Cryo SEM of novel multimodal injectable soft tissue markers for use in diagnostic imaging and therapeutic intervention in cancer treatment

2021 ◽  
Author(s):  
Paul Kempen ◽  
2020 ◽  
Vol 6 (34) ◽  
pp. eabb5353
Author(s):  
Anders E. Hansen ◽  
Jonas R. Henriksen ◽  
Rasmus I. Jølck ◽  
Frederikke P. Fliedner ◽  
Linda M. Bruun ◽  
...  

Diagnostic imaging often outperforms the surgeon’s ability to identify small structures during therapeutic procedures. Smart soft tissue markers that translate the sensitivity of diagnostic imaging into optimal therapeutic intervention are therefore highly warranted. This paper presents a unique adaptable liquid soft tissue marker system based on functionalized carbohydrates (Carbo-gel). The liquid state of these markers allows for high-precision placement under image guidance using thin needles. Based on step-by-step modifications, the image features and mechanical properties of markers can be optimized to bridge diagnostic imaging and specific therapeutic interventions. The performance of Carbo-gel is demonstrated for markers that (i) have radiographic, magnetic resonance, and ultrasound visibility; (ii) are palpable and visible; and (iii) are localizable by near-infrared fluorescence and radio guidance. The study demonstrates encouraging proof of concept for the liquid marker system as a well-tolerated multimodal imaging marker that can improve image-guided radiotherapy and surgical interventions, including robotic surgery.


2018 ◽  
Vol 32 (04) ◽  
pp. 322-330 ◽  
Author(s):  
Andrea Evenski ◽  
James Stensby ◽  
Samuel Rosas ◽  
Cynthia Emory

AbstractIntra-articular (IA) and peri-articular (PA) tumors of the knee are frequently encountered by orthopaedic surgeons. Nonetheless, due to the possibility of great morbidity and potential mortality, it is important to recognize and differentiate between benign and malignant lesions in a timely manner. Therefore, the purpose of this article is to provide a concise, practical, and updated review of commonly encountered IA and PA tumors including intratendinous gout, synovial chondromatosis, schwannoma, pigmented villonodular synovitis, and synovial sarcoma, and a detailed description of differentiating features to include various imaging modalities.


2004 ◽  
Vol 22 (14_suppl) ◽  
pp. 9051-9051
Author(s):  
H. Martínez-Saíd ◽  
J.-L. Aguilar-Ponce ◽  
X. Kon-Jara ◽  
P. García-López ◽  
J. G. De La Garza-Salazar

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Akira Takahashi ◽  
Chieko Sugawara ◽  
Takaharu Kudoh ◽  
Daisuke Uchida ◽  
Tetsuya Tamatani ◽  
...  

Aim.Tonsilloliths are calcified structures that develop in tonsillar crypts. They are commonly detected in daily clinical practice. The prevalence of tonsilloliths was 16 to 24% in previous reports, but it is inconsistent with clinical experience. The aim of this study is to clarify the prevalence, number, and size distribution of tonsilloliths using computed tomography (CT) in a relatively large number of patients.Materials and Methods.We retrospectively reviewed the scans of 2,873 patients referred for CT examinations with regard to tonsilloliths.Results.Palatine tonsilloliths were found in 1,145 out of 2,873 patients (39.9%). The prevalence of tonsilloliths increased with age, and most commonly in patients of ages 50–69. The prevalence in the 30s and younger was statistically lower than in the 40s and older (P< 0.05). The number of tonsilloliths per palatine tonsil ranged from one to 18. The size of the tonsilloliths ranged from 1 to 10 mm. For the patients with multiple CT examinations, the number of tonsilloliths increased in 51 (3.9%) and decreased in 84 (6.5%) of the tonsils.Conclusions.As palatine tonsilloliths are common conditions, screenings for tonsilloliths during the diagnosis of soft tissue calcifications should be included in routine diagnostic imaging.


Author(s):  
Jun Murotsuki ◽  
Takao Sekiya ◽  
Haruki Nishizawa ◽  
Yasuhiro Udagawa

ABSTRACT The prenatal diagnosis of fetal bone and small parts is a challenging task to the variable disorders and large number of possible diagnosis. Fetal limb anomalies may be congenital or acquired in utero. The former occur as anomalies either systemically or, in some limbs, due to hereditary or sporadic impairment in the formation or development of bone, cartilage or soft tissue. Acquired anomalies are caused by mechanical factor of an amniotic band or oligohydramnios. Both types present functional and cosmetic abnormalities, and skeletal dysplasia in particular includes lethal diseases, which makes prenatal diagnosis in such cases highly important, both medically and societally. Diagnostic imaging for prenatal diagnosis is accomplished by ultrasound, MRI and CT scan, and chromosomal and genetic diagnosis is also performed as needed. We focus on skeletal dysplasia to review prenatal diagnosis of fetal bone and small part anomalies by noninvasive ultrasound. For the authors as perinatologists, this is the imaging modality of choice.


2020 ◽  
Author(s):  
Akram Uddin ◽  
George Flanagan ◽  
Ian Reilly

Abstract Background: Soft tissue malignant tumours of the foot and ankle are rare. Diagnostic imaging and interventional biopsy are vital to establish the nature and grading of a suspicious tumour prior to surgical intervention. The purpose of the study is to provide an account on how a symptomatic mass to the plantar aspect of the foot warranted a referral to a sarcoma centre, highlighting the importance of having urgent access to diagnostic imaging and a pathway to refer suspected cases to specialist centres. Method: A single patient with a symptomatic soft tissue tumour of the plantar foot was referred from our service to the regional sarcoma centre. It was considered to be benign and therefore open surgical resection was performed under local anaesthesia by our team, and the lesion sent for histopathological examination. Results: Histopathological analysis identified the excised mass as a lipoma to show no atypia or necrosis and mature adipose tissue with fibrous bands. At 2 years postoperatively there was no recurrence and the patient presented an asymptomatic foot. Favourable patient reported outcomes measures were observed. Conclusion: United Kingdom (UK) Guidelines suggest that all soft tissue masses of suspicious nature, greater than 50mm, deep seated irrespective of size, or fast growing should be referred to a sarcoma unit prior to surgical management. European guidance identifies a threshold of 15mm for a mass in the foot. Patients presenting with red flag symptoms irrespective of size of mass should be referred to a sarcoma centre. Advanced imaging and multidisciplinary input to enable appropriate surgical planning is recommended for these soft tissue tumours that present to the foot and ankle surgeon.Level of evidence: V case study.


2006 ◽  
Vol 24 (18_suppl) ◽  
pp. 9577-9577
Author(s):  
D. A. Forman ◽  
M. Scarlato ◽  
R. E. Brown ◽  
C. Amadio ◽  
E. L. Friedman ◽  
...  

9577 Background: Pathologic events pertaining to the intracellular cell signaling pathway are now being recognized to be directly or indirectly responsible for oncogenic transformation in a variety of malignancies. Many drugs are now available which can block key steps of these signaling pathways. We sought to use IHC stains of previously stored sarcoma specimens to determine if expression of potential molecular targets (mTOR, p 70 S6 Kinase, ERK1/2, NF Kappa B) is present. Methods: Using tumor registry data, our three most common adult STS histopathologic subtypes were identified, and paraffin embedded tissue blocks representing these histologies were retrieved. Each block was reviewed for tissue adequacy. The blocks were cut and then stained with the aforementioned phosphorylated IHC stains (Cell Signal Technologies). Slides were graded on intensity of stain uptake (0–3+) and percentage of cells staining. A particular IHC stain was considered positive if 10% or more cells were stained 1+ or greater in intensity. Results: Seventeen Malignant Fibrous Histiocytomas (MFH), 20 Leiomyosarcomas (LMS) and 7 Liposarcomas were stained for the presence of p-mTOR, p-p70S6 Kinase, p ERK1/2, and p-NF Kappa B. Data for NF Kappa B will be presented at the meeting. The results are summarized in the table below. Conclusions: Pathways involving ERK appear to be active in more frequently diagnosed Sarcomas. Slightly more than half of the MFHs we studied expressed phosphorylated ERK1/2. Further exploration of this pathway, as well as mTOR, as potential targets of therapeutic intervention is indicated in STS. [Table: see text] No significant financial relationships to disclose.


2008 ◽  
Vol 65 (2) ◽  
pp. 194-200 ◽  
Author(s):  
M. Shahabpour ◽  
M. Kichouh ◽  
E. Laridon ◽  
J.L. Gielen ◽  
J. De Mey

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