INTRAOPERATIVE FLUORESCENCE IMAGING:
A PRECISE AND EFFICIENT METHOD.
Parathyroid gland identification can be challenging even for skilled surgeons due to their tiny size (a few mm) and that they are often buried in fat tissue or ectopic (located in atypical areas).
The unexpected excision of healthy parathyroid glands is a current complication of thyroidectomies. This can lead to hypoparathyroidism, most of the time transient, and might come with disruptions of calcium metabolism and notably hypocalcemia. It is therefore critical to properly identify parathyroid glands during surgery.
FLUOBEAM® IN ACTION
Parathyroid glands identification
Unique to FLUOBEAM® parathyroid glands emit fluorescence in the near Infrared without any dye injection. This is called auto-fluorescence. FLUOBEAM® allows the surgeon to identify in real-time parathyroid glands and to preserve them during surgery.
FLUOBEAM® also allows surgeons to visualize parathyroid adenoma using auto-fluorescence. This detection guides the surgeon and makes resection easier.
Checking the parathyroid gland vascularization
It is commonly known that complications such as transient hypocalcemia are linked to the unexpected excision of parathyroid glands or the alteration of the vascularization of these glands during thyroid surgery.
After intravenous injection of indocyanine green, FLUOBEAM® allows surgeons to clearly visualize the vascularization of the parathyroid glands and therefore to assess their viability during the surgery.
Dr Fernando Dip
Maxilo-facial and ENT surgery, University of Buenos Aires, Argentina & Cleveland Clinic, Florida, USA
'Fluorescence imaging in the near infrared significantly increases the number of parathyroid glands that are identified during thyroid surgery.'
Dr. Fares Benmiloud
General Surgeon, Hôpital Européen, Marseille, France.
'Near infrared imaging used during total thyroidectomies significantly reduces post-operative hypocalcemia, improves parathyroid identification and reduces the rate of auto-transplantation.'
> De Leeuw F., Breuskin I., Abbaci M. et al. Intraoperative Near-infrared Imaging for Parathyroid Gland Identification by Auto-fluorescence: A Feasibility Study. World Journal of Surgery – 2016 Sep;40(9):2131-8.
> Falco J., Dip F., Quadri P., et al. Cutting Edge in Thyroid Surgery: Autofluorescence of Parathyroid Glands. Journal of the American College of Surgeons. 2016 Aug; 223(2):374-80.
> Kahramangil B. and Berber E. The use of near-infrared fluorescence imaging in endocrine surgical procedures. J. Surg. Oncol. 2017
> Falco J. et al. Increased identification of parathyroid glands using near infrared light during thyroid and parathyroid surgery. Surg Endosc. 2017