Evidence map›Paper›PMID 37845517›Full record

ArticleNature biomedical engineering2023

Fluorescence lifetime of injected indocyanine green as a universal marker of solid tumours in patients.

Rahul Pal, Thinzar M Lwin, Murali Krishnamoorthy, Hannah R Collins, Corey D Chan, Andrey Prilutskiy, MacLean P Nasrallah, Tom H Dijkhuis, Shriya Shukla, Amy L Kendall and 20 more

Abstract read
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In one paragraph

Article in Nature biomedical engineering, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed
8.7field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 79 citations in OpenAlex.

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  14. Real-Time SLAM-Based Correction and 3D Visualization for Fluorescence Lifetime Imaging.Medical image computing and computer-assisted intervention : MICCAI ... International Conference on Medical Image Computing and Computer-Assisted Intervention · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

30 authors at 9 institutions in 3 countries.

Rahul PalDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Thinzar M Lwin *Department of Surgical Oncology, City of Hope Hospital, Duarte, CA, USA.
Murali Krishnamoorthy *Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Hannah R Collins *Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Corey D Chan *Newcastle University Centre for Cancer, Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK.ORCID 0000-0003-3339-8791
Andrey Prilutskiy *Department of Pathology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA.
MacLean P NasrallahDepartment of Pathology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0003-4861-0898
Tom H DijkhuisDepartment of Surgery, Leiden University Medical Center, Leiden, the Netherlands.
Shriya ShuklaDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Amy L KendallDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Michael S MarshallDepartment of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Stefan A CarpDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
Yin P HungDepartment of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-8568-1591
Angela R ShihDepartment of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Maria Martinez-LageDepartment of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0002-5859-7562
Lawrence ZukerbergDepartment of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Peter M SadowDepartment of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.ORCID 0000-0003-1036-6367
William C FaquinDepartment of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Brian V NahedDepartment of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Allen L FengDepartment of Otolaryngology and Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA.
Kevin S EmerickDepartment of Otolaryngology and Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA.
J Sven D MieogDepartment of Surgery, Leiden University Medical Center, Leiden, the Netherlands.
Alexander L VahrmeijerDepartment of Surgery, Leiden University Medical Center, Leiden, the Netherlands.
Karthik RajasekaranDepartment of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, PA, USA.ORCID 0000-0003-2148-1643
John Y K LeeDepartment of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
Kenneth S RankinThe North of England Bone and Soft Tissue Tumour Service, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Santiago Lozano-CalderonDepartment of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Mark A VarvaresDepartment of Otolaryngology and Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA.
Kenneth K TanabeDivision of Gastrointestinal and Oncologic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Anand T N KumarDepartment of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA. atkumar@mgh.harvard.edu.ORCID 0000-0002-8745-9599
Harvard University · USMassachusetts Eye and Ear Infirmary · USLeiden University Medical Center · NLHospital of the University of Pennsylvania · USCity of Hope · USNewcastle University · GBNewcastle upon Tyne Hospitals NHS Foundation Trust · GBUniversity of Pennsylvania · USUniversity of Wisconsin–Madison · US

Funding

Strategies to Overcome Immune Resistance in Head and Neck CancersP01CA240239 · NCI · YALE UNIVERSITY · PI PAI, SARA ISABEL · 2019 to 2023
$8.4M
Multiplexed time domain fluorescence tomography of tumor biomarkers during immunotherapyR01CA260857 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI Dan Gabriel Duda, Anand T.N. Kumar · 2021 to 2026
$2.7M
Preclinical Time domain Fluorescence Tomography PlatformR01CA211084 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI KUMAR, ANAND T.N. · 2017 to 2022
$2.6M
Fluorescence lifetime-based tumor contrast enhancement using exogenous probesR01DE033427 · NIDCR · MASSACHUSETTS GENERAL HOSPITAL · PI Anand T.N. Kumar · 2023 to 2026
$1.9M
NCI NIH HHS P01 CA240239NCI NIH HHS R01 CA211084NCI NIH HHS R01 CA260857
6 · The paper itself

Abstract

The surgical resection of solid tumours can be enhanced by fluorescence-guided imaging. However, variable tumour uptake and incomplete clearance of fluorescent dyes reduces the accuracy of distinguishing tumour from normal tissue via conventional fluorescence intensity-based imaging. Here we show that, after systemic injection of the near-infrared dye indocyanine green in patients with various types of solid tumour, the fluorescence lifetime (FLT) of tumour tissue is longer than the FLT of non-cancerous tissue. This tumour-specific shift in FLT can be used to distinguish tumours from normal tissue with an accuracy of over 97% across tumour types, and can be visualized at the cellular level using microscopy and in larger specimens through wide-field imaging. Unlike fluorescence intensity, which depends on imaging-system parameters, tissue depth and the amount of dye taken up by tumours, FLT is a photophysical property that is largely independent of these factors. FLT imaging with indocyanine green may improve the accuracy of cancer surgeries.

Indexed as

Indocyanine GreenNeoplasmsFluorescenceFluorescent DyesHumansFluorescent DyesIndocyanine Green

Identifiers

PMID37845517
OpenAlexW4387666827

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.