A Pilot Study of Fluorescence-Guided Resection of Pituitary Adenomas with Chlorin e6 Photosensitizer

Autor: Elizaveta I. Kozlikina, Kanamat T. Efendiev, Andrey Yu. Grigoriev, Olesia Y. Bogdanova, Igor S. Trifonov, Vladimir V. Krylov, Victor B. Loschenov
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Bioengineering, Vol 9, Iss 2, p 52 (2022)
Druh dokumentu: article
ISSN: 2306-5354
DOI: 10.3390/bioengineering9020052
Popis: Fluorescence diagnostics is one of the promising methods for intraoperative detection of brain tumor boundaries and helps in maximizing the extent of resection. This paper presents the results of a pilot study on the first use of the chlorin e6 photosensitizer and a two-channel video system for fluorescence-guided resection of pituitary adenomas. The study’s clinical part involved two patients diagnosed with hormonally inactive pituitary macroadenomas and one patient with a hormonally active one. All neoplasms had different sizes and growth patterns. The data showed accumulation of chlorin e6 in tumor tissues in high concentrations: Patient 1: 2 mg/kg, Patient 2: 5 mg/kg, and Patient 3: 4 mg/kg. For Patient 1, the residual part of the tumor was not resected since it was intimately attached to the anterior genu of the internal carotid artery. For Patients 2 and 3, no regions of increased Ce6 accumulation were detected in the tumor foci after resection. Therefore, the use of the Ce6 and a two-channel video system helped to achieve a high degree of tumor resection in each case.
Databáze: Directory of Open Access Journals
Nepřihlášeným uživatelům se plný text nezobrazuje