Sentinel Lymph Node Biopsy in Breast Cancer Surgery Using ICG
Study Details
Study Description
Brief Summary
This clinical trial is a prospective, multicenter, self-controlled clinical study. In order to meet the requirements of this plan, 130 breast cancer patients need the sentinel lymph node biopsy with novel near-infarred fluorescence imaging system produced by Beijing digital precision medical technology co., LTD. The fluorescence molecular imaging of indocyanine green (ICG) on imaging detection and the control group, routine medical using methylene blue test .The safety and efficacy of fluorescence and staining in sentinel lymph node biopsy of breast cancer were compared.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
This trial was a prospective, multicenter, and self controlled clinical trial. The subjects who were in line with this scheme were detected by fluorimetry and staining, and the primary effectiveness evaluation index, secondary effectiveness evaluation index and safety evaluation index were established during the operation. Record evaluation. At present, in the clinic for sentinel lymph node biopsy of breast cancer, routine medical treatment is a blue staining method. A large number of clinical data show that the number of blue staining methods was 1-2.4, and the number of fluorescence detection is 2-3.7. Therefore, choosing a self controlled clinical trial can increase the number of sentinel lymph node detection.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Self control During the operation, with the fluorescent molecular imaging instrument, the imaging agent (indocyanine green) is illuminated by the probe distance to the tissue surface 10-30cm, and is excited to produce the near infrared fluorescence of the specific wavelength (the human eye is not visible). The system uses a photoelectric coupler to collect the light of the specific spectrum, and the image is collected by the method of correction. The operation was performed to achieve real-time display of lesions. The injection points were selected subcutaneously around the areola or the periphery of the tumor. 1% methylene blue 0.5ml was injected at each point, with a total of 2-3 points. Within 5 minutes, 2.5mg/ml ICG 0.5ml was injected at each point, with a total of 2-3 points. |
Drug: Methylene Blue
Subcutaneous injection of injection point at the periphery of the areola or tumor, injecting 1% methylene blue 0.5ml at each point, a total of 2-3 points.
Other Names:
Drug: Indocyanine Green
Within 5 minutes after MB injection, 2.5mg/ml ICG 0.5ml was injected at each point, a total of 2-3 points. Methylene blue and ICG injection points do not coincide
Other Names:
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Outcome Measures
Primary Outcome Measures
- Sentinel lymph node detection number [1 year]
Participants will be followed for the duration of hospital stay, an expected average of 1 year
Eligibility Criteria
Criteria
Inclusion Criteria:
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the age of 18-75 years, female patients;
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the diagnosis of breast cancer by biopsy;
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participants voluntarily participated in the clinical trial and signed informed consent.
Exclusion Criteria:
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had received SLNB or axillary surgery;
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breast area radiotherapy or neoadjuvant chemotherapy has been accepted.
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clinical hints of axillary lymph node metastasis;
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discovery of distant metastasis;
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inflammatory breast cancer;
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women in pregnancy;
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people with iodine allergy;
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the serum creatinine was > 1.5 times as high as the upper limit of the normal value.
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to participate in clinical trials of other devices or drugs within one month;
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the researchers consider it inappropriate to participate in this clinical trial.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Key Laboratory of Molecular Imaging, Chinese Academy of Sciences | Beijing | Beijing | China | 100190 |
Sponsors and Collaborators
- Chinese Academy of Sciences
- Beijing Digital Precesion Medicine Company
- Cancer Institute and Hospital, Chinese Academy of Medical Sciences
- Beijing Friendship Hospital
- Tangshan People's Hospital
- The Second Hospital of Hebei Medical University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CIP-DPM-02