"Early detection of any cancer, including colorectal, markedly improves survival," said Gambhir. For example, the widespread use of colonoscopy has significantly lowered colon cancer mortality rates, he said. "But colonoscopy relies on the human eye. So this screening while extremely useful, still misses many cancer lesions such as those that are too tiny, obscure or flat to be noticed."
A promising way to catch cancer lesions early is to employ molecular reporters that are attracted to cancer-lesion sites. One method in use involves fluorescent dyes coupled with antibodies that recognize and bind to surface features of cancer cells
But that approach has its drawbacks, said Gambhir, who is the director of the Molecular Imaging Program at Stanford. The body's own tissues also fluoresce slightly, complicating attempts to pinpoint tumour . Plus, the restricted range of colors at which antibody-affixed dyes fluoresce limits the number of different tumour -associated features that can be simultaneously identified. Some versions of this approach have also proved toxic to cells.
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