Improving precision surgery: A review of current intraoperative nerve tissue fluorescence imaging.

Curr Opin Chem Biol

Biomedical Engineering Department, Oregon Health & Science University, 2730 S Moody Ave, Portland, OR 97201, USA; Knight Cancer Institute, Oregon Health & Science University, 2720 S Moody Ave, Portland, OR 97201, USA. Electronic address:

Published: October 2023

Iatrogenic nerve injury represents one of the most feared surgical complications and remains a major morbidity across many surgical specialties. Currently, no clinically approved technique can directly enhance intraoperative nerve visualization, where intraoperative nerve identification continues to challenge even experienced surgeons. Fluorescence-guided surgery (FGS) has been successfully integrated into clinical medicine to improve safety and efficacy in the surgical arena. A number of tissue- and disease-specific contrast agents are in the clinical translation pipeline for future FGS integration. Within this context, a diverse repertoire of fluorescent tracers have been developed to improve surgeons' intraoperative vision. This review aims to convey the recent developments for nerve-specific FGS and its potential for clinical translation.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10965355PMC
http://dx.doi.org/10.1016/j.cbpa.2023.102361DOI Listing

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