Impact of near-infrared fluorescence imaging with indocyanine green on the surgical treatment of pulmonary masses in dogs

ObjectivesTo investigate the intraoperative identification and complete resection of pulmonary masses, and to evaluate lymph node metastasis of pulmonary malignant tumors in dogs using indocyanine green (ICG) fluorescence imaging.MethodsForty dogs with pulmonary masses were included, all of which un...

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Main Authors: Naoki Sakurai, Kumiko Ishigaki, Kazuyuki Terai, Tatsuya Heishima, Kazuki Okada, Orie Yoshida, Yumiko Kagawa, Kazushi Asano
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Veterinary Science
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fvets.2023.1018263/full
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author Naoki Sakurai
Kumiko Ishigaki
Kazuyuki Terai
Tatsuya Heishima
Kazuki Okada
Orie Yoshida
Yumiko Kagawa
Kazushi Asano
author_facet Naoki Sakurai
Kumiko Ishigaki
Kazuyuki Terai
Tatsuya Heishima
Kazuki Okada
Orie Yoshida
Yumiko Kagawa
Kazushi Asano
author_sort Naoki Sakurai
collection DOAJ
description ObjectivesTo investigate the intraoperative identification and complete resection of pulmonary masses, and to evaluate lymph node metastasis of pulmonary malignant tumors in dogs using indocyanine green (ICG) fluorescence imaging.MethodsForty dogs with pulmonary masses were included, all of which underwent surgical treatment. ICG fluorescence imaging was performed on pulmonary masses before lobectomy and the resection margins after lobectomy. In addition, ICG fluorescence of the excised masses and lymph nodes was evaluated in the shaded box. The fluorescence findings were compared with the histopathological diagnosis.ResultsOf 44 nodules resected from 40 dogs, 32 nodules were histopathologically diagnosed as lung adenocarcinoma, five were histiocytic sarcoma, three were undifferentiated sarcoma, two were malignant epithelial tumor metastases, one was carcinosarcoma, and one was a non-neoplastic lesion. Fluorescence was observed in all nodules. In addition to the main lesion, other fluorescent nodules were found in four dogs. Regarding the diagnostic accuracy of complete resection based on ICG fluorescence, the sensitivity was 67.7% and the specificity was 60.0%. The sensitivity and specificity of ICG fluorescence for the diagnosis of lymph node metastasis were 100 and 75.0%, respectively.ConclusionsICG fluorescence imaging might be a useful intraoperative diagnostic method to identify the location of tumors and lymph node metastasis, but not to evaluate complete tumor resection, in dogs with pulmonary malignant tumors.
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spelling doaj.art-8433bc07768d4794a086287ebd215bd22023-02-07T11:51:35ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692023-02-011010.3389/fvets.2023.10182631018263Impact of near-infrared fluorescence imaging with indocyanine green on the surgical treatment of pulmonary masses in dogsNaoki Sakurai0Kumiko Ishigaki1Kazuyuki Terai2Tatsuya Heishima3Kazuki Okada4Orie Yoshida5Yumiko Kagawa6Kazushi Asano7Laboratory of Veterinary Surgery, Department of Veterinary Medicine, College of Bioresource Sciences, Nihon University, Fujisawa, JapanLaboratory of Veterinary Surgery, Department of Veterinary Medicine, College of Bioresource Sciences, Nihon University, Fujisawa, JapanLaboratory of Veterinary Surgery, Department of Veterinary Medicine, College of Bioresource Sciences, Nihon University, Fujisawa, JapanLaboratory of Veterinary Surgery, Department of Veterinary Medicine, College of Bioresource Sciences, Nihon University, Fujisawa, JapanNorth Lab, Sapporo, JapanLaboratory of Veterinary Surgery, Department of Veterinary Medicine, College of Bioresource Sciences, Nihon University, Fujisawa, JapanNorth Lab, Sapporo, JapanLaboratory of Veterinary Surgery, Department of Veterinary Medicine, College of Bioresource Sciences, Nihon University, Fujisawa, JapanObjectivesTo investigate the intraoperative identification and complete resection of pulmonary masses, and to evaluate lymph node metastasis of pulmonary malignant tumors in dogs using indocyanine green (ICG) fluorescence imaging.MethodsForty dogs with pulmonary masses were included, all of which underwent surgical treatment. ICG fluorescence imaging was performed on pulmonary masses before lobectomy and the resection margins after lobectomy. In addition, ICG fluorescence of the excised masses and lymph nodes was evaluated in the shaded box. The fluorescence findings were compared with the histopathological diagnosis.ResultsOf 44 nodules resected from 40 dogs, 32 nodules were histopathologically diagnosed as lung adenocarcinoma, five were histiocytic sarcoma, three were undifferentiated sarcoma, two were malignant epithelial tumor metastases, one was carcinosarcoma, and one was a non-neoplastic lesion. Fluorescence was observed in all nodules. In addition to the main lesion, other fluorescent nodules were found in four dogs. Regarding the diagnostic accuracy of complete resection based on ICG fluorescence, the sensitivity was 67.7% and the specificity was 60.0%. The sensitivity and specificity of ICG fluorescence for the diagnosis of lymph node metastasis were 100 and 75.0%, respectively.ConclusionsICG fluorescence imaging might be a useful intraoperative diagnostic method to identify the location of tumors and lymph node metastasis, but not to evaluate complete tumor resection, in dogs with pulmonary malignant tumors.https://www.frontiersin.org/articles/10.3389/fvets.2023.1018263/fulldogfluorescenceindocyanine greenpulmonary masseslymph node
spellingShingle Naoki Sakurai
Kumiko Ishigaki
Kazuyuki Terai
Tatsuya Heishima
Kazuki Okada
Orie Yoshida
Yumiko Kagawa
Kazushi Asano
Impact of near-infrared fluorescence imaging with indocyanine green on the surgical treatment of pulmonary masses in dogs
Frontiers in Veterinary Science
dog
fluorescence
indocyanine green
pulmonary masses
lymph node
title Impact of near-infrared fluorescence imaging with indocyanine green on the surgical treatment of pulmonary masses in dogs
title_full Impact of near-infrared fluorescence imaging with indocyanine green on the surgical treatment of pulmonary masses in dogs
title_fullStr Impact of near-infrared fluorescence imaging with indocyanine green on the surgical treatment of pulmonary masses in dogs
title_full_unstemmed Impact of near-infrared fluorescence imaging with indocyanine green on the surgical treatment of pulmonary masses in dogs
title_short Impact of near-infrared fluorescence imaging with indocyanine green on the surgical treatment of pulmonary masses in dogs
title_sort impact of near infrared fluorescence imaging with indocyanine green on the surgical treatment of pulmonary masses in dogs
topic dog
fluorescence
indocyanine green
pulmonary masses
lymph node
url https://www.frontiersin.org/articles/10.3389/fvets.2023.1018263/full
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