物类型是聚乙烯(PE),聚丙烯(PP),和聚苯乙烯(PS)。聚对苯二甲酸乙二醇酯(PET)和PP也被发现在深层,尽管最早可能发生的年龄最小(EPO年龄为1973年和1954年)。较小尺寸的MPs(100-500µm)的分数随浅层深度的增加而增加,但在深层检测到最大的MPs(>1mm)。基于这些发现,我们阐明了特定深度的MP分布与河床中MP保留和沉积物动力学的主要过程之间的关系。我们提出了一些含义,并提供了一个初步的概念方法,建议使用微塑料作为驱动河床沉积物动力学的潜在环境过程示踪剂。
    Riverbed sediments have been identified as temporary and long-term accumulation sites for microplastic particles (MPs), but the relocation and retention mechanisms in riverbeds still need to be better understood. In this study, we investigated the depth-specific occurrence and distribution (abundance, type, and size) of MPs in river sediments down to a depth of 100 cm, which had not been previously investigated in riverbeds. In four sediment freeze cores taken for the Main River (Germany), MPs (≥ 100 µm) were detected using two complementary analytical approaches (spectroscopy and thermoanalytical) over the entire depth with an average of 21.7 ± 21.4 MP/kg or 31.5 ± 28.0 mg/kg. Three vertical trends for MP abundance could be derived, fairly constant in top layers (0-‍30 cm), a decrease in middle layers (30-60 cm), and a strong increase in deep layers (60-100 cm). The dominant polymer types were polyethylene (PE), polypropylene (PP), and polystyrene (PS). Polyethylene terephthalate (PET) and PP were also found in deep layers, albeit with the youngest age of earliest possible occurrence (EPO age of 1973 and 1954). The fraction of smaller-sized MPs (100-500 µm) increased with depth in shallow layers, but the largest MPs (> 1 mm) were detected in deep layers. Based on these findings, we elucidate the relationship between the depth-specific MP distribution and the prevailing processes of MP retention and sediment dynamics in the riverbed. We propose some implications and offer an initial conceptual approach, suggesting the use of microplastics as a potential environmental process tracer for driving riverbed sediment dynamics.
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  • 文章类型: Journal Article
    针对免疫检查点抑制剂的免疫治疗,如程序细胞死亡受体(PD-1)及其配体(PD-L1),彻底改变了癌症治疗。然而,现在众所周知,PD-1/PD-L1免疫治疗应答在患者中不一致.当前的挑战是为每个患者定制治疗方案,如果PD-1/PD-L1表达和动态景观是已知的,这是可能的。使用正电子发射断层扫描(PET)成像,在治疗过程中,可以对这些免疫靶标进行非侵入性和全系统成像。成功的PET成像示踪剂应符合有关目标亲和力的特定标准,特异性,清除率和靶特异性摄取,仅举几例。这种示踪剂的结构轮廓将定义其属性,并可用于在开发和设计新示踪剂时优化示踪剂。目前,一系列PD-1/PD-L1靶向PET示踪剂可从不同的分子类别获得,已显示出令人印象深刻的临床前和临床结果,每个人都有自己的优点和缺点。这篇综述将概述当前靶向PD-1/PD-L1轴的PET示踪剂。抗体,肽,和抗体片段示踪剂将讨论它们的分子特征和结合特性以及优化它们的方法。
    Immunotherapy targeted to immune checkpoint inhibitors, such as the program cell death receptor (PD-1) and its ligand (PD-L1), has revolutionized cancer treatment. However, it is now well-known that PD-1/PD-L1 immunotherapy response is inconsistent among patients. The current challenge is to customize treatment regimens per patient, which could be possible if the PD-1/PD-L1 expression and dynamic landscape are known. With positron emission tomography (PET) imaging, it is possible to image these immune targets non-invasively and system-wide during therapy. A successful PET imaging tracer should meet specific criteria concerning target affinity, specificity, clearance rate and target-specific uptake, to name a few. The structural profile of such a tracer will define its properties and can be used to optimize tracers in development and design new ones. Currently, a range of PD-1/PD-L1-targeting PET tracers are available from different molecular categories that have shown impressive preclinical and clinical results, each with its own advantages and disadvantages. This review will provide an overview of current PET tracers targeting the PD-1/PD-L1 axis. Antibody, peptide, and antibody fragment tracers will be discussed with respect to their molecular characteristics and binding properties and ways to optimize them.
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  • 文章类型: Journal Article
    目的:新辅助治疗后局部淋巴结(LN)体积减少,需要示踪剂更准确的检测。纳米碳示踪剂是第三代示踪剂,具有多种优点,但其在中低位直肠癌新辅助放化疗后LN检测中的应用尚不清楚.因此,这项研究调查了在该患者人群中肛门镜引导下直肠下注射纳米碳混悬液的效果和安全性.
    方法:本研究回顾性分析了我院2019年3月至2022年3月收治的45例中低位直肠癌患者的病历。所有患者术前均接受新辅助化疗和放疗,分为纳米碳注射组(n=23;术前24h肛门镜引导下在齿状线以上2cm的直肠粘膜下层注射纳米碳混悬液)和对照组(n=22;直接接受手术)。比较两组患者的LN检出率和并发症发生率。
    结果:纳米碳注射组LN和小LN的总数和平均数以及>12LN的患者人数明显高于对照组。阳性LN和LN转移的总数在组间没有差异,吻合口漏也没有,出血,狭窄,脓肿发生率。
    结论:阳极镜引导的纳米碳淋巴示踪提高了LN的检出率,造成的创伤较小,与直接外科手术相比,术后并发症较少。因此,这是一个有效的,安全,和实用的方法,可以提高解剖和术后病理分期的准确性。
    OBJECTIVE: Regional lymph node (LN) volume decreases after neoadjuvant therapy, requiring a tracer for more accurate detection. Nano-carbon tracer is a third-generation tracer with several advantages, but its use for LN detection after neoadjuvant chemoradiotherapy for middle and low rectal cancer remains unclear. Therefore, this study investigated the effects and safety of anoscope-guided subrectal injections of nano-carbon suspension in this patient population.
    METHODS: This study retrospectively reviewed the medical records of 45 patients with middle and low rectal cancer admitted to our institution from March 2019 to March 2022. All patients received preoperative neoadjuvant chemotherapy and radiotherapy and were divided into nano-carbon injection (n = 23; anoscope-guided injections of nano-carbon suspension in the rectal submucosa 2 cm above the dentate line 24 h preoperatively) and control (n = 22; directly underwent surgery) groups. The LN detection and complication rates were compared between the groups.
    RESULTS: The total and mean numbers of LNs and small LNs and the number of patients with > 12 LNs were significantly higher in the nano-carbon injection group than in the control group. The total number of positive LNs and LN metastasis did not differ between the groups, nor did the anastomotic leakage, bleeding, stenosis, and abscess occurrence rates.
    CONCLUSIONS: Anoscope-guided nano-carbon lymphatic tracing increased the LN detection rate, caused less trauma, and resulted in fewer postoperative complications than the direct surgical procedure. Thus, it is an effective, safe, and practical method that may improve dissections and the postoperative pathological staging accuracy.
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  • 文章类型: Journal Article
    背景:在临床常规和临床前研究中,放射性金属标记的肽放射性药物最终纯化的既定标准程序是基于柱体的反相(RP)固相萃取(SPE).它允许从亲水性杂质中快速和定量分离放射性标记的肽,并且易于整合到自动化合成程序中。然而,从RP柱的产品洗脱需要使用有机溶剂和产品回收有时是有限的。因此,研究了一种基于市售尺寸排阻盒的替代纯化方法.
    结果:由于大多数肽放射性药物的分子量>1kDa,分子大小截止值为700Da的SephadexG10药筒用于68Ga-的宽调色板的最终纯化,64Cu-和99mTc-标记的实验肽放射性示踪剂以及临床相关配体PSMA-617。结果(放射化学纯度(RCP,由ITLC确定),从固体支持物的回收率)与相应的标准RP-SPE方法进行比较。一般来说,未反应的68Ga的保留,对于68Ga和99mTc,G10柱上的64Cu和99mTc盐是定量的,直到指定的洗脱体积(1.2mL),对于64Cu是99.6%。即使在增加1.5-2毫升的洗脱体积,洗脱的68Ga-和99mTc-放射性肽的RCP>99%。对于分子量≥2kDa的所有肽,在相应调整洗脱体积后,来自G10柱的产物回收率始终>85%。[68Ga]Ga-PSMA-617的产品回收率最低(67%,1.2毫升至84%,2mL)。发现最终产物溶液的pH是体积依赖性的(1.2mL:pH6.3;1.5mL:pH5.9;2mL:pH5.5)。值得注意的是,在不影响性能的情况下,G10墨盒可重复使用多达20次,并且该方法在自动放射合成程序中的实施是成功的。
    结论:总体而言,尺寸排阻纯化在10-12分钟内产生了在盐水中具有优异的放射化学纯度(>99%)的所有肽放射性药物。尽管产品回收率略低于经典的SPE纯化,该方法具有完全避免有机溶剂的优点,并且具有成本效益,易于实施的自动化放射性示踪剂合成纯化方法。
    BACKGROUND: Both in clinical routine and in preclinical research, the established standard procedure for the final purification of radiometal-labeled peptide radiopharmaceuticals is cartridge-based reversed-phase (RP) solid phase extraction (SPE). It allows the rapid and quantitative separation of the radiolabeled peptide from hydrophilic impurities and easy integration into automated synthesis procedures. However, product elution from RP cartridges necessitates the use of organic solvents and product recovery is sometimes limited. Thus, an alternative purification method based on commercially available size exclusion cartridges was investigated.
    RESULTS: Since most peptide radiopharmaceuticals have a molecular weight > 1 kDa, Sephadex G10 cartridges with a molecular size cut-off of 700 Da were used for the final purification of a broad palette of 68Ga-, 64Cu- and 99mTc-labeled experimental peptide radiotracers as well as the clinically relevant ligand PSMA-617. Results (radiochemical purity (RCP, determined by ITLC), recovery from the solid support) were compared to the respective standard RP-SPE method. Generally, retention of unreacted 68Ga, 64Cu and 99mTc salts on the G10 cartridges was quantitative up to the specified elution volume (1.2 mL) for 68Ga and 99mTc and 99.6% for 64Cu. Even at increased elution volumes of 1.5-2 mL, RCPs of the eluted 68Ga- and 99mTc -radiopeptides were > 99%. For all peptides with a molecular weight ≥ 2 kDa, product recovery from the G10 cartridges was consistently > 85% upon respective adjustment of the elution volume. Product recovery was lowest for [68Ga]Ga-PSMA-617 (67%, 1.2 mL to 84%, 2 mL). The pH of the final product solution was found to be volume-dependent (1.2 mL: pH 6.3; 1.5 mL: pH 5.9; 2 mL: pH 5.5). Notably, the G10 cartridges were reused up to 20 times without compromising performance, and implementation of the method in an automated radiosynthesis procedure was successful.
    CONCLUSIONS: Overall, size exclusion purification yielded all peptide radiopharmaceuticals in excellent radiochemical purities (> 99%) in saline within 10-12 min. Although product recovery is marginally inferior to classical SPE purifications, this method has the advantage of completely avoiding organic solvents and representing a cost-effective, easy-to-implement purification approach for automated radiotracer synthesis.
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  • 文章类型: Journal Article
    用于检测口腔液中特定病原体的实验室方法被广泛报道。但是对口腔液采样过程本身的研究很少。在这项研究中,荧光示踪剂(稀释的红色食用色素)用于测试目标直接从猪或间接从环境转移到基于围栏的口腔液样品。商业猪场的~30、~60和~125只14周龄猪(32个围栏/大小)接受了两种治疗之一:(1)猪暴露,即,~3.5毫升示踪剂溶液喷洒到围栏中10%的猪的口中;(2)环境暴露,即,将20mL示踪剂溶液倾倒在笔中心的地板上。在治疗前一天(基线荧光对照)和治疗后立即收集的口腔流体进行荧光测试。数据通过接收器工作特性(ROC)分析进行评估,使用Youden\的J统计数据来设置阈值。将具有高于ROC阈值的荧光响应的预处理口腔流体样品从进一步分析中移除(96个样品中的7个)。根据ROC分析,89支钢笔中的78支(87.6%)的口腔液样本,含有红色食用色素,包括接受猪暴露的47个围栏中的43个(91.5%)和接受环境暴露的42个围栏中的35个(83.3%)。因此,口腔液样本包含猪源和环境目标。该方法提供了一种安全且可量化的方法来评估口腔液采样相对于笔行为,钢笔尺寸,采样协议,和笔中的目标分配。
    Laboratory methods for detecting specific pathogens in oral fluids are widely reported, but there is little research on the oral fluid sampling process itself. In this study, a fluorescent tracer (diluted red food coloring) was used to test the transfer of a target directly from pigs or indirectly from the environment to pen-based oral fluid samples. Pens of ~30, ~60, and ~125 14-week-old pigs (32 pens/size) on commercial swine farms received one of two treatments: (1) pig exposure, i.e., ~3.5 mL of tracer solution sprayed into the mouth of 10% of the pigs in the pen; (2) environmental exposure, i.e., 20 mL of tracer solution was poured on the floor in the center of the pen. Oral fluids collected one day prior to treatment (baseline fluorescence control) and immediately after treatment were tested for fluorescence. Data were evaluated by receiver operating characteristic (ROC) analysis, with Youden\'s J statistic used to set a threshold. Pretreatment oral fluid samples with fluorescence responses above the ROC threshold were removed from further analysis (7 of 96 samples). Based on the ROC analyses, oral fluid samples from 78 of 89 pens (87.6%), contained red food coloring, including 43 of 47 (91.5%) pens receiving pig exposure and 35 of 42 (83.3%) pens receiving environmental exposure. Thus, oral fluid samples contain both pig-derived and environmental targets. This methodology provides a safe and quantifiable method to evaluate oral fluid sampling vis-à-vis pen behavior, pen size, sampling protocol, and target distribution in the pen.
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  • 文章类型: Journal Article
    研究重点是一氧化二氮作为保留时间标记在超临界流体色谱(SFC)中的应用范围。这种化合物在十年前被建议用作未保留的标记,SFC领域长期以来一直缺少的东西,因为它的有益特性使其成为保留时间标记的理想候选者。由于二氧化碳的可压缩性,滞留体积和实际体积流速的确定在SFC中一直是有问题的,其中一部分是滞留时间测量的困难。根据流动相,不同的方法被用来测量滞留时间,结果各不相同。氧化亚氮和其他分子在不同条件下进行了比较,流动相和固定相。在所有情况下,一氧化二氮的洗脱时间最低。然而,在含有10%或更多有机改性剂的流动相中检测困难,因为大多数溶剂掩盖了一氧化二氮的信号。有趣的是,固定相位的选择对检测也有轻微影响,而不同的压力和温度设置以不同的方式影响每个化合物。
    The study focuses on the application range of nitrous oxide as a hold-up time marker in supercritical fluid chromatography (SFC). This compound has been suggested a decade ago to be used as unretained marker, something that the field of SFC was missing for a long time, since its beneficial properties make it an ideal candidate as hold-up time marker. Determination of the hold-up volume and actual volumetric flow rates have always been problematic in SFC due to the compressibility of carbon dioxide and one part of this is the difficulty of hold-up time measurements. Depending on the mobile phase, different methods have been used to measure the hold-up time with varying results. Nitrous oxide and other molecules have been compared in different conditions, mobile phases and stationary phases. In all cases, nitrous oxide gave the lowest elution times. However, detection was difficult in mobile phases containing 10% or more of organic modifier, because most solvents mask the signal of nitrous oxide. Interestingly, the choice of stationary phase also had a slight effect on detection, while different pressure and temperature settings affected each compound in a different manner.
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  • 文章类型: Journal Article
    镉(Cd)是食品中污染的环境污染物之一。以前的一些报道表明,大米抛光不能有效降低白米中的Cd含量,暗示了Cd在水稻籽粒中的特征性分布。然而,到目前为止,Cd的分布尚未完全阐明。在这里,在开花后的各个时间点使用水稻幼苗进行109Cd放射性示踪剂实验,以获得糙米的放射自显影图,以直观地了解籽粒灌浆过程中Cd的运输和分布。结果表明,109Cd积累在糙米的最外层区域,在淀粉胚乳的中部,导致双圆分布模式的出现,这在65Zn的放射自显影图中没有观察到。位于胚乳中心周围的109Cd的内圈特别是在开花后8天和10天左右发育。在这段时间之后,109Cd开始沉积在胚乳的外部,在14C-蔗糖的放射自显影中也发现了。考虑到谷物发育的生理学,假设胚乳中水分运输和蛋白质合成对特征Cd分布模式的贡献。
    Cadmium (Cd) is one of the environmental pollutants contaminated in our food. Several previous reports showed that rice polishing cannot be efficient to reduce Cd content in white rice, implying the characteristic Cd distribution in rice grain. However, Cd distribution has not been fully elucidated so far. Herein, 109Cd radiotracer experiment was performed using the rice seedlings at various time points after flowering to obtain autoradiographs of the brown rice to visually understand the Cd transport and distribution during the grain-filling process. It was shown that 109Cd accumulated in the outermost area of the brown rice, and also in the middle part of the starchy endosperm, resulting in the appearance of the double circle distribution pattern, which was not observed in the autoradiographs of 65Zn. The inner circle of 109Cd located around the center of the endosperm was developed particularly at around 8 and 10 days after flowering. After this period, 109Cd started to deposit at the outer part of the endosperm, which was also found in the autoradiograph of 14C-sucrose. Considering the physiology of grain development, the contribution of water transport and protein synthesis in the endosperm on the characteristic Cd distribution pattern was hypothesized.
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  • 文章类型: Journal Article
    具有近红外(NIR)荧光成像的吲哚菁绿(ICG)用于淋巴定位。然而,ICG与血清白蛋白等血液蛋白的结合可以缩短其在前哨淋巴结(SLN)中的保留时间。这里,我们研究了一种新型荧光示踪剂的有效性和安全性,该示踪剂包含植酸和脂质体(LP)包裹的ICG.肌醇六磷酸与含有磷脂酸的LP的共同施用促进体液中由Ca2+介导的螯合以增强SLN保留。在使储存期间的荧光自猝灭最小化的条件下产生封装ICG的均匀尺寸的LP(100nm)。我们根据淋巴结保留时间分析了新型示踪剂(ICG-植酸盐-LP)和对照示踪剂(ICG和ICG-LP)在小鼠淋巴流中的行为。我们还测试了淋巴系统更像人类的猪的淋巴流动和安全性。成功制备了包封稳定ICG的LP。在Ca2存在下将LP与植酸盐混合会增加粒径和负表面电荷。在老鼠身上,ICG-phytate-LP的淋巴结保留最好,荧光强度比在6小时内增加,然后在接下来的24小时内缓慢下降。在猪中,ICG和ICG-植酸盐-LP的给药没有导致死亡或体重减轻。ICG和ICG-phytate-LP组的血液检测结果无明显差异,整体安全性良好。ICG-phytate-LP可能是妇科癌症的有用新示踪剂,由于腹膜后方法需要时间进行淋巴结识别。
    Indocyanine green (ICG) with near-infrared (NIR) fluorescence imaging is used for lymphatic mapping. However, binding of ICG to blood proteins like serum albumin can shorten its retention time in sentinel lymph nodes (SLNs). Here, we investigated the efficacy and safety of a new fluorescence tracer comprising phytate and liposome (LP)-encapsulated ICG. Coadministration of phytate with LP containing phosphatidic acid promotes chelation mediated by Ca2+ in bodily fluids to enhance SLN retention. Uniformly sized LPs (100 nm) encapsulating ICG under conditions that minimized fluorescence self-quenching during storage were produced. We analyzed the behavior of the new tracer (ICG-phytate-LP) and control tracers (ICG and ICG-LP) in the lymphatic flow of mice in terms of lymph node retention time. We also tested lymphatic flow and safety in pigs that have a more human-like lymphatic system. LPs encapsulating stabilized ICG were successfully prepared. Mixing LP with phytate in the presence of Ca2+ increased both the particle size and negative surface charge. In mice, ICG-phytate-LP had the best lymph node retention, with a fluorescence intensity ratio that increased over 6 h and then decreased slowly over the next 24 h. In pigs, administration of ICG and ICG-phytate-LP resulted in no death or weight loss. There were no obvious differences between blood test results for the ICG and ICG-phytate-LP groups, and the overall safety was good. ICG-phytate-LP may be a useful new tracer for gynecological cancers that require time for lymph node identification due to a retroperitoneal approach.
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  • 文章类型: Journal Article
    许多乳腺癌患者在前哨淋巴结活检(SLNB)后避免了腋窝淋巴结清扫。在SLNB操作期间,淋巴管的颜色有时很差,所以很难找到它们。这项研究观察了三种示踪剂组合的示踪效果,并报告了我们简化SLNB程序的经验。
    总共,回顾性研究了123例TNM分期为cT1-2N0M0的乳腺癌患者。根据使用的示踪剂,将患者分为纳米碳(CNP)组(38例),CNP联合亚甲蓝(CNP+MB)组41例,吲哚菁绿结合MB(ICG+MB)组44例。所有123例乳腺癌病例也根据SLNB手术流程分为非追踪组(53例)和追踪组(70例)。非追踪组直接寻找染色的前哨淋巴结,而追踪组沿着淋巴管寻找染色的淋巴结。
    CNP中的SLN识别率,CNP+MB,ICG+MB组为97.4%,97.6%,分别为95.5%(P>0.05)。SLN的平均检出数分别为4.92±2.06、5.12±2.18、4.57±1.90(P>0.05)。三组淋巴管的理想显示率为86.8%,87.8%,和93.2%,分别为(P>0.05)。非跟踪组和跟踪组的SLN识别率分别为96.2%和97.1%,分别为(P>0.05)。平均检测到的SLN数分别为5.73±1.76和5.70±1.93(P>0.05),平均手术时间为16.47±5.78和27.53±7.75min,分别为(P<0.05)。
    这是第一个观察CNP联合MB和ICG联合MB示踪剂在乳腺癌患者SLNB中的应用效果的研究。在SLN识别和淋巴管显示方面,患者之间没有显着差异。在SLNB手术中省略寻找淋巴管的步骤并不会降低手术效果,但是减少手术步骤可以减少手术时间,理论上可以减少术后并发症。
    UNASSIGNED: Many breast cancer patients have avoided axillary lymph node dissection after sentinel lymph node biopsy (SLNB). During the SLNB operation, the color of lymphatic vessels is sometimes poor and so finding them is difficult. This study observed the tracing effects of three tracer combinations and also reported our experience in simplifying the SLNB program.
    UNASSIGNED: In total, 123 breast cancer patients whose TNM stage was cT1-2N0M0 were retrospectively studied. According to the tracer used, the patients were divided into the carbon nanoparticle (CNP) group (38 cases), CNP combined with methylene blue (CNP + MB) group (41 cases), and indocyanine green combined with MB (ICG + MB) group (44 cases). All 123 breast cancer cases were also classified into the non-tracking group (53 cases) and tracking group (70 cases) according to the SLNB operation process. The non-tracking group looked for the stained sentinel lymph nodes directly, while the tracking group looked for the stained lymph nodes along the lymphatic vessels.
    UNASSIGNED: The SLN identification rates in the CNP, CNP + MB, and ICG + MB groups were 97.4%, 97.6%, and 95.5% respectively (P > 0.05). The average number of SLNs detected was 4.92 ± 2.06, 5.12 ± 2.18, and 4.57 ± 1.90, respectively (P > 0.05). The ideal display rates of lymphatic vessels in the three groups were 86.8%, 87.8%, and 93.2%, respectively (P > 0.05). The SLN identification rates in the non-tracking and tracking groups were 96.2% and 97.1%, respectively (P > 0.05). The average number of SLNs detected were 5.73 ± 1.76 and 5.70 ± 1.93, respectively (P > 0.05), and the average operation time was 16.47 ± 5.78 and 27.53 ± 7.75 min, respectively (P < 0.05).
    UNASSIGNED: This is the first study to observe the application effect of CNP combined with MB and ICG combined with MB tracers in SLNB of breast cancer patients. No significant difference was observed among the patients in SLN identification and lymphatic vessel display. Omitting the step of searching for lymphatic vessels in SLNB surgery does not reduce the surgical effect, but the reduced operating steps can reduce the surgical time and theoretically reduce postoperative complications.
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