国际口腔医学杂志 ›› 2025, Vol. 52 ›› Issue (3): 405-410.doi: 10.7518/gjkq.2025027

• 综述 • 上一篇    

吲哚菁绿荧光显影技术在口腔鳞状细胞癌手术治疗中的应用进展

买克里亚·艾克帕尔1(),买买提吐逊·吐尔地1,2()   

  1. 1.新疆医科大学第一附属医院(附属口腔医院)口腔颌面创伤正颌外科 乌鲁木齐 830054
    2.新疆维吾尔自治区口腔医学研究所 乌鲁木齐 830054
  • 收稿日期:2024-04-20 修回日期:2024-10-16 出版日期:2025-05-01 发布日期:2025-04-30
  • 通讯作者: 买买提吐逊·吐尔地
  • 作者简介:买克里亚·艾克帕尔,硕士,Email:943126491@qq.com
  • 基金资助:
    国家自然科学基金(82360198)

Progress of research on the application of indocyanine green fluorescence imaging technology in the surgical treatment of oral squamous cell carcinoma

Maikeliya Aikepaer1(),Maimaitituxun Tuerdi1,2()   

  1. 1.Dept. of Oral and Maxillofacial Trauma and Orthognathic Surgery, First Affiliated Hospital (Stomatological Hospital) of Xinjiang Medical University, Urumqi 830054, China
    2.Institute of Stomatology, Xinjiang Uygur Autonomous Region, Urumqi 830054, China
  • Received:2024-04-20 Revised:2024-10-16 Online:2025-05-01 Published:2025-04-30
  • Contact: Maimaitituxun Tuerdi
  • Supported by:
    National Natural Science Foundation of China(82360198)

摘要:

目前,口腔鳞状细胞癌(OSCC)的手术切除多依赖于临床医生的经验如视诊、触诊及术前影像学检查为参考,缺乏术中实时且客观的评估方法。吲哚菁绿(ICG)作为一种安全且无污染的有机荧光染料,在近红外荧光(NIR)的照射下,聚集在病变部位并显影。此技术应用于OSCC的原发灶及周围血管和神经的显影、前哨淋巴结活检、颈部淋巴结清扫、修复重建中游离皮瓣血运状态的评估等多方面。NIR显影技术未来或许会成为OSCC的早期诊断和精准治疗中关键的一环,本文将以ICG-NIR在OSCC中的应用进行综述。

关键词: 吲哚菁绿, 近红外荧光显影技术, 口腔鳞状细胞癌

Abstract:

The surgical resection of oral squamous cell carcinoma (OSCC) mostly relies on the experience of clinicians, such as visual examination, palpation, and preoperative imaging examination. Real-time and objective intraoperative evaluation methods are also lacking. Indocyanine green (ICG) is a safe and pollution-free organic fluorescent dye that accumulates and develops at a lesion under near-infrared (NIR) fluorescence. This technique can be applied in the visua-lization of primary tumors and surrounding blood vessels and nerves, sentinel lymph-node biopsy, cervical lymph-node dissection, and the evaluation of free-flap blood supply for the repair and reconstruction of OSCC. NIR imaging technology may become a key link in the early diagnosis and precise treatment of OSCC in the future. This article reviews the application of ICG-NIR in OSCC.

Key words: indocyanine green, near infrared fluorescence imaging, oral squamous cell carcinoma

中图分类号: 

  • R739.8
1 He T, Hu M, Zhu S, et al. A tactical nanomissile mobilizing antitumor immunity enables neoadjuvant chemo-immunotherapy to minimize postsurgical tumor metastasis and recurrence[J]. Acta Pharm Sin B, 2023, 13(2): 804-818.
2 Cristaldi M, Mauceri R, Di Fede O, et al. Salivary biomarkers for oral squamous cell carcinoma diagnosis and follow-up: current status and perspectives[J]. Front Physiol, 2019, 10: 1476.
3 Reinhart MB, Huntington CR, Blair LJ, et al. Indocyanine green: historical context, current applications, and future considerations[J]. Surg Innov, 2016, 23(2): 166-175.
4 Maeda H. The enhanced permeability and retention (EPR) effect in tumor vasculature: the key role of tumor-selective macromolecular drug targeting[J]. Adv Enzyme Regul, 2001, 41: 189-207.
5 Saxena V, Sadoqi M, Shao J. Degradation kinetics of indocyanine green in aqueous solution[J]. J Pharm Sci, 2003, 92(10): 2090-2097.
6 Mahmut Z, Zhang CM, Ruan F, et al. Medical applications and advancement of near infrared photosensitive indocyanine green molecules[J]. Molecules, 2023, 28(16): 6085.
7 Cheung CCL, Ma GL, Karatasos K, et al. Liposome-templated indocyanine green J- aggregates for in vivo near-infrared imaging and stable photothermal heating[J]. Nanotheranostics, 2020, 4(2): 91-106.
8 Yang CW, Liu KL, Yao CY, et al. Indocyanine green-conjugated superparamagnetic iron oxide na-noworm for multimodality breast cancer imaging[J]. ACS Appl Nano Mater, 2022, 5(12): 18912-18920.
9 Lim ZY, Mohan S, Balasubramaniam S, et al. Indocyanine green dye and its application in gastrointestinal surgery: the future is bright green[J]. World J Gastrointest Surg, 2023, 15(9): 1841-1857.
10 Gowsalya K, Yasothamani V, Vivek R. Emerging indocyanine green-integrated nanocarriers for multimodal cancer therapy: a review[J]. Nanoscale Adv, 2021, 3(12): 3332-3352.
11 Rivera C, Oliveira AK, Costa RAP, et al. Prognostic biomarkers in oral squamous cell carcinoma: a systematic review[J]. Oral Oncol, 2017, 72: 38-47.
12 Yang XH, Song XW, Zhang XX, et al. In situ DESI-MSI lipidomic profiles of mucosal margin of oral squamous cell carcinoma[J]. EBioMedicine, 2021, 70: 103529.
13 Wu ZH, Dong YC, Wang YX, et al. Clinical application of indocyanine green fluorescence navigation technology to determine the safe margin of advanced oral squamous cell carcinoma[J]. Gland Surg, 2022, 11(2): 352-357.
14 Wang JB, Li SY, Wang K, et al. A c-MET-Targeted topical fluorescent probe cMBP-ICG improves oral squamous cell carcinoma detection in humans[J]. Ann Surg Oncol, 2023, 30(1): 641-651.
15 章茜, 夏成万, 胡世奇, 等. 近红外荧光成像技术在口腔鳞癌术中癌残留检测中的应用[J]. 中华肿瘤杂志, 2022, 44(5): 450-454.
Zhang Q, Xia CW, Hu SQ, et al. Application of near infrared fluorescence imaging in detection of resi-dual cancer in oral squamous cell carcinoma[J]. Chin J Oncol, 2022, 44(5): 450-454.
16 高文平, 张志华, 韩飞, 等. 近红外荧光成像技术实现术中神经成像: 应用现状与未来发展[J]. 中国组织工程研究, 2024, 28(32): 5225-5230.
Gao WP, Zhang ZH, Han F, et al. Near-infrared fluorescence imaging for intraoperative neuroimaging: current applications and future development[J]. Chin J Tissue Eng Res, 2024, 28(32): 5225-5230.
17 Gragnaniello C, Kamel M, Al-Mefty O. Utilization of fluorescein for identification and preservation of the facial nerve and semicircular canals for safe mastoidectomy: a proof of concept laboratory cada-veric study[J]. Neurosurgery, 2010, 66(1): 204-207.
18 Chen SC, Wang MC, Wang WH, et al. Fluorescence-assisted visualization of facial nerve during mastoi-dectomy: a novel technique for preventing iatroge-nic facial paralysis[J]. Auris Nasus Larynx, 2015, 42(2): 113-118.
19 Jin H, Zheng L, Lu LG, et al. Near-infrared intra-operative imaging of pelvic autonomic nerves: a pilot study[J]. Surg Endosc, 2022, 36(4): 2349-2356.
20 张展奕, 张帆, 颜野, 等. 近红外荧光靶向探针用于前列腺神经血管束术中成像[J]. 北京大学学报(医学版), 2023, 55(5): 843-850.
Zhang ZY, Zhang F, Yan Y, et al. Near-infrared targeted probe designed for intraoperative imaging of prostatic neurovascular bundles[J]. J Peking Univ (Health Sci), 2023, 55(5): 843-850.
21 Christensen A, Wessel I, Charabi BW, et al. Diagnostic accuracy of combined optical- and radio-gui-ded SNB for neck staging of oral squamous cell carcinoma lesions in the anterior oral cavity[J]. Eur Arch Otorhinolaryngol, 2023, 280(7): 3393-3403.
22 Grischke EM, Röhm C, Hahn M, et al. ICG fluorescence technique for the detection of sentinel lymph nodes in breast cancer: results of a prospective open-label clinical trial[J]. Geburtshilfe Frauenheilkd, 2015, 75(9): 935-940.
23 Kågedal Å, Margolin G, Held C, et al. A novel sentinel lymph node approach in oral squamous cell carcinoma[J]. Curr Pharm Des, 2020, 26(31): 3834-3839.
24 Chow VL, Ng JC, Chan JY, et al. Robot-assisted real-time sentinel lymph node mapping in oral cavity cancer: preliminary experience[J]. J Robot Surg, 2021, 15(3): 349-353.
25 Kim JH, Byeon HK, Kim DH, et al. ICG-guided sentinel lymph node sampling during robotic retroauricular neck dissection in CN0 oral cancer[J]. Otolaryngol Head Neck Surg, 2020, 162(3): 410-413.
26 Suárez Ajuria M, Gallas Torreira M, García García A, et al. Efficacy of different sentinel lymph node biopsy protocols in oral squamous cell carcinoma: systematic review and meta-analysis[J]. Head Neck, 2022, 44(7): 1702-1714.
27 Hingsammer L, Schönegg D, Gander T, et al. Radioactive nanosized colloids and indocyanine green identify the same sentinel lymph nodes in oral squamous cell carcinoma[J]. J Cancer Res Clin Oncol, 2023, 149(19): 17223-17229.
28 Honda K, Ishiyama K, Suzuki S, et al. Sentinel lymph node biopsy using preoperative computed tomographic lymphography and intraoperative indo-cyanine green fluorescence imaging in patients with localized tongue cancer[J]. JAMA Otolaryngol Head Neck Surg, 2019, 145(8): 735-740.
29 Zhu YP, Xiao T, He YJ, et al. Application of near-infrared fluorescence imaging in lingual lymph node screening and drainage pattern observation for tongue cancer[J]. Front Cell Dev Biol, 2022, 10: 986575.
30 Digonnet A, Barbieux R, Moreau M, et al. NIR infrared imaging after peritumoral injection of indo-cyanine green to guide lymph node dissection in head and neck squamous cell carcinoma: a pilot feasibility study[J]. Oral Oncol, 2020, 104: 104621.
31 Christensen A, Juhl K, Kiss K, et al. Near-infrared fluorescence imaging improves the nodal yield in neck dissection in oral cavity cancer-a randomized study[J]. Eur J Surg Oncol, 2019, 45(11): 2151-2158.
32 Gregor RT. Management of chyle fistulization in association with neck dissection[J]. Otolaryngol Head Neck Surg, 2000, 122(3): 434-439.
33 Roh JL, Yoon YH, Park CI. Chyle leakage in patients undergoing thyroidectomy plus central neck dissection for differentiated papillary thyroid carcinoma[J]. Ann Surg Oncol, 2008, 15(9): 2576-2580.
34 Chan JYW, Wong STS, Wei WI. Real time indocyanin green near infrared lymphangiography for the reduction of drainage volume after neck dissection[J]. Oral Oncol, 2018, 78: 52-55.
35 Montorfano L, Bordes SJ, Azarkhail R, et al. Use of indocyanine green fluorescent imaging in the assessment of a tongue flap after lateral hemiglossectomy[J]. Cureus, 2021, 13(5): e15248.
36 Nagata T, Masumoto K, Uchiyama Y, et al. Improved technique for evaluating oral free flaps by pinprick testing assisted by indocyanine green near-infrared fluorescence angiography[J]. J Cranio-maxillofac Surg, 2014, 42(7): 1112-1116.
37 周梦琪, 刘元波, 冉小叶, 等. 吲哚菁绿血管造影在以颞浅动脉为蒂的额部皮瓣修复面部软组织缺损中的临床应用[J]. 中国修复重建外科杂志, 2023, 37(10): 1259-1265.
Zhou MQ, Liu YB, Ran XY, et al. Application of indocyanine green angiography in repair of facial soft tissue defect using superficial temporal artery based forehead flap[J]. Chin J Reparative Reconstr Surg, 2023, 37(10): 1259-1265.
38 汪淼. 吲哚菁绿血管造影技术辅助皮瓣外科手术准确性和有效性的临床及实验研究[D]. 北京: 中国医学科学院, 2023.
Wang M. The clinical and experimental studies on the accuracy and effectiveness of using indocyanine green angiography in flap surgery[D]. Beijing: Chinese Academy of Medical Sciences, 2023.
39 Fichter AM, von Bomhard A, Grill FD, et al. Pre-operative peroneal artery perforator mapping using indocyanine green angiography: a prospective clinical trial[J]. Plast Reconstr Surg, 2022, 149(6): 1193e-1197e.
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