Fluorescence molecular imaging-guided photodynamic therapy for early breast cancer in the prone position: Feasibility evaluation with Monte Carlo simulations

Introduction: The successful diagnosis and treatment of early-stage breast cancer enhances the quality of life of patients. As a promising alternative to recently developed magnetic resonance imaging-guided radiotherapy, we proposed fluorescence molecular imaging-guided photodynamic therapy (FMI-gui...

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Main Authors: Yugo Minegishi, Yasutomo Nomura
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Photodiagnosis and Photodynamic Therapy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1572100025000286
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author Yugo Minegishi
Yasutomo Nomura
author_facet Yugo Minegishi
Yasutomo Nomura
author_sort Yugo Minegishi
collection DOAJ
description Introduction: The successful diagnosis and treatment of early-stage breast cancer enhances the quality of life of patients. As a promising alternative to recently developed magnetic resonance imaging-guided radiotherapy, we proposed fluorescence molecular imaging-guided photodynamic therapy (FMI-guided PDT), which requires no expensive equipment. In the FMI simulations, ICG-C11 which has emission peaks at near-infrared wavelengths was used as the FMI agent. In the PDT simulation, Upconversion nanoparticles-Quantum dots-Rose bengal (UCQR) which was a PDT agent with upconversion capabilities was used. Methods: The feasibility of breast cancer diagnosis and treatment using our proposed method is evaluated through Monte Carlo simulations of exact light transport through a realistic breast model in the prone position. Monte Carlo modeling in voxelized media was performed. Fluorescence propagation from the tumor and the amount of singlet oxygen produced within the tumor were estimated from the calculated fluence. Next, the effects of tumor diameter and depth from the skin surface on the simulation results were evaluated. Results: The simulation results showed successful detection of tumors with diameters of 5–9 mm in the 15–25 mm depth region, where tumors are commonly found. Furthermore, simulations have estimated that those tumors can be completely treated by PDT with less than ten light irradiations. Conclusion: This study suggests that fluorescent molecular imaging-guided photodynamic therapy may be a potential treatment for early-stage breast cancer. Our method would be more suitable than the conventional method for young women who are at higher risk of radiation exposure effects.
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series Photodiagnosis and Photodynamic Therapy
spelling doaj-art-bb82fe25e789432c90fddf1ccdb1d84c2025-02-04T04:10:21ZengElsevierPhotodiagnosis and Photodynamic Therapy1572-10002025-04-0152104498Fluorescence molecular imaging-guided photodynamic therapy for early breast cancer in the prone position: Feasibility evaluation with Monte Carlo simulationsYugo Minegishi0Yasutomo Nomura1Maebashi-Institute of Technology, Systems Life Engineering, Gunma, 371-0816 JapanCorresponding author at: Maebashi-Institute of Technology, Systems Life Engineering, Gunma, 371-0816 Japan.; Maebashi-Institute of Technology, Systems Life Engineering, Gunma, 371-0816 JapanIntroduction: The successful diagnosis and treatment of early-stage breast cancer enhances the quality of life of patients. As a promising alternative to recently developed magnetic resonance imaging-guided radiotherapy, we proposed fluorescence molecular imaging-guided photodynamic therapy (FMI-guided PDT), which requires no expensive equipment. In the FMI simulations, ICG-C11 which has emission peaks at near-infrared wavelengths was used as the FMI agent. In the PDT simulation, Upconversion nanoparticles-Quantum dots-Rose bengal (UCQR) which was a PDT agent with upconversion capabilities was used. Methods: The feasibility of breast cancer diagnosis and treatment using our proposed method is evaluated through Monte Carlo simulations of exact light transport through a realistic breast model in the prone position. Monte Carlo modeling in voxelized media was performed. Fluorescence propagation from the tumor and the amount of singlet oxygen produced within the tumor were estimated from the calculated fluence. Next, the effects of tumor diameter and depth from the skin surface on the simulation results were evaluated. Results: The simulation results showed successful detection of tumors with diameters of 5–9 mm in the 15–25 mm depth region, where tumors are commonly found. Furthermore, simulations have estimated that those tumors can be completely treated by PDT with less than ten light irradiations. Conclusion: This study suggests that fluorescent molecular imaging-guided photodynamic therapy may be a potential treatment for early-stage breast cancer. Our method would be more suitable than the conventional method for young women who are at higher risk of radiation exposure effects.http://www.sciencedirect.com/science/article/pii/S1572100025000286Fluorescence molecular imagingPhotodynamic therapyNear infraredEarly breast cancerProne positionMonte carlo simulation
spellingShingle Yugo Minegishi
Yasutomo Nomura
Fluorescence molecular imaging-guided photodynamic therapy for early breast cancer in the prone position: Feasibility evaluation with Monte Carlo simulations
Photodiagnosis and Photodynamic Therapy
Fluorescence molecular imaging
Photodynamic therapy
Near infrared
Early breast cancer
Prone position
Monte carlo simulation
title Fluorescence molecular imaging-guided photodynamic therapy for early breast cancer in the prone position: Feasibility evaluation with Monte Carlo simulations
title_full Fluorescence molecular imaging-guided photodynamic therapy for early breast cancer in the prone position: Feasibility evaluation with Monte Carlo simulations
title_fullStr Fluorescence molecular imaging-guided photodynamic therapy for early breast cancer in the prone position: Feasibility evaluation with Monte Carlo simulations
title_full_unstemmed Fluorescence molecular imaging-guided photodynamic therapy for early breast cancer in the prone position: Feasibility evaluation with Monte Carlo simulations
title_short Fluorescence molecular imaging-guided photodynamic therapy for early breast cancer in the prone position: Feasibility evaluation with Monte Carlo simulations
title_sort fluorescence molecular imaging guided photodynamic therapy for early breast cancer in the prone position feasibility evaluation with monte carlo simulations
topic Fluorescence molecular imaging
Photodynamic therapy
Near infrared
Early breast cancer
Prone position
Monte carlo simulation
url http://www.sciencedirect.com/science/article/pii/S1572100025000286
work_keys_str_mv AT yugominegishi fluorescencemolecularimagingguidedphotodynamictherapyforearlybreastcancerinthepronepositionfeasibilityevaluationwithmontecarlosimulations
AT yasutomonomura fluorescencemolecularimagingguidedphotodynamictherapyforearlybreastcancerinthepronepositionfeasibilityevaluationwithmontecarlosimulations