Skip to main content
. 2019 Nov 18;23(12):1113–1126. doi: 10.1007/s10151-019-02107-6

Table 3.

Technical characteristics of SLN mapping of included studies

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