Sentinel Lymph Node Detection by Blue Dye Versus Indocyanine Green Fluorescence Imaging in Colon Cancer.

Abstract:

BACKGROUND/AIM:Nodal staging is used in colorectal cancer (CRC) to determine which patients should receive adjuvant chemotherapy. The aim of this study was to evaluate the role of indocyanine green fluorescence imaging (ICG-FI) in sentinel lymph node (SLN) detection compared to the standard technique. MATERIALS AND METHODS:Twenty patients with CRC admitted for elective colectomy were included (NCT01995591). Ex vivo SLN detection was performed using patent blue (PB) and free ICG injected around the tumor. RESULTS:Identification rates were 95% (19/20) for both techniques. Sensitivity was 43% for PB and 57% for ICG. Correlation between the techniques was 83%. FI was more sensitive in patients with body mass index (BMI) >25 kg/m(2) Serial section analysis did not allow for up-staging of patients. CONCLUSION:The use of ICG-FI is superior to the blue dye technique in patients with a BMI >25 kg/m(2) However, the sensitivity of ICG-FI in SLN detection remains low, with a high rate of false-negative results.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Liberale G,Vankerckhove S,Galdon MG,Larsimont D,Ahmed B,Bouazza F,Moreau M,El Nakadi I,Donckier V,Bourgeois P,R&D Group for the Clinical Application of Fluorescence Imaging at the Jules Bordet Institute.

doi

10.21873/anticanres.11048

subject

Has Abstract

pub_date

2016-09-01 00:00:00

pages

4853-8

issue

9

eissn

0250-7005

issn

1791-7530

pii

36/9/4853

journal_volume

36

pub_type

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