Preclinical Evaluation of Photoacoustic Imaging as a Novel Noninvasive Approach to Detect an Orthopaedic Implant Infection

Autor: Marleen van Oosten, Pavlo Khodakivskyi, John M. Thompson, Lloyd S. Miller, Andrew Heinmiller, Gooitzen M. van Dam, Elena A. Dubikovskaya, Jan Maarten van Dijl, Riccardo Sinisi, Yu Wang, Ghyslain Budin, Alyssa G. Ashbaugh, Nicholas M. Bernthal, Kevin P. Francis
Přispěvatelé: Microbes in Health and Disease (MHD), Translational Immunology Groningen (TRIGR), Guided Treatment in Optimal Selected Cancer Patients (GUTS), ​Basic and Translational Research and Imaging Methodology Development in Groningen (BRIDGE)
Rok vydání: 2017
Předmět:
0301 basic medicine
Male
Fluorescence-lifetime imaging microscopy
Prosthesis-Related Infections
genetic structures
Replacement
Clinical Sciences
Photoacoustic imaging in biomedicine
Bioengineering
Fluorescent imaging
Inbred C57BL
Article
Arthroplasty
Photoacoustic Techniques
03 medical and health sciences
chemistry.chemical_compound
Mice
0302 clinical medicine
MARKERS
Arthroplasty replacement
Medicine
Animals
Orthopedics and Sports Medicine
Arthroplasty
Replacement

FDG-PET
ULTRASOUND
030222 orthopedics
HIP
PROSTHETIC JOINT INFECTION
business.industry
Ultrasound
Optical Imaging
Orthopaedic implant
eye diseases
Mice
Inbred C57BL

body regions
Infectious Diseases
030104 developmental biology
Orthopedics
chemistry
Luminescent Measurements
Biomedical Imaging
Surgery
business
Nuclear medicine
Indocyanine green
Biomedical engineering
Zdroj: The Journal of the American Academy of Orthopaedic Surgeons, vol 25 Suppl 1, iss &NA
The Journal of the American Academy of Orthopaedic Surgeons, 25, S7-S12. LIPPINCOTT WILLIAMS & WILKINS
The Journal of the American Academy of Orthopaedic Surgeons, vol 25 Suppl 1, iss Suppl 1
ISSN: 1067-151X
Popis: Introduction: Diagnosing-prosthetic joint infection (PJI) poses significant challenges, and current modalities are fraught with low sensitivity and/or potential morbidity. Photoacoustic imaging (PAI) is a novel ultrasound-based modality with potential for diagnosing PJI safely and noninvasively.Materials: In an established preclinical mouse model of bioluminescent Staphylococcus aureus PJI, fluorescent indocyanine green (ICG) was conjugated to beta-cyclodextrin (CDX-ICG) or teicoplanin (Teic-ICG) and injected intravenously for 1 week postoperatively. Daily fluorescent imaging and PAI were used to localize and quantify tracer signals.Results were analyzed using 2-way analysis of variance. Results: Fluorescence clearly localized to the site of infection and was significantly higher with Teic-ICG compared with CDX-ICG (P = 0.046) and ICG alone (P = 0.0087). With PAI, the photoacoustic signal per volumetric analysis was substantially higher and better visualized with Teic-ICG compared with CDX-ICG and ICG alone, and colocalized well with bioluminescence and fluorescence imaging.Conclusion: Photoacoustic imaging successfully localized PJI in this proof-of concept study and demonstrates potential for clinical translation in orthopaedics.
Databáze: OpenAIRE