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Table 1 Examples of radio-, fluorescent and hybrid tracers used for preoperative imaging and intraoperative guidance

From: The current status and future prospects for molecular imaging-guided precision surgery

 

Preoperative imaging

Intraoperative guidance

Hybrid tracer

Blood flow

Gd-DTPA (MRI; [61]), Iomeron (CT; [62]), Optison (US; [63])

ICG (fluorescence; [64]), Fluorescein (fluorescence; [65])

-

Sentinel lymph nodes

Radiocolloids * (SPECT; [66])

Radiocolloids * (γ probe; [66]), SPIONs (magnetic probe; [67]), ICG (fluorescence; [66]), Fluorescein (fluorescence; [68])

ICG-99mTc-nanocolloid (γ probe and fluorescence; [66])

Biliary excretion

99mTc-mebrofenin (SPECT; [69]), 99mTc-disofenin (SPECT; [70])

ICG (fluorescence; [71])

-

(Para)thyroid

123/131I-pertechnate (SPECT; [72]), 99mTc-sestamibi (SPECT;[73]), Iodine (SPECT; [74])

ICG (fluorescence; [75]), 123/131I-pertechnetate (γ probe; [76]), 99mTc-sestamibi (γ probe; [77]), autofluorescence (fluorescence), Iodine (γ probe; [77])

124I (Beta-probe, Cerenkov imaging; [55]), 123I‐Methylene Blue (γ probe visual blue; [77])

Metabolism

18F-FDG (PET; [55]), 123/131I-MIBG (SPECT; [78])

5-ALA (PpIX; fluorescence; [79,80,81]), 125I-MIBG (γ probe; [82])

-

Receptor targeted

  Prostate cancer (PSMA)

68 Ga-PSMA (PET; [83]), 18F-PSMA (PET; [84]), 99mTc-PSMA-I&S (SPECT; [40])

68 Ga-PSMA (beta-probe; [83]), 99mTc-PSMA I&S (γ probe; [40])

68 Ga-PSMA (beta-probe and Cerenkov; [85]), 68 Ga-Glu-urea-Lys-(HE)3-HBED-CC-IRDye800CW (PET and fluorescence; [86])

  Somatostatin

68 Ga-DOTATOC (PET; [87, 88]), 111In-octreotide (SPECT; [89]), 99mTc-deptreotide (SPECT; [90]), 68 Ga-DOTATATE (PET; [91])

68 Ga-DOTATOC (beta probe; [55]), 111In-octreotide (γ probe; [53]), 99mTc-deptreotide (γ probe; [53])

-

  Tyrosine-protein kinase Met (C-Met)

68 Ga-EMP-100 (PET; [92])

EMI-137 (fluorescence; [93, 94])

-

  Integrins (aVb3)

68 Ga-RGD (PET; [95]), 18F-RGD (PET; [96])

cRGD-ZW800-1 (fluorescence; [97])

124I‐cRGDY‐PEG‐C (beta probe, fluorescence; [98])

  Vascular endothelial growth factor (VEGF)

89Zr-Bevacizumab (PET; [99])

CW800-Bevacizumab (fluorescence; [100]),

-

  Human epidermal growth factor-2 (Her-2)

68 Ga-Her2 (PET; [101])

CW800-HER2 (fluorescence; [102])

111In-HER2-IRDye800CW (γ probe, fluorescence; [103])

  Carcinoembryonic Antigen (CEA)

111In-DTPA (SPECT; [104]), 111In-IMP288 (SPECT; [105])

FITC‐CEA mAb (fluorescence; [106]), SGM-101 (fluorescence; [107])

111In-DTPA-SGM-101) (γ probe, fluorescence; [104]), FITC‐125I‐ CEA mAb (γ probe, fluorescence; [108])

  Epidermal growth factor receptor (EGFR)

89Zr-Cetuximab (PET; [109])

cetuximab-IRDye800 (fluorescence; [110,111,112]), panitumumab-IRDye800 (fluorescence; [113])

-

Carbonic Anhydrase IX

89Zr-Girentuximab (PET; [114]), 124I-redectane (PET; [115])

-

111In‐DOTA‐ Girentuximab-IRDye800CW (γ probe, fluorescence; [116])

  1. * e.g. 99mTc-(nanocolloid, Senti-Scint, phytate colloid, tin colloid, sulfur colloid)