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Reflect: reporting guidelines for preclinical, translational and clinical fluorescence molecular imaging studies

Year: 2025
Type: article
Abstract: Over the last three decades, fluorescence molecular imaging (FMI) in the field of biomedical optics has seen significant advancements, solidifying its role as a fundamental imaging modality capable of revealing anatomical, functional, cellular, and molecular information in living subjects and/or tissue samples. The relatively straightforward and cost-effective technology, the minimal infrastructure requirements and the absence of ionizing radiation exposure have contributed to the widespread adoption of optical fluorescence imaging. Furthermore, the availability of ready-to-use contrast agents and a variety of molecular reporters, along with the compatibility with microscopic and flow cytometry methods, has promoted utilization across numerous scientific disciplines. Hence, fluorescence imaging has become a powerful research tool for visualizing protein expression, investigating molecular interactions, tracking cells, and monitoring disease progression in a non- or minimally invasive manner 1 , 2 , 3 , 4 , 5 . In a clinical setting, fluorescence imaging is particularly valuable in the context of interventional guidance 5 , 6 , 7 , 8 . Given its high temporal resolution and sensitivity, fluorescence imaging can support real-time clinical decision-making. The near-infrared (NIR) fluorescent dye Indocyanine Green, for instance, is widely used for assessing tissue perfusion and detecting sentinel lymph nodes 9 , 10 , 11 , whereas fluorescent 5-aminolevulinic acid metabolites can aid neurosurgeons in achieving maximal safe resections of gliomas 12 , 13 . Notably, the first FDA-approved molecular contrast agents, designed to highlight or respond to specific biomarkers, have recently emerged. These include CYTALUX® (pafolacianine), a folate receptor binding fluorescent imaging agent enabling surgeons to visualize ovarian and lung cancer lesions during surgery 14 , and LUMISIGHT™ (pegulicianine), a cathepsin and matrix metalloprotease activatable agent used to detect residual cancer during lumpectomy procedures 15 . A growing number of novel fluorescent molecular agents (also known as imaging tracers) are currently under preclinical development and clinical translation for diverse applications 16 , 17 , 18 .
Source: npj Imaging
Language: English
Field: Medicine
Open Access status: gold
Estimated APC paid: $2,790
OpenAlex ID: W4416668058
FWCI: 5.781
Cites: 60
Cited by: 11
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