Spectrometry supports fluorescence staging laparoscopy after intraperitoneal aminolaevulinic acid lavage for gastrointestinal tumours

J Photochem Photobiol B. 1999 Sep-Oct;52(1-3):131-5. doi: 10.1016/s1011-1344(99)00119-0.

Abstract

Conventional staging laparoscopy in combination with fluorescence diagnosis has proven to be an effective modality in the detection of macroscopically occult intraperitoneal tumours and metastases. Rats with induced peritoneal carcinosis are photosensibilized by intraperitoneal aminolaevulinic acid (ALA) lavage. After visualization of the tumour foci, the emission from the lesions is measured spectrometrically and the fluorescence analysed quantitatively ('optical biopsy'). There is a considerable accordance between imaging by fluorescence diagnosis laparoscopy and point spectrometry in the detection of peritoneal malignancies. Compared with surrounding healthy peritoneum, tumour-positive areas show significantly higher fluorescence intensities in spectrometry.

MeSH terms

  • Aminolevulinic Acid / administration & dosage
  • Aminolevulinic Acid / therapeutic use*
  • Animals
  • Colonic Neoplasms / diagnosis*
  • Colonic Neoplasms / drug therapy*
  • Colonic Neoplasms / pathology
  • Laparoscopy
  • Neoplasm Staging
  • Peritoneal Neoplasms / diagnosis
  • Peritoneal Neoplasms / drug therapy
  • Peritoneal Neoplasms / pathology
  • Photosensitizing Agents / administration & dosage
  • Photosensitizing Agents / therapeutic use*
  • Rats
  • Rats, Inbred Strains
  • Spectrometry, Fluorescence
  • Therapeutic Irrigation

Substances

  • Photosensitizing Agents
  • Aminolevulinic Acid