New approaches to diagnostics and treatment of cholangiocellular cancer based on photonics methods

Dmitry V. YAKOVLEV, Dina S. FARRAKHOVA, Artem A. SHIRYAEV, Kanamat T. EFENDIEV, Maxim V. LOSCHENOV, Liana M. AMIRKHANOVA, Dmitry O. KORNEV, Vladimir V. LEVKIN, Igor V. RESHETOV, Victor B. LOSCHENOV

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Front. Optoelectron. ›› 2020, Vol. 13 ›› Issue (4) : 352-359. DOI: 10.1007/s12200-020-1093-0
RESEARCH ARTICLE

New approaches to diagnostics and treatment of cholangiocellular cancer based on photonics methods

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Abstract

Cholangiocellular cancer (CCС) is an oncological disease of the bile ducts characterized by a high mortality rate. To date, the use of standard methods for the diagnosis and treatment of CCС has not been able to reduce mortality from this disease. This work presents the results of fluorescence diagnostics (FD), which consists in using a modified optical fiber and photodynamic therapy (PDT) using a therapeutic laser instead of a low-intensity laser. This technique was tested on 43 patients in a clinical setting. The results obtained indicate a direct correlation between spectroscopic and video FD methods. Furthermore, a direct correlation was found between the photobleaching of a chlorin e6-based photosensitizer, with the commercial names of Photolon Radachlorin and Photoran and stricture regression. Our findings demonstrate the possibility of using a therapeutic laser with a wavelength of 660 nm for both diagnosis and treatment of bile ducts cancer, which results in a significant reduction of the operation time without decreasing its effectiveness.

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Keywords

cholangiocellular cancer (CCC) / fluorescent diagnostics (FD) / photodynamic therapy (PDT) / chlorin e6 / Photolon / spectroscopic method / video fluorescent method / photobleaching / cancer / bile ducts / tumor / intraoperation diagnostics / photosensitizer (PS)

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Dmitry V. YAKOVLEV, Dina S. FARRAKHOVA, Artem A. SHIRYAEV, Kanamat T. EFENDIEV, Maxim V. LOSCHENOV, Liana M. AMIRKHANOVA, Dmitry O. KORNEV, Vladimir V. LEVKIN, Igor V. RESHETOV, Victor B. LOSCHENOV. New approaches to diagnostics and treatment of cholangiocellular cancer based on photonics methods. Front. Optoelectron., 2020, 13(4): 352‒359 https://doi.org/10.1007/s12200-020-1093-0

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Acknowledgements

This work was funded by RFBR according to the research project (Nos. 17-00-00162 and 17-00-00159).

Ethics Approval

The trial was conducted in accordance with the Declaration of Helsinki. This study was reviewed and approved by the Integrated Research Ethics Council of First Sechenov State Medical University, Ministry of Health of the Russian Federation (Sechenov University) (approval number 127, 12.09.2018). All registered patients completed an informed consent form.

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2020 Higher Education Press
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