2011
DOI: 10.1111/j.1349-7006.2011.02048.x
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Real‐time imaging of the lymphatic channels and sentinel lymph nodes of the stomach using contrast‐enhanced ultrasonography with Sonazoid in a porcine model

Abstract: The contrast-enhanced ultrasound (CEUS)-guided method in combination with Sonazoid has not been clinically or experimentally evaluated with regard to its use for identifying sentinel lymph node (SLN) in the stomach. Therefore, we attempted to evaluate the usefulness of the CEUS-guided method with Sonazoid for imaging of the lymphatic channels and SLN of the stomach in a porcine model by comparing it with the conventional Evans blue dye-guided method. Twenty-eight 2 to 3-month-old swine weighing 17-30 kg were u… Show more

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Cited by 18 publications
(19 citation statements)
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“…Some effort has focused upon the use of microbubbles to image lymphatics in the in the stomach and in peritumoral regions of cancer 65, 66. Thus, lymphatic imaging could be amenable to PCN studies as well, and may be aided by the small particle size compared to microbubble agents.…”
Section: Lymphatic Imagingmentioning
confidence: 99%
“…Some effort has focused upon the use of microbubbles to image lymphatics in the in the stomach and in peritumoral regions of cancer 65, 66. Thus, lymphatic imaging could be amenable to PCN studies as well, and may be aided by the small particle size compared to microbubble agents.…”
Section: Lymphatic Imagingmentioning
confidence: 99%
“…We have considered the SLN to be constantly subjected to a high lymph flow rate. We reached the conclusion in the above-mentioned ultrasound study [28] in which a high lymph flow rate was detected within the SLN of the stomach using the CEUS-guided method with Sonazoid. Therefore, we investigated the effects of shear stress stimulation on the expression of adhesion molecules on human LEC isolated from the afferent lymphatics nearest the SLN of breast cancers, and on the release of shear stress-mediated ATP from human LEC.…”
Section: (Iii)mentioning
confidence: 85%
“…Contrast imaging using the intragastric or transcutaneous CEUS-guided method with Sonazoid enabled us to produce clear images of the afferent lymph vessel and SLN of the stomach until 2hr after the injection of Sonazoid. Intranodal flow of the microbubble agent could be also clearly identified using tissue linear harmonic images of the SLN [28]. However, it remains unclear which factors play pivotal roles in deciding which lymph node becomes the SLN.…”
Section: (Iii)mentioning
confidence: 94%
“…However, although these techniques have proven to be effective in the identification of SLNs, they both have limitations. Most notably, blue dyes will often stain not only the conjunctiva but also second echelon nodes, as the dyes' small size allows them to pass through the first echelon lymph nodes into multiple nodal levels, which may lead to more extensive dissection . Radiocolloids' small particles can similarly pass through the first echelon lymph nodes .…”
Section: Introductionmentioning
confidence: 99%
“…Although useful in breast and liver tumors and in the oral cavity, this UCA's ability to detect SLNs when injected into the ocular conjunctiva is unknown . Previous studies have shown that Sonazoid is trapped in first‐echelon lymph nodes (i.e., SLNs) and is safe in humans for intravenous injection . Once injected, it is phagocytized by normal lymph node macrophages.…”
Section: Introductionmentioning
confidence: 99%