Cancers, Vol. 13, Pages 1895: Current Intraoperative Imaging Techniques to Improve Surgical Resection of Laryngeal Cancer: A Systematic Review

Cancers, Vol. 13, Pages 1895: Current Intraoperative Imaging Techniques to Improve Surgical Resection of Laryngeal Cancer: A Systematic Review Cancers doi: 10.3390/cancers13081895 Authors: Lorraine J. Lauwerends Hidde A. Galema José A. U. Hardillo Aniel Sewnaik Dominiek Monserez Pieter B. A. A. van Driel Cornelis Verhoef Robert J. Baatenburg de Jong Denise E. Hilling Stijn Keereweer Laryngeal cancer is a prevalent head and neck malignancy, with poor prognosis and low survival rates for patients with advanced disease. Treatment consists of unimodal therapy through surgery or radiotherapy in early staged tumors, while advanced stage tumors are generally treated with multimodal chemoradiotherapy or (total) laryngectomy followed by radiotherapy. Still, the recurrence rate for advanced laryngeal cancer is between 25 and 50%. In order to improve surgical resection of laryngeal cancer and reduce local recurrence rates, various intraoperative optical imaging techniques have been investigated. In this systematic review, we identify these technologies, evaluating the current state and future directions of optical imaging for this indication. Narrow-band imaging (NBI) and autofluorescence (AF) are established tools for early detection of laryngeal cancer. Nonetheless, their intraoperative utility is limited by an intrinsic inability to image beyond the (sub-)mucosa. Likewise, contact endoscopy (CE) and optical coherence tomography (OCT) are technically cumbers...
Source: Cancers - Category: Cancer & Oncology Authors: Tags: Systematic Review Source Type: research