Dual-mode tracer could enable surgeons to see and ‘hear’ prostate cancer

A preclinical evaluation of a new "dual-mode" tracer agent shows promise in not only helping surgeons image and plan prostate cancer procedures, but also provide them with much more consistent and targeted guidance during surgery.

The agent uses a single tracer molecule labeled with fluorine-18—a common isotope used in positron emission tomography (PET) scans—for diagnostic imaging. It also provides a one-step, widely accessible solution that would enable combined fluorescence-guided and radio-guided surgery.

“Precision medicine is increasingly being practiced and developed to address the sophisticated treatment methods for diseases like cancer,” says Dr. David M. Perrin, a University of British Columbia chemist and senior author on the paper, published in advance in the Journal of Medical Chemistry.

“Our tracer provides high-resolution visual guidance, but would also allow a surgeon to use a hand-held Geiger counter probe to ‘hear’ areas of high radiation density that would accumulate in cancerous tissue not immediately visible—whether it’s a lymph node, or distant metastasis, or local invasion in the bowel or the gut.”

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