In a first, AIIMS Delhi introduced a state-of-the-art fluorescence imaging technology for easy identification of cancer-affected breast tissues. Dr SVS Deo, the Surgical Oncology department head says that the technology will be a “game-changer” in breast cancer surgery space as it precisely helps identify relevant tissue intraoperatively.
More than 250 peer-reviewed publications demonstrate that the use of this technology will improve clinical outcomes and help surgeons choose the next line of treatment.
The surgeons inject a safe and indocyanine green (ICG) dye in patients during breast cancer surgery. Using Fluorescence Imaging technology, surgeons can view blood flow in vessels, micro-vessels, tissue perfusion and critical anatomical structures intraoperatively. “The relevant tissues light up in fluorescent green colour. The reliability and multiple applications of the imaging are a significant differentiation compared to currently used technologies like blue dye,” he added.
“Due to lack of this critical information, earlier all lymph nodes including healthy ones would be removed completely, causing significant collateral damage to the patient. With Fluorescence Imaging technology we can now save healthy tissue and improve patient safety and outcomes,” Dr Deo said.
Currently, the most common method to detect and remove lymph nodes during surgery is the use of blue dye and radiocolloid while using a gamma probe.
The new technology uses near-infrared fluorescence imaging during cancer surgery that allows real-time, clinically significant and actionable information to improve quality of care, outcomes and safety of patients.
“Challenge with gamma probe is that it involves injecting radiation into the patient and is not widely available across healthcare institutes due to regulatory restrictions as well as high operating cost per surgery,” said Dr Deo. He also added that infrared FI technology with its accuracy and precision, not only helps improve patient outcomes but also provides alternative options compared to current technologies like gamma probe.
A breast cancer expert from GW School of Medicine and Health Sciences, US, Dr David Weintritt who joined one of the workshops held at the AIIMS on the use of technology said, during surgery, the technology provides critical information about patient’s anatomy when information is most important. “Equipped with this information, several complications can be proactively avoided, thereby reducing healthcare burden,” Dr Weintritt said.
FI reveals areas that do not have adequate blood supply allowing the surgeon to remove tissue that would otherwise lead to problems in healing, infections and unnecessary additional surgeries which are costly, Dr Weintritt explained.

Source: The Week.

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