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10.1245/s10434-018-07114-9

http://scihub22266oqcxt.onion/10.1245/s10434-018-07114-9
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suck abstract from ncbi


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pmid30588559      Ann+Surg+Oncol 2019 ; 26 (3): 894-898
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  • Tumor Resection Guided by Intraoperative Indocyanine Green Dye Fluorescence Angiography Results in Negative Surgical Margins and Decreased Local Recurrence in an Orthotopic Mouse Model of Osteosarcoma #MMPMID30588559
  • Mahjoub A; Morales-Restrepo A; Fourman MS; Mandell JB; Feiqi L; Hankins ML; Watters RJ; Weiss KR
  • Ann Surg Oncol 2019[Mar]; 26 (3): 894-898 PMID30588559show ga
  • BACKGROUND: Surgical resection with negative margins is the foundation of extremity sarcoma management. Failure to achieve negative surgical margins can result in local recurrence (LR), a potentially devastating complication. Indocyanine green (ICG) is a US FDA-approved fluorophore previously used to guide carcinoma resections. We investigated the potential of ICG as an intraoperative guide during experimental sarcoma resection. METHODS: Fifty 6-week-old immunocompetent Balb/c female mice received left proximal tibia paraphyseal injections of 5 x 10(5) K7M2 murine osteosarcoma cells. Animals were separated into two groups (n = 25 each): (1) ICG-assisted surgical resection; and (2) no ICG-assisted resection. Resections were performed 4 weeks after primary tumor engraftment. All animals received 7.5 ug ICG via retro-orbital injection 12 h prior to surgery. ICG fluorescence measurements and clinical evaluations were performed 4 weeks after resection to detect LR. RESULTS: Eleven of 25 animals from each group developed gross tumors. Four weeks after resection, group 1 had 0/11 tumor recurrences, while group 2 had recurrences in 9/11 (81.8%) experimental mice (p < 0.0002) (Fig. 2). There was a 100% NPV in group 1, and no tumor recurrence with fluorescence-free margins after the primary surgery. Group 2 had a 100% positive predictive value for the development of an LR if any fluorescent signal was present at the surgical margin after resection. CONCLUSION: Intraoperative ICG guidance led to reliably negative surgical margins and a diminished LR rate. Given the benign safety profile of ICG and its prior clinical success, these results could be immediately translatable to the clinical realm.
  • |*Fluorescence[MESH]
  • |Animals[MESH]
  • |Bone Neoplasms/diagnostic imaging/pathology/*surgery[MESH]
  • |Female[MESH]
  • |Fluorescein Angiography/*methods[MESH]
  • |Fluorescent Dyes[MESH]
  • |Indocyanine Green/metabolism[MESH]
  • |Intraoperative Care[MESH]
  • |Margins of Excision[MESH]
  • |Mice[MESH]
  • |Mice, Inbred BALB C[MESH]
  • |Neoplasm Recurrence, Local/diagnostic imaging/pathology/*prevention & control[MESH]
  • |Optical Imaging/*methods[MESH]
  • |Osteosarcoma/diagnostic imaging/pathology/*surgery[MESH]


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