Radioimmunoguided surgery (RIGS), PET/CT image-guided surgery, and fluorescence image-guided surgery: past, present, and future

J Surg Oncol. 2007 Sep 15;96(4):297-308. doi: 10.1002/jso.20869.

Abstract

(125)I-labeled anti-TAG-72 antibodies were applied in radioimmunoguided surgery (RIGS) to remove gross and occult tumors. It is challenging to handle (125)I-labeled materials. PET/CT image-guided surgery utilizes (18)FDG to monitor the biochemical activity of the tumor and to integrate pre- and postoperative imaging for complete tumor removal. PET/CT image-guided surgery only detects later stage disease. Fluorescence image-guided surgery using anti-TAG-72 antibodies may provide opportunities for intraoperative cancer detection of both gross and occult tumors.

MeSH terms

  • Antibodies, Monoclonal / drug effects
  • Antibodies, Neoplasm / drug effects
  • Antigens, Neoplasm / immunology
  • Colorectal Neoplasms / diagnostic imaging
  • Colorectal Neoplasms / pathology
  • Colorectal Neoplasms / surgery*
  • Fluorescence
  • Fluorodeoxyglucose F18
  • Forecasting
  • Gamma Cameras
  • Glycoproteins / immunology
  • Humans
  • Iodine Radioisotopes
  • Neoplasm Staging
  • Positron-Emission Tomography*
  • Radioimmunodetection* / trends
  • Radiopharmaceuticals*
  • Surgery, Computer-Assisted* / trends
  • Survival Analysis
  • Tomography, X-Ray Computed*

Substances

  • Antibodies, Monoclonal
  • Antibodies, Neoplasm
  • Antigens, Neoplasm
  • B72.3 antibody
  • Glycoproteins
  • Iodine Radioisotopes
  • Radiopharmaceuticals
  • tumor-associated antigen 72
  • Fluorodeoxyglucose F18