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Review
. 2020 Jan;61(1):13-19.
doi: 10.2967/jnumed.119.228684. Epub 2019 Nov 11.

Trending: Radioactive and Fluorescent Bimodal/Hybrid Tracers as Multiplexing Solutions for Surgical Guidance

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Free article
Review

Trending: Radioactive and Fluorescent Bimodal/Hybrid Tracers as Multiplexing Solutions for Surgical Guidance

Fijs W B van Leeuwen et al. J Nucl Med. 2020 Jan.
Free article

Abstract

By contributing to noninvasive molecular imaging and radioguided surgery, nuclear medicine has been instrumental in the realization of precision medicine. During the last decade, it has also become apparent that nuclear medicine (e.g., in the form of bimodal/hybrid tracers) can help to empower fluorescence-guided surgery. More specifically, when using hybrid tracers, lesions can be noninvasively identified and localized with a high sensitivity and precision (guided by the radioisotope) and ultimately resected under real-time optical guidance (fluorescent dye). This topical review discusses early clinical successes, preclinical directions, and key aspects that could have an impact on the future of this field.

Keywords: bimodal tracers; fluorescence imaging; image-guided surgery; multimodal; nuclear medicine.

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