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bloodstream enables slow buildup of PGC sensor at the sites of enhanced
vascular permeability. The presence of vascular barrier, which is usually com-
promised in solid tumors and inflammatory lesions, is not freely permeable even
in the case of relatively small (5-10 nm sized) molecules such as PGC carriers.
According to the Kedem-Katchalsky equation, 102 the transport rate of a
solute, that is, in our case a macromolecular sensor ( J s ) across the blood vessel
wall, can be described as
Þ C ,
J s ¼o
RT C v
ð
C e
Þþ
J v 1
ð
s
½
9
:
1
where C
, that is, the average concentration of the sensor in
vascular and extravascular spaces; J v is the fluid volume flux; s is the solute
reflection;
¼
1
=
2 C v þ
ð
C e
Þ
are the solute permeability coefficients; and RT is the gas
constant-thermodynamic temperature product. The first term takes into
account the diffusive transport, and the second term describes the rate of
convection. Assuming the temperature to be constant,
o
o
RT
¼
PS ,
where PS is the permeability-surface area product.
The vast majority of all fluorescence imaging methods are based on mea-
suring the change of fluorescence intensity in the target organ over time. In
general, the total fluorescence intensity measured in the organ is
where I o is the total measured fluorescence, I e is the fluorescence intensity of
extravascular compartment, and I v is the intravascular fluorescence intensity.
However, for quenched long-circulating macromolecular sensors, I v
I o t
ðÞ¼
I e t
ðÞþ
I v t
ðÞ
,
½
9
:
2
0,
and therefore Eq. (9.2) is simplified as
I o t
ðÞ
I e t
ðÞ:
The change of extravascular, that is, target organ, fluorescence ( I e ) in the
absence of the intracompartmental self-quenching of enzyme-liberated fluo-
rescent products will be proportional to the buildup of the concentration of
free fluorophore ( L ) that is cleaved off a macromolecular carrier. In case the
buildup proceeds at a linear rate, that is, the release rate of the fluorophore
mediated by the enzyme from the carrier is linear, the fluorescence intensity
change rate can be written as
d I o
d T ¼
d I e
d t ¼
d L
d T
A
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