4.7 Article

A pure nanoICG-based homogeneous lipiodol formulation: toward precise surgical navigation of primary liver cancer after long-term transcatheter arterial embolization

Journal

Publisher

SPRINGER
DOI: 10.1007/s00259-021-05654-z

Keywords

Indocyanine green; Nanomedicine; Fluorescence navigation; Hepatocellular carcinoma

Funding

  1. Major State Basic Research Development Program of China [2017YFA0205201]
  2. National Natural Science Foundation of China [81925019, 81422023, 81603015, 81871404, U1705281]
  3. Fundamental Research Funds for the Central Universities [20720190088, 20720200019, 2020Y4003]
  4. China Postdoctoral Science Foundation [2021M702739]
  5. Science and Technology Project of Xiamen municipal Bureau of Science and Technology [3502Z20194044]
  6. Program for New Century Excellent Talents in University, China [NCET-13-0502]

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SHIFT nanoICG technology integrates excellent anti-photobleaching capacity, great optical imaging property, and specific tumoral deposition, enabling enduring fluorescent-guided precise hepatectomy, especially in the resection of indiscoverable satellite lesions in rabbit models of VX2 orthotopic hepatocellular carcinoma.
Purpose To surmount the critical issues of indocyanine green (ICG), and thus achieving a precise surgical navigation of primary liver cancer after long-term transcatheter arterial embolization. Methods In this study, a facile and green pure-nanomedicine formulation technology is developed to construct carrier-free indocyanine green nanoparticles (nanoICG), and which subsequently dispersed into lipiodol via a super-stable homogeneous lipiodol formulation technology (SHIFT nanoICG) for transcatheter arterial embolization combined near-infrared fluorescence-guided precise hepatectomy. Results SHIFT nanoICG integrates excellent anti-photobleaching capacity, great optical imaging property, and specific tumoral deposition to recognize tumor regions, featuring entire-process enduring fluorescent-guided precise hepatectomy, especially in resection of the indiscoverable satellite lesions (0.6 mm x 0.4 mm) in rabbit bearing VX2 orthotopic hepatocellular carcinoma models. Conclusion Such a simple and effective strategy provides a promising avenue to address the clinical issue of clinical hepatectomy and has excellent potential for a translational pipeline.

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