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  4. Preclinical Evaluation of Photoacoustic Imaging as a Novel Noninvasive Approach to Detect an Orthopaedic Implant Infection
 
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research article

Preclinical Evaluation of Photoacoustic Imaging as a Novel Noninvasive Approach to Detect an Orthopaedic Implant Infection

Wang, Yu
•
Thompson, John M.
•
Ashbaugh, Alyssa G.
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2017
Journal Of The American Academy Of Orthopaedic Surgeons

Introduction: Diagnosing-prosthetic joint infection (PJI) poses significant challenges, and current modalities are fraught with low sensitivity and/or potential morbidity. Photoacoustic imaging (PAI) is a novel ultrasound-based modality with potential for diagnosing PJI safely and noninvasively. Materials: In an established preclinical mouse model of bioluminescent Staphylococcus aureus PJI, fluorescent indocyanine green (ICG) was conjugated to beta-cyclodextrin (CDX-ICG) or teicoplanin (Teic-ICG) and injected intravenously for 1 week postoperatively. Daily fluorescent imaging and PAI were used to localize and quantify tracer signals. Results were analyzed using 2-way analysis of variance. Results: Fluorescence clearly localized to the site of infection and was significantly higher with Teic-ICG compared with CDX-ICG (P = 0.046) and ICG alone (P = 0.0087). With PAI, the photoacoustic signal per volumetric analysis was substantially higher and better visualized with Teic-ICG compared with CDX-ICG and ICG alone, and colocalized well with bioluminescence and fluorescence imaging. Conclusion: Photoacoustic imaging successfully localized PJI in this proof-of concept study and demonstrates potential for clinical translation in orthopaedics.

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Type
research article
DOI
10.5435/Jaaos-D-16-00630
Web of Science ID

WOS:000393541800003

Author(s)
Wang, Yu
•
Thompson, John M.
•
Ashbaugh, Alyssa G.
•
Khodakivskyi, Pavlo
•
Budin, Ghyslain
•
Sinisi, Riccardo
•
Heinmiller, Andrew
•
Van Oosten, Marleen
•
Van Dijl, Jan Maarten
•
Van Dam, Gooitzen M.
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Date Issued

2017

Publisher

Lippincott Williams & Wilkins

Published in
Journal Of The American Academy Of Orthopaedic Surgeons
Volume

25

Start page

S7

End page

S12

Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
ISIC  
Available on Infoscience
March 27, 2017
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/135965
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