Table 3.
Study | Infrared system | Fluorescent tracer | Tracer composition | Concentration | Injected dose | Injection technique | Site of injection | Time of SLN mapping | Histopathological examination for SLNs |
---|---|---|---|---|---|---|---|---|---|
Andersen [22] | SPIES (Karl Storz, Holte, Denmark) | ICG; ICG Pulsion, Pulsion Medical Systems, Munich, Germany | ICG: HAS diluted in H2O and blue dye |
ICG 25 mg H2O 9 ml HSA 1 ml |
2 × 0.5 ml proximal an distal from the tumor | In vivo | Subserosal | Intraoperative directly and 20 min after injection | Five series of 50 um interval, 3 um thickness/each; 1st section H&E and 3rd section with IHC for cytokeratin A |
Currie [21] | Laparoscopic NIR-imaging system (Olympus Corporation, Tokyo, Japan) | ICG; ICG Pulsion, Pulsion Medical Systems, Munich, Germany | na | 5 mg/ml | 4 × 1 ml circumferentially | In vivo | Submucosal | Intraoperative 7 (IQR 6–8) min after injection | Standard H&E-staining. If negative for metastases, serial sectioning in slices of 4 um at 250 um intervals, staining of each level with H&E and IHC for pan-cytokeratin antibody |
Hirche [23] | IC-View (ICG Pulsion, Pulsion Medical Systems, Munich, Germany) | ICG stock solution | na | 5 mg/ml | 2.0 (range 1–4) ml around the tumor | In vivo | Subserosal | Intraoperative 3–10 min after injection and ex vivo | H&E staining at 250 um. If negative for metastases, re-examination by serial sectioning at 5 um and H&E staining and IHC for cytokeratin antibody for each section |
Hutteman [26] | Mini-FLARE | IRDye800CW; Li-Cor, Licoln, NE | IRDye800CW: HSA diluted in PBS | 3:1 | 1 ml circumferentially | Ex vivo | Submucosal | Ex vivo 5 min after injection and tracer massage | H&E staining at 4-um sections |
Liberale [24] | Photodynamic Eye PDE (Hamamatsu, Japam) | ICG (Pulsion, Paris, France) | ICG diluted in H2O and blue dye | 0.5 mg/ml | 4 × 0.5 ml circumferentially | Ex vivo | Subserosal | Ex vivo directly after injection and during pathological examination | Standard H&E staining. If negative for metastases, serial sectioning using three slices at 150 um interval stained with H&E, if still negative IHC for anti-pan-cytokeratin |
Schaafsma [25] | Mini-FLARE | IRDye800CW; Li-Cor, Lincoln, NE | IRDye800CW: HSA diluted in PBS and blue dye | 1.5:1 | 1 ml circumferentially | Ex vivo | Submucosal | Ex vivo 5 min after injection and tracer massage | H&E staining at 4-um sections |
Watanabe [27] | In vivo: D-Light P System (Karl Storz, Tuttlingen, Germany) Ex vivo: HyperEye Medical System, Mizuho corporation, Tokyo, Japan | Diagnogreen; Daiichi Pharmaceuticals, Tokyo, Japan | ICG diluted in H2O | 2.5 mg/ml | 2 × 1 ml proximal and distal from the tumor | In vivo | Subserosal | Intraoperative 30 min after injection and ex vivo | H&E staining |
Weixler [20] | Mini-FLARE | IRDye800CW; Li-Cor, Lincoln, NE | IRDye800CW: HSA diluted in PBS and blue dye | 3:1 |
0.4 ± 0.2 ml Number of injections depends on tumor size |
Ex vivo | Subserosal | 15 min after injection | Serial sectioning at 3 levels, H&E at the 1st section of each level. If negative for metastases then IHC for cytokeratin 19 for a second section |
SLN sentinel lymph node, na not available, H&E hematoxylin and eosin, IHC immunohistochemistry