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Analysis for Concentration Range of Fluorescein Sodium

플루오레신나트륨의 농도 범위 분석

  • Lee, Da-Ae (Department Nano-physics, College of Bionano Technology, Gachon University) ;
  • Kim, Yong-Jae (Department Bio-nano Science, College of Bionano Technology, Gachon University) ;
  • Yoon, Ki-Cheol (Department of Biomedical Engineering, College of Medicine, Gachon University) ;
  • Kim, Kwang-Gi (Department of Biomedical Engineering, College of Medicine, Gachon University)
  • 이다애 (가천대학교 바이오나노대학 나노물리학과) ;
  • 김용재 (가천대학교 바이오나노대학 바이오나노학과) ;
  • 윤기철 (가천대학교 의과대학 의예과 의공학교실) ;
  • 김광기 (가천대학교 의과대학 의예과 의공학교실)
  • Received : 2019.09.25
  • Accepted : 2020.02.27
  • Published : 2020.04.30

Abstract

Brain tumors or gliomas are fatal cancer species with high recurrence rates due to their strong invasiveness. Therefore, the goal of surgery is complete tumor resection. However, the surgery is difficult to distinguish the border because tumors and blood vessels have the same color tone and shape. The fluorescein sodium is used as a fluorescence contrast agent for boundary separation. When the external light source is irradiated, yellow fluorescence is expressed in the tumor, which helps distinguish between blood vessels and tumor boundaries. But, the fluorescence expression of fluorescence sodium depends on the concentration of fluorescein sodium and such analytical data is insufficient. The unclear fluorescence can obscure the boundaries between blood vessels and tumors. In addition, reduce the efficiency of fluorescence sodium use. This paper proposes a protocol of concentration range for fluorescence expression conditions. Fluorescent expression was observed using a near-infrared (NIR) color camera with corresponding dilution using normal saline in 1 ml microtube. The flunoresence emission density range is 1.00 mM to 0.15 mM. The fluorescence emission begin to 1.00 mM and the 0.15 mM discolor. The discolor is difficult to fluorescence emission condition obserbation. Thus, the maximum density range of the bright fluoresecein is 0.15 mM to 0.30 mM. When the concentration range of fluorescein sodium is analyzed based on the gradient of fluorescence expression and the power measurement, the brightest fluorescence is expected to facilitate the complete resection of the tumor. For the concentration range protocol, setting concentration ranges and analyzing fluorescence expression image according to saturation and brightness to find optimal fluorescence concentration are important. Concentration range protocols for fluorescence expression conditions can be used to find optimal concentrations of substances whose expression pattern varies with concentration ranges. This study is expected to be helpful in the boundary classification and resection of brain tumors and glioma.

Keywords

References

  1. Schebesch KM, Brawanski A and Hohne J. Fluorescein sodium-guided surgery of maliganant brain tumors:history, current concepts, and future project. Turkish Neuorsurgery. 2016;26(2):185-94.
  2. Schebesch KM, Proescholdt M, HOhne J, Hohenberger C, Hansen E, Riemenschneider MJ, Ullrich W, Doenitz C, Schlaier J, Lange M and Brawanski A. Sodium fluorescein-guided resection under the YELLOW 560 nm surgical microscope filter in malignant brain tumor surgery-a feasibility study. Acta Neurochir. 2013;155:693-9. https://doi.org/10.1007/s00701-013-1643-y
  3. Belykh EG, Zhao X, Cavallo C, Bohl MA, Yamurlu K, Aklinski JL, Byvaltsev VA, Sanai N, Spetzler RF, Lawton MT, Nakaji P and Preul MC. Laboratory evaluation of a robotic operative microscope-visualization platform for neurosurgery. Cureus. 2018;10(7):2-22. https://doi.org/10.18605/2175-7275/cereus.v10n1p2-15
  4. Setten GV. Sandbank Epitheliopathy of the conjunctiva (SEC) a new indicator in dry eye. J. Eye & Cataract Surgery. 2017;3(2):1-4. https://doi.org/10.21767/2471-8300.100029
  5. Fluorescite Ophthalmic Disclosing Agent Fluorescein Sodium (https://allmedtech.com/flbopdiagfls.html).
  6. Shingnapurkar SH, Mitra DK, Kadav MS, Shah RA, Rodrigues SV and Prithyani SS. The effect of indocyanine green-mediated photodynamic therapy as an adjunct to scaling and root planing in the treatment of chronic periodontitis: A comparative splitmouth randomized clinical trial. Indian J. Dental Researh. 2016;27(6):609-17. https://doi.org/10.4103/0970-9290.199598
  7. Lee HM, Kim HR, Yoon WB, Kim YJ, Kim KG, Kim SK, Yoo H, Lee SH, Shin M S and Kwon KC. Study of a brain tumor and blood vessel detection system using multiple fluorescence imaging by a surgical microscope. Korean J. Opt. Photon. 2015;26(1):23-9. https://doi.org/10.3807/KJOP.2015.26.1.023
  8. Cherrick, G. R, Stein, S. W, Leevy, C. M, & Davidson, C. S. Indocyanine green: observations on its physical properties, plasma decay, and hepatic extraction. J Clin Invest. 1960;39(4):592-600. https://doi.org/10.1172/JCI104072
  9. DR W. Fluorescein angiography basic science and engineering. Ophthalmology. 1986;93(2):1617-20. https://doi.org/10.1016/S0161-6420(86)33521-8
  10. Bennett TJ, Quillen DN and Coronica R. Fundamentals of fluorescein angiography. American Soc. Ophthalmic Registered Nurses Insight. 2016;41(1):5-11.
  11. Schebesch KM, Proescholdt M, Hohne J, Hohenberger C, Hansen E, Riemenschneider MJ, Ullrich W, Doenits C, Schlaier J, Lange M and Brawanski A. Sodium fluorescein-guided resection under the yellow 560 nm surgical microscope filter in malignant brain tumor surgery-a feasibility study. Acta Neurochirurgica. 2013;155(4):693-9. https://doi.org/10.1007/s00701-013-1643-y
  12. Suzuki K, Kodama N, Sasaki T, Matsumoto M, Ichikawa T, Munakata R, Muramatsu H and Kasuya H. Confirmation of blood flow in perforating arteries using fluorescein cerebral angiography during aneurysm surgery. J. Neurosurgery. 2007;107:68-73. https://doi.org/10.3171/JNS-07/07/0068
  13. Chen B, Wang H, Ge P, Zhao J, Li W, Gu H, Wang G, Luo Y and Chen D. Gross total resection of glioma with the intraoperative fluorescence-guidance of fluorescein sodium. Int. J. Medical Sciences. 2012;9(8):708-14. https://doi.org/10.7150/ijms.4843
  14. Christopoulos TK and Diamandis EP. Fluorescence immunoassays. Hum Pathol. 1984;15(2):112-6. https://doi.org/10.1016/S0046-8177(84)80049-0
  15. Eforn, N. Contact lens complications 3rd. Elsevier Expert Consult, USA:Saunders;2004.
  16. Polomska AK, Lerous JC and Detmar M. Minimally invasive method for the point-of-care quantification of lymphatic vessel function. JCI Insight. 2019;4(4):e126515. https://doi.org/10.1172/jci.insight.126515
  17. Kim TW, Park JH and Hong JI. Self-quenching mechanism: the influence of quencher and spacer on quencher-fluorescein probes. Bull. Korean Chem. Soc. 2007;28(7):1221-3. https://doi.org/10.5012/bkcs.2007.28.7.1221
  18. web site on www.cancer.go.kr (definition of brain gliomas)
  19. Lefranc F, Sadeghi N, Camby I, Metens T, Dewitte O and Kiss R. Present and potential future issues in glioblastoma treatment. J. Expert Review of Anticancer Therapy. 2006; 6(5):719-32. https://doi.org/10.1586/14737140.6.5.719
  20. Larcroix M, Abi-Said D, Fourney DR, Gokaslan ZL, Shi W, DeMonte F, Lang FF, McCutcheon IE, Hassenbusch SJ, Holland E, Hess K, Michael C, Miller D and Sawaya R. A multivariate analysis of 416 patients with glioblastoma multiforme: prognosis, extent of resection, and survival. J. Neurosurgery. 2001;95(2):190-8. https://doi.org/10.3171/jns.2001.95.2.0190
  21. Stummer W, Novotny A, Stepp H, Goetz C, Bise K and Reulen HJ. Fluorescence-guided resection of glioblastoma multiforme utilizing 5-ALA-induced porphyrins: a prospective study in 52 consecutive patients. J. Neurosurgery. 2000; 93(6):1003-13. https://doi.org/10.3171/jns.2000.93.6.1003
  22. Shinoda J, Yano H, Yoshimura SI, Okumura A, Kaku Y, Iwama T and Sakai N. Fluorescence-guided resection of glioblastoma multiforme by using high-dose fluorescein sodium. J. Neurosurgery. 2003;99:597-603. https://doi.org/10.3171/jns.2003.99.3.0597
  23. Flower RW. Injection technique for indocyanine green and sodium fluorescein dye angiography of the eye. Investigative Ophthalmology & Visual Science. 1973;12(12):881-95.
  24. Spaide RF, Klancnik JM and Cooney J. Retinal vascular layers Imaged by fluorescein angiography and optical coherence tomography angiography. JAMA Ophthalmology. 2015;133(21):45-50. https://doi.org/10.1001/jamaophthalmol.2014.3616
  25. Keerl R, Weber RK, Draf W, Wienke A, and Schaefer SD. Use of sodium fluorescein solution for detection of cerebrospinal fluid fistulas: An analysis of 420 administrations and reported complications in Europe and the United states. Laryngoscope. 2004;114(2):266-72. https://doi.org/10.1097/00005537-200402000-00016
  26. Koc K, Anik I, Cabuk B And Ceylan S. Fluorescein sodiumguided surgery in glioblastoma multiforme: a prospective evaluation. British J. Neurosurgery. 2008;22(1):99-103. https://doi.org/10.1080/02688690701765524
  27. Mondal SB, Gao S, Zhu N, Liang R, Gruev V and Achilefu S. Real-time fluorescence image-guided oncologic surgery. Adv. Cancer Research. 2014;124:171-211. https://doi.org/10.1016/B978-0-12-411638-2.00005-7