Proposed application
of intraluminal SERS nanoparticles. (a) Patient
presents with potential NMIBC (red tissue). (b) Before cystoscopy,
intraluminal SERS nanoparticles are administered. Each nanoparticle
color represents a different targeting mechanism (CA9, red; passive,
blue; CD47, green). (c) Patient gets standard of care, which is transurethral
resection guided by WLC. Regions ambiguous on WLC are subsequently
interrogated with Raman endoscopy. (d, e) Based on absolute and relative
binding levels of each channel, flat lesions that are identified,
and cancerous tissue is resected.