d-aminolevulinic acid–induced protoporphyrin IX concentration correlates with histopathologic markers of malignancy in human gliomas: the need for quantitative fluorescence-guided resection to identify regions of increasing malignancy

نویسندگان

  • Pablo A. Valdés
  • Anthony Kim
  • Marco Brantsch
  • Carolyn Niu
  • Ziev B. Moses
  • Tor D. Tosteson
  • Brian C. Wilson
  • Keith D. Paulsen
  • David W. Roberts
  • Brent T. Harris
چکیده

Dartmouth Medical School, Dartmouth College (P.A.V., Z.B.M., K.D.P., D.W.R., B.T.H.), Thayer School of Engineering, Dartmouth College, Hanover, New Hampshire (P.A.V., K.D.P., D.W.R.); Ontario Cancer Institute, University Health Network, Toronto, Canada (A.K., M.B., C.N., B.C.W.); Community and Family Medicine (Biostatistics) and The Dartmouth Institute of Health Policy and Clinical Practice, Dartmouth Medical School, Lebanon, New Hampshire (T.D.T.); Norris Cotton Cancer Center (T.D.T., K.D.P., D.W.R., B.T.H.), Section of Neurosurgery (D.W.R.) and Department of Neurology (B.T.H.), Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire; Departments of Pathology and Neurology, Georgetown University Medical Center, Washington, DC (B.T.H.)

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Application of 5-ALA Fluorescence-Guided Resection in Patients Suffering from High-Grade Gliomas: Report of 30 Consecutive Cases and a Literature Review

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Development and characterization of a brain tumor mimicking fluorescence phantom

Fluorescence guidance using 5-aminolevulinic acid (5-ALA) for brain tumor resection is a recent technique applied to the highly malignant brain tumors. Five-ALA accumulates as protoporphyrin IX fluorophore in the tumor cells in different concentrations depending on the tumor environment and cell properties. Our group has developed a fluorescence spectroscopy system used with a hand-held probe i...

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Fluorescence guided resection and glioblastoma in 2015: A review.

High-grade gliomas represent a widely heterogeneous group of tumors, the most frequent of which is glioblastoma multiforme. Its annual incidence has risen over the last decades, particularly amongst elderly people. The actual standards of care allow for a 15-month median survival rate for WHO grade IV gliomas. As recurrence occurs in more than 85% of patients at the surgical margins, the initia...

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Multi-Scale Spectrally-Resolved Quantitative Fluorescence Imaging System: Towards Neurosurgical Guidance in Glioma Resection

In glioma resection surgery, the detection of tumour is often guided by using intraoperative fluorescence imaging notably with 5-ALA-PpIX, providing fluorescent contrast between normal brain tissue and the gliomas tissue to achieve improved tumour delineation and prolonged patient survival compared with the conventional white-light guided resection. However, the commercially available fluoresce...

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تاریخ انتشار 2011