Fluorescence lifetime of injected indocyanine green as a universal marker of solid tumours in patients

Pal, R.; Lwin, T.M.; Krishnamoorthy, M.; Collins, H.R.; Chan, C.D.; Prilutskiy, A.; Nasrallah, M.P.; Dijkhuis, T.H.; Shukla, S.; Kendall, A.L.; Marshall, M.S.; Carp, S.A.; Hung, Y.P.; Shih, A.R.; Martinez-Lage, M.; Zukerberg, L.; Sadow, P.M.; Faquin, W.C.; Nahed, B.V.; Feng, A.L.; Emerick, K.S.; Mieog, J.S.D.; Vahrmeijer, A.L.; Rajasekaran, K.; Lee, J.Y.K.; Rankin, K.S.; Lozano-Calderon, S.; Varvares, M.A.; Tanabe, K.K.; Kumar, A.T.N.

doi:doi:10.1038/s41551-023-01105-2

The surgical resection of solid tumours can be enhanced by fluorescence-guided imaging. However, variable tumour uptake and incomplete clearance of fluorescent dyes reduces the accuracy of distinguishing tumour from normal tissue via conventional fluorescence intensity-based imaging. Here we show that, after systemic injection of the near-infrared dye indocyanine green in patients with various types of solid tumour, the fluorescence lifetime (FLT) of tumour tissue is longer than the FLT of non-cancerous tissue. This tumour-specific shift in FLT can be used to distinguish tumours from normal tissue with an accuracy of over 97% across tumour types, and can be visualized at the cellular level using microscopy and in larger specimens through wide-field imaging. Unlike fluorescence intensity, which depends on imaging-system parameters, tissue depth and the amount of dye taken up by tumours, FLT is a photophysical property that is largely independent of these factors. FLT imaging with...Show moreThe surgical resection of solid tumours can be enhanced by fluorescence-guided imaging. However, variable tumour uptake and incomplete clearance of fluorescent dyes reduces the accuracy of distinguishing tumour from normal tissue via conventional fluorescence intensity-based imaging. Here we show that, after systemic injection of the near-infrared dye indocyanine green in patients with various types of solid tumour, the fluorescence lifetime (FLT) of tumour tissue is longer than the FLT of non-cancerous tissue. This tumour-specific shift in FLT can be used to distinguish tumours from normal tissue with an accuracy of over 97% across tumour types, and can be visualized at the cellular level using microscopy and in larger specimens through wide-field imaging. Unlike fluorescence intensity, which depends on imaging-system parameters, tissue depth and the amount of dye taken up by tumours, FLT is a photophysical property that is largely independent of these factors. FLT imaging with indocyanine green may improve the accuracy of cancer surgeries.The shift in fluorescence lifetime of tumour tissue with respect to normal tissue after systemic injection of the near-infrared dye indocyanine green can be used to distinguish tumour tissue from normal tissue with high accuracy.Show less

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Fluorescence lifetime of injected indocyanine green as a universal marker of solid tumours in patients