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. Author manuscript; available in PMC: 2012 Aug 22.
Published in final edited form as: Open Surg Oncol J. 2010;2(2):12–25. doi: 10.2174/1876504101002010012

Table 2. Clinical Applications of Devices Collecting ICG Fluorescence Imaging.

Author Adverse Events # of Subjects mg ICG Device and Manufacturer Conclusions
Intradermal Route
Unno N, et al. [43] None 22 (10 controls) 1 PDE (Hamamatsu) Demonstrated use of ICG fluorescence to characterize lymphedema of the legs non-invasively
Ogata F, et al. [52] None 5 1 PDE (Hamamatsu) Used ICG fluorescence for intraoperative guidance lymphaticovenular anastamoses as surgical treatment for lymphedema
Sevick-Muraca, et al. [22] None 24 0.00031-0.1 FDPM imager (Texas) Established minimal ICG levels needed to observe propulsive lymph trafficking to sentinel nodes in breast cancer patients; ICG imaged in excised lymph nodes; non-invasive imaging.
Rasmussen, et al. [48] None 44 (24 controls) 0.1-0.4 FDPM imager (Texas) Propulsive dynamic lymph function, effects of massage therapy measured in arms and legs of control and lymphedema subjects; non-invasively
Fujiwara, et al. [33] None 10 3-4 PDE (Hamamatsu) ICG fluorescent guidance was used to identify SLNs for resection intraoperatively as well as transcutaneously in skin cancer patients; ICG detection and Patent Blue Dye correlated
Troyan, et al. [23] None 6 0.125 mixed with human serum albumin FLARE (Beth Israel Deaconess Hospital) ICG, methylene blue used to identify lymph nodes in breast cancer patients undergoing SLN mapping intraoperatively; LN fluorescence was compared to lymphoscintigraphy ex vivo
Tsujino, et al. [37] None 2 5 PDE (Hamamatsu) SLN detection with ICG fluorescence agreed with 99mTc lymphoscintigraphy in Paget's disease intraoperatively and non-invasively.
Murawa, et al. [19] None 30 5, 10, 15 IC-View (Pulsion Medical) Compared ICG with lymphoscintigraphy for SLN biopsy, found SLN in 29/30 with ICG alone; ICG/fluorescence had 92% sensitivity, compared to 77% for lymphoscintigraphy, and false negative was 1/13 for ICG and 3/13 for lymphoscintigraphy
Subcutaneous Route
Kitai, et al. [36] None 18 25 PDE (Hamamatsu) 94% SLN intraoperative detection rate in breast cancer subjects using ICG fluorescence; transcutaneous vessels observed
Miyashiro, et al. [35] None 3 5-10 PDE (Hamamatsu) SLN detection with ICG and fluorescence was successful in gastric cancer patients and may be useful in laparoscopic procedures
Tagaya, et al. [34] None 25 5 PDE (Hamamatsu) Used intraoperative fluorescence to detect SLNs for excision in breast cancer patients
Unno, et al. [43] None 27 1.5 PDE (Hamamatsu) Found a difference between legs in lymph flow from foot to groin while standing in 10 controls. A correlation was made between fluorescent transit time and lymphoscintigraphy in 17 subjects with abdominal aortic aneurysms and without lymphedema.
Ogasawara, et al. [39] None 37 25 PDE (Hamamatsu) Monitored lymph drainage pathways from breast to axilla
Suzuki, et al. [45] None 54 (15 controls) 1.5 PDE (Hamamatsu) Found correlation between venous insufficiency in varicose veins and lymph flow as measured by a transit time to the knee; lymph flow increased after greater saphenous vein stripping surgery
Noura, et al. [40] None 25 5 PDE (Hamamatsu) Lateral SLN detection in T1, T2, T3 lower rectal cancer using ICG fluorescence
Tajima, et al. [71] None 56 10 PDE (Hamamatsu) SLN mapping with ICG and fluorescence was used intraoperatively during surgery for gastric cancer
Tanaka, et al. [38] None 6 5-8 PDE (Hamamatsu) ICG fluorescence determined to be better than blue dye for detecting lymph nodes in skin cancer patients
Kamiya, et al. [51] None 1 7.5 PDE (Hamamatsu) intraoperative ICG fluorescence used to detect chyle fistula
Intravenous Route
Taggart, et al. [57] None 84 2.5 SPY imager (Novadq) Monitored patency of coronary grafts after IV administration, fluorescence detection during surgery
Sekijima, et al. [58] None 15 25 SPY imager (Novadaq) Visualize arteries and grafts after IV administration and fluorescence detection during surgery
Balacum-araswami, et al. [54, 55] None 200 0.03 mg/kg SPY imager (Novadaq) Monitored patency of arterial grafts after IV administration and fluorescence detection during surgery
Rubens, et al. [56] None 20 0.25-2.5 SPY imager (Novadaq) ICG fluorescence used to assess patency of CABG intraoperatively
Kikuchi and Hosokawa [53] None 20 25 mg PDE (Hamamatsu) ICG fluorescence used non-invasively to assess impact of vein stripping, phlebectomy, and vein ligation
Ishizawa et al. [63] None 37 hepatocellula r carcinoma, 12 metastatic colorectal cancer 0.5 mg/kg PDE (Hamamatsu) ICG fluorescence intraoperatively detected 1–14 days after i.v. administration and correlated to lesions on the liver. Ex vivo ICG fluorescence confirmed in resected tissues
Killory, et al. [59] None 10 25 mg IC-View (Pulsion Medical) Arteriovenous malformations were identified intraoperatively by fluorescence
Holm, et al. [61] None 15 0.5 mg/kg IC-View (Pulsion Medical) Perfusion of deep inferior epigastric perforator flap after tissue reconstruction surgery by fluorescence
Handa, et al. [25] None 39 Dose not specified, except that 2.5 mg/ml was concentration of injected dose Custom (Koshi Medical School) Studies showed preliminary data showing feasibility of color CCD as a intraoperative graft and perfusion assessment tool in coronary bypass graft.