Fluorescence In Vivo Endomicroscopy
Figure 9: Ex vivo imaging of breast cancer mastectomy specimens using acriflavine, PARPi-FL and matched H&E histopathology. (A) Acriflavine staining of normal fat and connective tissue. (B) Absence of PARPi-FL staining of normal fat and connective tissue. (C) H&E staining of normal fat tissue. (D) Acriflavine staining of tumor. (E) PARPi-FL staining of tumor. (F) H&E staining of tumor. Images courtesy of Dr. Phillip Currie. Scale bars=100 μm.
gery greatly affect
Early detection of tumors and residual tumors aſter sur- tumor recurrence and patient survival.
PARP1 inhibitor-based detection of oral tumors has exhibited promising results in preclinical studies [59]. Recent reports also suggest its potential
in detecting oral, oropharyngeal,
esophageal, and cervical cancers in mice, swine, and human biopsies [60,61]. PARPi-FL has been used to identify tumor in ex vivo breast tissue samples in an unpublished study (Figure 9) and has potential as a breast cancer label in vivo. PARPi-FL was also used successfully in detecting oral cancer when applied as a mouthwash, and discriminated between fresh biopsied samples of the oral tumor and the surgical resection margin with more than 95% specificity. PARPi-FL, in combination with FIVE imaging, enables a combination of micro and macroscopic evaluation techniques for screen- ing, surveillance, biopsy guidance, fresh biopsy staining, in vivo diagnostic capability, and intraoperative margin delinea- tion [60]. Te development of specific fluorescent molecular markers, such as PARPi-FL, offers a range of diagnostic and intraoperative methods that were not previously possible with other imaging modalities. Zebrafish eyes have also been imaged to demonstrate
FIVE’s potential to obtain image z-stacks from live animals with good registration, enabling digital reconstruction of the tissue (Figure 10).
2021 May •
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Figure 10: Maximum intensity projection of a 187 µm depth color-coded z-stack of zebrafish eye imaged with 488 nm blue laser scanner. Zebrafish blood vessel endothelium is expressing GFP, and the eye is also stained with acriflavine.
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