Non-invasive molecular imaging for precision diagnosis of metastatic lymph nodes: opportunities from preclinical to clinical applications.

Lymph node metastasis is an indicator of the invasiveness and aggressiveness of cancer. It is a vital prognostic factor in clinical staging of the disease and therapeutic decision-making. Patients with positive metastatic lymph nodes are likely to develop recurrent disease, distant metastasis, and s...

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Published in:European Journal of Nuclear Medicine & Molecular Imaging Vol. 50; no. 4; pp. 1111 - 1134
Main Authors: Cheng, Zhongquan, Ma, Jiaojiao, Yin, Lin, Yu, Leyi, Yuan, Zhu, Zhang, Bo, Tian, Jie, Du, Yang
Format: Journal Article
Published: Springer Nature Mar2023
Online Access:View this record in EBSCOhost
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      dt: Mar2023
      vid: 50
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s00259-022-06056-5
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        atl: Non-invasive molecular imaging for precision diagnosis of metastatic lymph nodes: opportunities from preclinical to clinical applications.
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        au:
          Cheng, Zhongquan
          Ma, Jiaojiao
          Yin, Lin
          Yu, Leyi
          Yuan, Zhu
          Zhang, Bo
          Tian, Jie
          Du, Yang
        affil: Department of General Surgery, Capital Medical University, Beijing Friendship Hospital, 100050, Beijing, China
      sug:
      ab: Lymph node metastasis is an indicator of the invasiveness and aggressiveness of cancer. It is a vital prognostic factor in clinical staging of the disease and therapeutic decision-making. Patients with positive metastatic lymph nodes are likely to develop recurrent disease, distant metastasis, and succumb to death in the coming few years. Lymph node dissection and histological analysis are needed to detect whether regional lymph nodes have been infiltrated by cancer cells and determine the likely outcome of treatment and the patient's chances of survival. However, these procedures are invasive, and tissue biopsies are prone to sampling error. In recent years, advanced molecular imaging with novel imaging probes has provided new technologies that are contributing to comprehensive management of cancer, including non-invasive investigation of lymphatic drainage from tumors, identifying metastatic lymph nodes, and guiding surgeons to operate efficiently in patients with complex lesions. In this review, first, we outline the current status of different molecular imaging modalities applied for lymph node metastasis management. Second, we summarize the multi-functional imaging probes applied with the different imaging modalities as well as applications of cancer lymph node metastasis from preclinical studies to clinical translations. Third, we describe the limitations that must be considered in the field of molecular imaging for improved detection of lymph node metastasis. Finally, we propose future directions for molecular imaging technology that will allow more personalized treatment plans for patients with lymph node metastasis.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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