Photoacoustic/ultrasound dual-modality imaging of Sentinel lymph node with carbon nanoparticles

Abstract

Abstract Sentinel lymph node (SLN) biopsy is a widely used method for identifying axillary lymph node metastasis in breast cancer patients, offering an avoidance of unnecessary axillarydissections and a lower incidence of lymphedema and other complications. However, the nuclide localization has added complexity to the procedure due to its accessibility. Methylene blue and other small molecule dyes have been widely used due to their convenience, but they have been found to have lower specificity and sensitivity. Carbon nanoparticles (CNPs), as a new type of tracer, are safe and show improved specificity. However, the significant optical absorption in human tissues still renders the detection of deep lymph nodes challenging. To overcome these challenges, we developed a high-sensitivity ultrasound probe optimized for photoacoustic imaging. Based on the new probe, we constructed a high-sensitivity photoacoustic/ultrasound dual-modality imaging system. A pilot clinical study has been conducted on two patients, preliminarily verifying the system’s ability to locate SLN when combined with the CNPs.