Intraoperative imaging using near-infrared (NIR) fluorescence is a fast developing imaging modality as it provides real-time visual information during surgery (Chapter 1). The ability to detect... Show moreIntraoperative imaging using near-infrared (NIR) fluorescence is a fast developing imaging modality as it provides real-time visual information during surgery (Chapter 1). The ability to detect lymph nodes and tumours that need to be resected can assist the surgeon to improve surgery by reducing time of the procedure, reducing iatrogenic damage, and improve the number of radical resections. This thesis focuses on the introduction of NIR fluorescence imaging into the clinic. Part 1 of this thesis describes the optimization of NIR fluorescence imaging for sentinel lymph node (SLN) biopsy using the clinically available NIR tracer Indocyanine green (ICG) in various cancer types. Moreover, these studies show both the limitations as the clinical benefit of NIR fluorescence for SLN biopsy. Part 2 describes the use of NIR light for tumour detection. Tissue absorption and scattering in the NIR light spectrum was used for neoadjunvant treatment response monitoring in breast cancer patients. Moreover, NIR fluorescence imaging using NIR contrast agents was used for the intraoperative detection of otherwise difficult to localize liver metastases of colorectal cancer. Show less
Gold nanorods are ideal candidates for complementing fluorophores in labelling applications. The presence of the surface plasmon resonance generates large absorption and scattering cross sections,... Show moreGold nanorods are ideal candidates for complementing fluorophores in labelling applications. The presence of the surface plasmon resonance generates large absorption and scattering cross sections, thus making the detection of single nanoparticles possible under a light microscope. The plasmon of gold nanorods depends on the ratio between their width and length and covers the range between 540nm for spheres and even above 800nm for elongated particles, thus almost the entire visible and near-infrared spectrum. The surface plasmon presents great opportunities in (bio-)sensing, enhanced spectroscopies, photothermal therapy and for concentrating light below the diffraction limit. Show less
