The Utility of Near-Infrared Fluorescence and Indocyanine Green During Robotic Pulmonary Resection

During minimally invasive pulmonary resection, it is often difficult to localize pulmonary nodules that are small (<2 cm), low-density/subsolid on imaging, or deep to the visceral pleura. The use of near-infrared fluorescence (NIF) imaging for localizing pulmonary nodules using indocyanine gr...

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Main Authors: Dana Ferrari-Light, Travis C. Geraci, Prabhu Sasankan, Robert J. Cerfolio
Format: Article
Language:English
Published: Frontiers Media S.A. 2019-08-01
Series:Frontiers in Surgery
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fsurg.2019.00047/full
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author Dana Ferrari-Light
Travis C. Geraci
Prabhu Sasankan
Robert J. Cerfolio
author_facet Dana Ferrari-Light
Travis C. Geraci
Prabhu Sasankan
Robert J. Cerfolio
author_sort Dana Ferrari-Light
collection DOAJ
description During minimally invasive pulmonary resection, it is often difficult to localize pulmonary nodules that are small (<2 cm), low-density/subsolid on imaging, or deep to the visceral pleura. The use of near-infrared fluorescence (NIF) imaging for localizing pulmonary nodules using indocyanine green (ICG) contrast is an emerging technology that is increasingly utilized during pulmonary resection. When administered via electromagnetic navigational bronchoscopy (ENB), ICG can accurately localize pulmonary nodules. When injected intravenously (IV), ICG can also help delineate the intersegmental plane. Research is ongoing regarding the utility of ICG for identification of the sentinel lymph node in lung cancer.
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spelling doaj.art-59c8a0c268764bfe92482943280f1f692022-12-22T00:37:46ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2019-08-01610.3389/fsurg.2019.00047477849The Utility of Near-Infrared Fluorescence and Indocyanine Green During Robotic Pulmonary ResectionDana Ferrari-Light0Travis C. Geraci1Prabhu Sasankan2Robert J. Cerfolio3Department of Cardiothoracic Surgery, New York University Langone Health, New York, NY, United StatesDepartment of Cardiothoracic Surgery, New York University Langone Health, New York, NY, United StatesSchool of Medicine, New York University Langone Health, New York, NY, United StatesDepartment of Cardiothoracic Surgery, New York University Langone Health, New York, NY, United StatesDuring minimally invasive pulmonary resection, it is often difficult to localize pulmonary nodules that are small (<2 cm), low-density/subsolid on imaging, or deep to the visceral pleura. The use of near-infrared fluorescence (NIF) imaging for localizing pulmonary nodules using indocyanine green (ICG) contrast is an emerging technology that is increasingly utilized during pulmonary resection. When administered via electromagnetic navigational bronchoscopy (ENB), ICG can accurately localize pulmonary nodules. When injected intravenously (IV), ICG can also help delineate the intersegmental plane. Research is ongoing regarding the utility of ICG for identification of the sentinel lymph node in lung cancer.https://www.frontiersin.org/article/10.3389/fsurg.2019.00047/fullelectromagneticfluorescencelocalizationnavigational bronchoscopylung cancerpulmonary resection
spellingShingle Dana Ferrari-Light
Travis C. Geraci
Prabhu Sasankan
Robert J. Cerfolio
The Utility of Near-Infrared Fluorescence and Indocyanine Green During Robotic Pulmonary Resection
Frontiers in Surgery
electromagnetic
fluorescence
localization
navigational bronchoscopy
lung cancer
pulmonary resection
title The Utility of Near-Infrared Fluorescence and Indocyanine Green During Robotic Pulmonary Resection
title_full The Utility of Near-Infrared Fluorescence and Indocyanine Green During Robotic Pulmonary Resection
title_fullStr The Utility of Near-Infrared Fluorescence and Indocyanine Green During Robotic Pulmonary Resection
title_full_unstemmed The Utility of Near-Infrared Fluorescence and Indocyanine Green During Robotic Pulmonary Resection
title_short The Utility of Near-Infrared Fluorescence and Indocyanine Green During Robotic Pulmonary Resection
title_sort utility of near infrared fluorescence and indocyanine green during robotic pulmonary resection
topic electromagnetic
fluorescence
localization
navigational bronchoscopy
lung cancer
pulmonary resection
url https://www.frontiersin.org/article/10.3389/fsurg.2019.00047/full
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