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      Optical molecular imaging technology and its application in precise surgical navigation of liver cancer

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          Abstract

          Recent innovations in medical imaging technology have placed molecular imaging techniques at the forefront of diagnostic advancements. The current research trajectory in this field aims to integrate personalized molecular data of patients and diseases with traditional anatomical imaging data, enabling more precise, non-invasive, or minimally invasive diagnostic options for clinical medicine. This article provides an in-depth exploration of the basic principles and system components of optical molecular imaging technology. It also examines commonly used targeting mechanisms of optical probes, focusing especially on indocyanine green—the FDA-approved optical dye widely used in clinical settings—and its specific applications in diagnosing and treating liver cancer. Finally, this review highlights the advantages, limitations, and future challenges facing optical molecular imaging technology, offering a comprehensive overview of recent advances, clinical applications, and potential impacts on liver cancer treatment strategies.

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          The entry of nanoparticles into solid tumours

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            Bioimaging: second window for in vivo imaging.

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              A small-molecule dye for NIR-II imaging.

              Fluorescent imaging of biological systems in the second near-infrared window (NIR-II) can probe tissue at centimetre depths and achieve micrometre-scale resolution at depths of millimetres. Unfortunately, all current NIR-II fluorophores are excreted slowly and are largely retained within the reticuloendothelial system, making clinical translation nearly impossible. Here, we report a rapidly excreted NIR-II fluorophore (∼90% excreted through the kidneys within 24 h) based on a synthetic 970-Da organic molecule (CH1055). The fluorophore outperformed indocyanine green (ICG)-a clinically approved NIR-I dye-in resolving mouse lymphatic vasculature and sentinel lymphatic mapping near a tumour. High levels of uptake of PEGylated-CH1055 dye were observed in brain tumours in mice, suggesting that the dye was detected at a depth of ∼4 mm. The CH1055 dye also allowed targeted molecular imaging of tumours in vivo when conjugated with anti-EGFR Affibody. Moreover, a superior tumour-to-background signal ratio allowed precise image-guided tumour-removal surgery.

                Author and article information

                Journal
                Theranostics
                Theranostics
                thno
                Theranostics
                Ivyspring International Publisher (Sydney )
                1838-7640
                2025
                1 January 2025
                : 15
                : 3
                : 1017-1034
                Affiliations
                [1 ]Department of Hepatobiliary and Pancreas Surgery, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu 611731, China.
                [2 ]State Key Laboratory of Vaccines for Infectious Diseases, Center for Molecular Imaging and Translational Medicine, Xiang An Biomedicine Laboratory, National Innovation Platform for Industry-Education Integration in Vaccine Research, School of Public Health, Xiamen University, Xiamen 361002, China.
                [3 ]Department of General Surgery, Institute of Hepatobiliary-Pancreatic-Intestinal Diseases, Affiliated Hospital of North Sichuan Medical College, Nanchong 637000, China.
                Author notes
                ✉ Corresponding authors: gangliu.cmitm@ 123456xmu.edu.cn (Gang Liu), zhangyuqg@ 123456med.uestc.edu.cn (Yu Zhang).

                # P. He, and H. Tang contributed equally to this work.

                Competing Interests: The authors have declared that no competing interest exists.

                Article
                thnov15p1017
                10.7150/thno.102671
                11700863
                ad94ed14-a93b-47bb-a6d6-b4635b5ccc3f
                © The author(s)

                This is an open access article distributed under the terms of the Creative Commons Attribution License ( https://creativecommons.org/licenses/by/4.0/). See https://ivyspring.com/terms for full terms and conditions.

                History
                : 22 August 2024
                : 30 November 2024
                Categories
                Review

                Molecular medicine
                molecular imaging,theranostics,liver cancer,surgical navigation
                Molecular medicine
                molecular imaging, theranostics, liver cancer, surgical navigation

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