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Noninvasive assessment of liver function reserve with fluorescent dosimetry of indocyanine green
Authors:Pei-Chun Wu  Lun-Zhang Guo  Shan Yu  Ning Zeng  Yu-Cheng Liu  Jia Yu  Zhiming Zhang  Ke Lu  Liangyu Sun  Chunfei Wang  Yu-Han Chang  Yin-Lin Lu  Yu-Fang Shen  Sheng Tai  Yueh-Hsun Chuang  Ja-An Annie Ho  Kai-Wen Huang  Yao-Ming Wu  Tzu-Ming Liu
Abstract:Using in vivo multiphoton fluorescent dosimetry, we demonstrate that the clearance dynamics of Indocyanine Green (ICG) in the blood can quickly reveal liver function reserve. In normal rats, the ICG retention rate was below 10% at the 15-minute post-administration; While in the rat with severe hepatocellular carcinoma (HCC), the 15-minute retention rate is over 40% due to poor liver metabolism. With a 785 nm CW laser, the fluorescence dosimeter can evaluate the liver function reserve at a 1/10 clinical dosage of ICG without any blood sampling. In the future, this low-dosage ICG 15-minute retention dosimetry can be applied for the preoperative assessment of hepatectomy or timely perioperative examination.
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