Intest Res.  2011 Aug;9(2):90-96. 10.5217/ir.2011.9.2.90.

Molecular Imaging of Gastrointestinal Malignancies

Affiliations
  • 1Division of Gastroenterology, Asan Digestive Disease Research Institute, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. sjmyung@amc.seoul.kr
  • 2Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea.

Abstract

Endoscopic detection of gastrointestinal cancer currently depends in large part on white light images, which show mucosal surface changes in real time. Molecular imaging is a rapidly growing new field in gastrointestinal endoscopy, which could provide additional information about molecular expression of cells and processes involved in cancer biology. It uses the molecular signature of cells for minimally-invasive, targeted imaging of gastrointestinal pathologies. Exogenous fluorescent agents serve as molecular beacons and include labeled peptides and antibodies, and probes with tumor-specific activation. An advantage of molecular imaging in digestive tract is the opportunity to apply such agents topically, overcoming the hurdles for delivery of these agents to the region of involvement, including immunogenic reaction and potential toxicity. Recently developed molecular targets include proteolytic enzymes, endothelial-specific markers, and apoptosis reporters. Molecular imaging has the potential to greatly impact on future endoscopy in gastroenterology.

Keyword

Molecular Imaging; Gastrointestinal Neoplasms; Biomarkers

MeSH Terms

Antibodies
Apoptosis
Biomarkers
Biology
Endoscopy
Endoscopy, Gastrointestinal
Fluorescent Dyes
Gastroenterology
Gastrointestinal Neoplasms
Gastrointestinal Tract
Humans
Imidazoles
Light
Molecular Imaging
Nitro Compounds
Peptide Hydrolases
Peptides
Antibodies
Fluorescent Dyes
Imidazoles
Nitro Compounds
Peptide Hydrolases
Peptides
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