한빛사논문
Abstract
Hoon Hyun1,9, Min Ho Park1,3,9, Eric A Owens4,5, Hideyuki Wada1, Maged Henary4,5, Henricus J M Handgraaf6, Alexander L Vahrmeijer6, John V Frangioni1,2,7 & Hak Soo Choi1,8,*
1Department of Medicine, Division of Hematology and Oncology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA. 2Department of Radiology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA. 3Department of Surgery, Chonnam National University Medical School, Gwangju, South Korea. 4Department of Chemistry, Georgia State University, Atlanta, Georgia, USA. 5Center for Diagnostics and Therapeutics, Georgia State University, Atlanta, Georgia, USA. 6Department of Surgery, Leiden University Medical Center, Leiden, the Netherlands. 7Curadel, LLC, Worcester, Massachusetts, USA. 8Department of Cogno-Mechatronics Engineering, Pusan National University, Busan, South Korea. 9These authors contributed equally to this work.
*Correspondence to: Hak Soo Choi
Abstract
The typical method for creating targeted contrast agents requires covalent conjugation of separate targeting and fluorophore domains. In this study, we demonstrate that it is possible to create near-infrared (NIR) fluorophores with different tissue specificities driven by their inherent chemical structures. Thus, a single compact molecule performs both targeting and imaging. We use this strategy to solve a major problem in head and neck surgery: the identification and preservation of parathyroid and thyroid glands. We synthesized 700-nm and 800-nm halogenated fluorophores that show high uptake into these glands after a single intravenous (IV) injection of 0.06 mg kg-1 in a pig. By using a dual-channel NIR imaging system, we observed-in real time and with high sensitivity-the unambiguous distinction of parathyroid and thyroid glands simultaneously in the context of blood and surrounding soft tissue. This novel technology lays a foundation for performing head and neck surgery with increased precision and efficiency along with potentially lower morbidity, and it provides a general strategy for developing targeted NIR fluorophores.
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