Abstract

Indocyanine green-based fluorescence imaging techniques are very powerful in clinical applications, but the imaging is restricted to the signal from the near-surface region of tissue. Here, we focus on the method to discriminate the fluorescence signal from the background using a time-domain gating technique. The contrast of the fluorescence image from a fluorescence object at more than 1 cm depth in a meat phantom could be enhanced about 4-5 times relative to the continuous wave method if the time-gate range was properly selected. Further, a Monte Carlo simulation with a simple background model indicates that a shorter source and detector distance is more effective to improve the contrast. The simple time-gating method will enable a highly sensitive fluorescence detection in thick tissue.

Highlights

  • The detection of clinically specific fluorescence signal in thick tissues is very important in advanced medical applications

  • The detection of the sentinel lymphonodes (SLNs) during the breast cancer surgery is one of the keys to improve the clinical outcome for the patients after the surgery [1]

  • New technologies free from the drawback of the RI method are highly demanded for the detection of SLNs in thick tissues

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Summary

Introduction

The detection of clinically specific fluorescence signal in thick tissues is very important in advanced medical applications. There are several methods to visualize SLNs using the blue dye method, the indocyanine green (ICG) dye-based fluorescence angiography and the radioisotope (RI) injection. The former two optical methods are beneficial for reducing the cost and limitation of the facilities but the detection is only limited to a shallow region of tissue. New technologies free from the drawback of the RI method are highly demanded for the detection of SLNs in thick tissues. The procedure is sometimes conducted with the blue dye method or the ICG method to help the resection by clinician and the results are quite successful [3]

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