Messmann, Helmut and Endlicher, E. and Gelbmann, C. M. and Schoelmerich, Juergen (2002) Fluorescence endoscopy and photodynamic therapy. DIGESTIVE AND LIVER DISEASE, 34 (10). pp. 754-761. ISSN 1590-8658, 1878-3562
Full text not available from this repository. (Request a copy)Abstract
Fluorescence endoscopy is a new technique which allows a better detection of non-visible malignant or premalignant lesions or those which are difficult to detect. Exogenously applied sensitisers accumulate selectively in malignant lesions and induce fluorescence after illumination with light of adequate wavelength. However,, also endogenous fluorophores, different located in malignant or benign lesions, induce a different autofluorescence in these lesions. Tissue fluorescence can be detected by optical sampling of the mucosa using fluorescence spectroscopy or by generating real time fluorescence images with specialised camera systems. Compared to point fluorescence spectroscopy the latter technique enables the screening of large surface areas of mucosa. Meanwhile, fluorescence endoscopy is a widely used technique in urology employing 5-aminolaevulinic acid sensitisation. In gastroenterology, this technique seems promising for the detection of early cancers or dysplasia in patients with Barrett's oesophagus or ulcerative colitis. Using different sensitisers, photodynamic therapy seems to be a promising option for patients with advanced oesophageal cancer and in the palliative treatment of non-resectable bile duct cancer furthermore for patients with early gastric cancer and dysplasia In Barrett's oesophagus. Probably, by laser light fractionation or a combination of different sensitisers, an enhanced effect can be expected.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | LASER-INDUCED FLUORESCENCE; HIGH-GRADE DYSPLASIA; INDUCED PROTOPORPHYRIN-IX; 5-AMINOLEVULINIC ACID SENSITIZATION; ND-YAG LASER; BARRETTS-ESOPHAGUS; LIGHT FRACTIONATION; EARLY CANCER; DIAGNOSIS; CARCINOMA; fluorescence endoscopy; malignant lesions; photodynamic therapy |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin I |
| Depositing User: | Petra Gürster |
| Date Deposited: | 09 Jun 2021 10:10 |
| Last Modified: | 09 Jun 2021 10:10 |
| URI: | https://pred.uni-regensburg.de/id/eprint/39811 |
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