{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T19:11:40Z","timestamp":1790709100378,"version":"4.1.0"},"reference-count":22,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2018,12,18]],"date-time":"2018-12-18T00:00:00Z","timestamp":1545091200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100001461","name":"American Philosophical Society","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001461","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["F32 CA210409"],"award-info":[{"award-number":["F32 CA210409"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01 CA193556"],"award-info":[{"award-number":["R01 CA193556"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006317","name":"Association for Academic Surgery","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100006317","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cancer"],"published-print":{"date-parts":[[2019,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>The management of most solid tumors of the anterior mediastinum involves complete resection. Because of their location near mediastinal structures, wide resection is not possible; therefore, surgeons must use subjective visual and tactile cues to determine disease extent. This clinical trial explored intraoperative near\u2010infrared (NIR) imaging as an approach to improving tumor delineation during mediastinal tumor resection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty\u2010five subjects with anterior mediastinal lesions suspicious for malignancy were enrolled in an open\u2010label feasibility trial. Subjects were administered indocyanine green (ICG) at a dose of 5 mg\/kg, 24 hours before resection (via a technique called TumorGlow). The NIR imaging systems included Artemis (Quest, Middenmeer, the Netherlands) and Iridium (VisionSense Corp, Philadelphia, Pennsylvania). Intratumoral ICG uptake was evaluated. The clinical value was determined via an assessment of the ability of NIR imaging to detect phrenic nerve involvement or incomplete resection. Clinical and histopathologic variables were analyzed to determine predictors of tumor fluorescence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>No drug\u2010related toxicity was observed. Optical imaging added a mean of 10 minutes to case duration. Among the subjects with solid tumors, 19 of 20 accumulated ICG. Fluorescent tumors included thymomas (n = 13), thymic carcinomas (n = 4), and liposarcomas (n = 2). NIR feedback improved phrenic nerve dissection (n = 4) and identified residual disease (n = 2). There were no false\u2010positives or false\u2010negatives. ICG preferentially accumulated in solid tumors; this was independent of clinical and pathologic variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>NIR imaging for anterior mediastinal neoplasms is safe and feasible. This technology may provide a real\u2010time tool capable of determining tumor extent and specifically identify phrenic nerve involvement and residual disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/cncr.31851","type":"journal-article","created":{"date-parts":[[2018,12,18]],"date-time":"2018-12-18T11:01:39Z","timestamp":1545130899000},"page":"807-817","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["A clinical trial of intraoperative near\u2010infrared imaging to assess tumor extent and identify residual disease during anterior mediastinal tumor resection"],"prefix":"10.1002","volume":"125","author":[{"given":"Jarrod D.","family":"Predina","sequence":"first","affiliation":[{"name":"Center for Precision Surgery Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania"},{"name":"Department of Surgery Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Keating","sequence":"additional","affiliation":[{"name":"Center for Precision Surgery Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Newton","sequence":"additional","affiliation":[{"name":"Center for Precision Surgery Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania"},{"name":"Department of Surgery Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Corbett","sequence":"additional","affiliation":[{"name":"Center for Precision Surgery Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania"},{"name":"Department of Surgery Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2954-7256","authenticated-orcid":false,"given":"Leilei","family":"Xia","sequence":"additional","affiliation":[{"name":"Center for Precision Surgery Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania"},{"name":"Department of Surgery Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Shin","sequence":"additional","affiliation":[{"name":"Center for Precision Surgery Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania"},{"name":"Department of Surgery Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lydia","family":"Frenzel Sulyok","sequence":"additional","affiliation":[{"name":"Center for Precision Surgery Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania"},{"name":"Department of Surgery Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charuhas","family":"Deshpande","sequence":"additional","affiliation":[{"name":"Department of Pathology Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie","family":"Litzky","sequence":"additional","affiliation":[{"name":"Department of Pathology Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuming","family":"Nie","sequence":"additional","affiliation":[{"name":"Department of Chemistry University of Illinois Urbana Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John C.","family":"Kucharczuk","sequence":"additional","affiliation":[{"name":"Center for Precision Surgery Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania"},{"name":"Department of Surgery Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunil","family":"Singhal","sequence":"additional","affiliation":[{"name":"Center for Precision Surgery Perelman School of Medicine at the University of Pennsylvania Philadelphia Pennsylvania"},{"name":"Department of Surgery Perelman School of Medicine at the University of Pennsylvania Philadelphia 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