دورية أكاديمية

Development of an intraoperative breast cancer margin assessment method using quantitative fluorescence measurements

التفاصيل البيبلوغرافية
العنوان: Development of an intraoperative breast cancer margin assessment method using quantitative fluorescence measurements
المؤلفون: Hiroki Ueo, Itsushi Minoura, Hiroaki Ueo, Ayako Gamachi, Yuichiro Kai, Yoko Kubota, Takako Doi, Miki Yamaguchi, Toshinari Yamashita, Hitoshi Tsuda, Takuya Moriya, Rin Yamaguchi, Yuji Kozuka, Takeshi Sasaki, Takaaki Masuda, Yasuteru Urano, Masaki Mori, Koshi Mimori
المصدر: Scientific Reports, Vol 12, Iss 1, Pp 1-10 (2022)
بيانات النشر: Nature Portfolio, 2022.
سنة النشر: 2022
المجموعة: LCC:Medicine
LCC:Science
مصطلحات موضوعية: Medicine, Science
الوصف: Abstract Breast-conserving surgery has become the preferred treatment method for breast cancer. Surgical margin assessment is performed during surgery, as it can reduce local recurrence in the preserved breast. Development of reliable and lower-cost ex vivo cancer detection methods would offer several benefits for patient care. Here, a practical and quantitative evaluation method for the ex vivo fluorescent diagnosis of breast lesions was developed and confirmed through a three-step clinical study. Gamma-glutamyl-hydroxymethyl rhodamine green (gGlu-HMRG) has been reported to generate fluorescence in breast lesions. Using this probe, we constructed a reliable and reproducible procedure for the quantitative evaluation of fluorescence levels. We evaluated the reliability of the method by considering reproducibility, temperature sensitivity, and the effects of other clinicopathological factors. The results suggest that the fluorescence increase of gGlu-HMRG is a good indicator of the malignancy of breast lesions. However, the distributions overlapped. A 5 min reaction with this probe could be used to distinguish at least part of the normal breast tissue. This method did not affect the final pathological examination. In summary, our results indicate that the methods developed in this study may serve as a feasible intraoperative negative-margin assessment tool during breast-conserving surgery.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2045-2322
العلاقة: https://doaj.org/toc/2045-2322Test
DOI: 10.1038/s41598-022-12614-6
الوصول الحر: https://doaj.org/article/57841e403e1d428fb43fed7ca65cece2Test
رقم الانضمام: edsdoj.57841e403e1d428fb43fed7ca65cece2
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:20452322
DOI:10.1038/s41598-022-12614-6