journal article Open Access Oct 29, 2015

Dual-Modality Photoacoustic and Ultrasound Imaging System for Noninvasive Sentinel Lymph Node Detection in Patients with Breast Cancer

View at Publisher Save 10.1038/srep15748
Abstract
AbstractThe detection of regional lymph node metastases is important in cancer staging as it guides the prognosis of the patient and the strategy for treatment. Sentinel lymph node biopsy (SLNB) is an accurate, less invasive alternative to axillary lymph node dissection. The sentinel lymph node hypothesis states that the pathological status of the axilla can be accurately predicted by determining the status of the first lymph nodes that drain from the primary tumor. Physicians use radio-labeled sulfur colloid and/or methylene blue dye to identify the SLN, which is most likely to contain metastatic cancer cells. However, the surgical procedure causes morbidity and associated expenses. To overcome these limitations, we developed a dual-modality photoacoustic and ultrasonic imaging system to noninvasively detect SLNs based on the accumulation of methylene blue dye. Ultimately, we aim to guide percutaneous needle biopsies and provide a minimally invasive method for axillary staging of breast cancer.
Topics

No keywords indexed for this article. Browse by subject →

References
28
[1]
Mikhitarian, K. et al. Molecular analysis improves sensitivity of breast sentinel lymph node biopsy: results of a multi-institutional prospective cohort study. Surgery 138, 474–481 (2005). 10.1016/j.surg.2005.07.001
[2]
Albertini, J. J. et al. Lymphatic mapping and sentinel node biopsy in the patient with breast cancer. J. Am. Med. Assoc. 276, 1818–1822 (1996). 10.1001/jama.1996.03540220042028
[3]
Krag, D. N. et al. Sentinel-lymph-node resection compared with conventional axillary-lymph-node dissection in clinically node-negative patients with breast cancer: overall survival findings from the NSABP B-32 randomised phase 3 trial. Lancet Oncology 11, 927–933 (2010). 10.1016/s1470-2045(10)70207-2
[4]
Krag, D. et al. The sentinel node in breast cancer–a multicenter validation study. N. Engl. J. Med. 339, 941–946 (1998). 10.1056/nejm199810013391401
[5]
Crane-Okada, R. et al. Long-term morbidity of sentinel node biopsy versus complete axillary dissection for unilateral breast cancer. Ann. Surg. Oncol. 15, 1996–2005 (2008). 10.1245/s10434-008-9909-y
[6]
Purushotham, A. D. et al. Morbidity after sentinel lymph node biopsy in primary breast cancer: results from a randomized controlled trial. J. Clin. Oncol. 23, 4312–4321 (2005). 10.1200/jco.2005.03.228
[7]
McMasters, K. M. et al. Sentinel lymph node biopsy for breast cancer: a suitable alternative to routine axillary dissection in multi-institutional practice when optimal technique is used. J. Clin. Oncol. 18, 2560–2566 (2000). 10.1200/jco.2000.18.13.2560
[8]
Singletary, S. E. et al. Revision of the American Joint Committee on Cancer staging system for breast cancer. J. Clin. Oncol. 20, 3628–3636 (2002). 10.1200/jco.2002.02.026
[9]
Denley, H., Pinder, S., Elston, C., Lee, A. & Ellis, I. Preoperative assessment of prognostic factors in breast cancer. J. Clin. Pathol. 54, 20–24 (2001). 10.1136/jcp.54.1.20
[10]
Harris, G. C. et al. Correlation of histologic prognostic factors in core biopsies and therapeutic excisions of invasive breast carcinoma. Am. J. Surg. Pathol. 27, 11–15 (2003). 10.1097/00000478-200301000-00002
[11]
Brancato, B. et al. Role of ultrasound-guided fine needle cytology of axillary lymph nodes in breast carcinoma staging. Radiol. Med. 108, 345–355, (2004).
[12]
Deurloo, E. E. et al. Reduction in the number of sentinel lymph node procedures by preoperative ultrasonography of the axilla in breast cancer. Eur. J. Cancer 39, 1068–1073 (2003). 10.1016/s0959-8049(02)00748-7
[13]
Krishnamurthy, S. et al. Role of ultrasound-guided fine-needle aspiration of indeterminate and suspicious axillary lymph nodes in the initial staging of breast carcinoma. Cancer 95, 982–988 (2002). 10.1002/cncr.10786
[14]
Krag, D. N., Weaver, D. L., Alex, J. C. & Fairbank, J. T. Surgical resection and radiolocalization of the sentinel lymph node in breast cancer using a gamma probe. Surg. Oncol. 2, 335–339 (1993). 10.1016/0960-7404(93)90064-6
[15]
Borgstein, P. J. et al. Sentinel lymph node biopsy in breast cancer: guidelines and pitfalls of lymphoscintigraphy and gamma probe detection. J. Am. Coll. Surgeons 186, 275–283 (1998). 10.1016/s1072-7515(98)00011-8
[16]
Photoacoustic Tomography: In Vivo Imaging from Organelles to Organs

Lihong V. Wang, Song Hu

Science 2012 10.1126/science.1216210
[17]
Erpelding, T. N. et al. Sentinel lymph nodes in the rat: noninvasive photoacoustic and US imaging with a clinical US system. Radiology 256, 102–110 (2010). 10.1148/radiol.10091772
[18]
Kim, C., Erpelding, T. N., Jankovic, L. & Wang, L. V. Performance benchmarks of an array-based hand-held photoacoustic probe adapted from a clinical ultrasound system for non-invasive sentinel lymph node imaging. Philos. Trans. A Math. Phys. Eng. Sci. 369, 4644–4650 (2011). 10.1098/rsta.2010.0353
[19]
Kim, C., Erpelding, T. N., Jankovic, L., Pashley, M. D. & Wang, L. V. Deeply penetrating in vivo photoacoustic imaging using a clinical ultrasound array system. Biomed Opt Express 1, 278–284 (2010). 10.1364/boe.1.000278
[20]
Multiscale photoacoustic microscopy and computed tomography

Lihong V. Wang

Nature Photonics 2009 10.1038/nphoton.2009.157
[21]
Oraevsky, A. A. & Karabutov, A. A. Optoacoustic Tomograpyh. Biomedical Photonics Handbook, Vol. PM125 (ed. Vo-Dinh, T. ) 3401–3434 (CRC Press, 2003).
[22]
Ke, H., Erpelding, T. N., Jankovic, L., Liu, C. & Wang, L. V. et al. Performance characterization of an integrated ultrasound, photoacoustic and thermoacoustic imaging system. J Biomed Optics 17, 056010 (2012). 10.1117/1.jbo.17.5.056010
[23]
Somasundar, P. et al. Role of ultrasound-guided axillary fine-needle aspiration in the management of invasive breast cancer. Am. J. Surg. 192. 458–461 (2006). 10.1016/j.amjsurg.2006.06.029
[24]
Kim, C. et al. Handheld array-based photoacoustic probe for guiding needle biopsy of sentinel lymph nodes. J. Biomed. Opt. 15, 046010 (2010). 10.1117/1.3469829
[25]
Piras, D., Grijsen, C., Schütte, P., Steenbergen, W. & Manohar, S. Photoacoustic needle: minimally invasive guidance to biopsy. J. Biomed. Opt. 18, 070502 (2013). 10.1117/1.jbo.18.7.070502
[26]
Siegel, R., Naishadham, D. & Jemal, A. Cancer statistics, 2012. CA Cancer J. Clin. 62, 10–29 (2012). 10.3322/caac.20138
[27]
Prahl, S., Optical properties spectra, Available at: http://omlc.ogi.edu/spectra/index.html. (Accessed: Jun 30, 2014)
[28]
Laser Institute of America, American National Standard for Safe Use of Lasers ANSI Z136.1-2007, 66-67 (American National Standards Institute, 2007).
Metrics
199
Citations
28
References
Details
Published
Oct 29, 2015
Vol/Issue
5(1)
License
View
Cite This Article
Alejandro Garcia-Uribe, Todd N. Erpelding, Arie Krumholz, et al. (2015). Dual-Modality Photoacoustic and Ultrasound Imaging System for Noninvasive Sentinel Lymph Node Detection in Patients with Breast Cancer. Scientific Reports, 5(1). https://doi.org/10.1038/srep15748