Abstract:

Near-infrared fluorescence imaging (NIRF) technology has been widely used in clinical practice, the commonly used near-infrared fluorescent dye in clinical practice at present is indocyanine green (ICG). The near-infrared/ICG fluorescence imaging technology, which combines near-infrared light with ICG, has been widely developed in various fields, and can be used for the detection of metastatic lymph nodes in gynecological malignant tumors and intraoperative navigation. As for the pelvic deep-infiltrating endometriosis, the application of near-infrared/ICG fluorescence imaging technology can more completely clear the lesions, especially for intestinal endometriosis, which can significantly reduce the incidence of intestinal fistula. It can also be used for intraoperative ureteral imaging, which not only reduces the complications caused by the usual methods of ureteral protection (such as preoperative placement of ureteral stents), but also reduces the incidence of iatrogenic ureteral injury. The principle and advantages of near-infrared/ICG fluorescence imaging technology, its development status and clinical application in gynecological surgery, as well as the limitations and application prospects of this technology are reviewed.

Key words: Near-infrared fluorescence imaging, Radioactive tracers, Uterine cervical neoplasms, Endometrial neoplasms, Endometriosis