Fluorescence Guided Sentinel Lymph Node Mapping: From Current Molecular Probes to Future Multimodal Nanoprobes

For SLN lymph node biopsy (SLNB), SLN mapping has become a standard of care procedure that can accurately locate the micrometastases disseminated from primary tumor sites to the regional lymph nodes. The broad array of SLN mapping has prompted the development of a wide range of SLN tracers, rationally designed for noninvasive and high-resolution imaging of SLNs. At present, conventional SLN imaging probes (blue dyes, radiocolloids, and few other small-molecular dyes), although serving the clinical needs, are often associated with major issues such as insufficient accumulation in SLN, short retention time, staining of the surgical field, and other adverse side effects. In a recent advancement, newly designed fluorescent nanoprobes are equipped with novel features that could be of high interest in SLN mapping such as (i) a unique niche that is not met by any other conventional SLN probes, (ii) their adoptable synthesis method, and (ii) excellent sensitivity facilitating high resolution SLN mapping. Most imp...