OnCo
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Fluorescence-guided surgery

Injecting a dye that makes tumour glow so the surgeon can see exactly where to cut.

5-ALA in glioma increases complete resection rates; pafolacianine (Cytalux) finds occult ovarian and lung lesions; pegulicianine (Lumisight, 2024) detects residual breast cancer in the lumpectomy cavity. Targeted probes (EGFR, PSMA, CEA) are in phase 2-3.

Schematic · not to scale
NIR camera + excitation · Fluorescent tumour margin

How it works

A tumour-selective fluorophore accumulates in the tumour and is imaged with near-infrared camera systems.

Strengths
  • Fewer positive margins and re-operations
Limitations
  • Millimetre depth penetration

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Latest papers

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Literature trend331 papers in the last 12 months+14% vs prior 12How this is computed
Latest papers · live from Europe PMC
Open in Europe PMC

Query for this technology: (TITLE:"fluorescence-guided surgery" OR ABSTRACT:"fluorescence-guided surgery" OR TITLE:"fluorescence guided surgery" OR ABSTRACT:"fluorescence guided surgery" OR TITLE:"near-infrared fluorescence" OR ABSTRACT:"near-infrared fluorescence") AND (cancer OR tumor OR tumour OR oncology OR carcinoma OR lymphoma OR leukemia OR leukaemia OR myeloma OR sarcoma OR melanoma OR glioma). Results are unfiltered search hits about Fluorescence-guided surgery, not a curated reading list.

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