1.1 Photodynamic Therapy and Imaging
The purpose of this review is to present the current state of the role of imaging in photodynamic therapy (PDT). In order for the reader to fully appreciate the context of the discussions embodied in this article we begin with an overview of the PDT process, starting with a brief historical perspective followed by detailed discussions of specific applications of imaging in PDT. Each section starts with an overview of the specific topic and, where appropriate, ends with summary and future directions. The review closes with the authors’ perspective of the areas of future emphasis and promise. The basic premise of this review is that a combination of imaging and PDT will provide improved research and therapeutic strategies.

PDT is a photochemistry-based approach that uses a light-activatable chemical, termed a photosensitizer (PS), and light of an appropriate wavelength, to impart cytotoxicity via the generation of reactive molecular species (Figure 1a). In clinical settings, the PS is typically administered intravenously or topically, followed by illumination using a light delivery system suitable for the anatomical site being treated (Figure 1b). The time delay, often referred to as drug-light interval, between PS administration and the start of illumination with currently used PSs varies from 5 minutes to 24 hours or more depending on the specific PS and the target disease. Strictly speaking, this should be referred to as the PS-light interval, as at the concentrations typically used the PS is not a drug, but the drug-light interval terminology seems to be used fairly frequently. Typically, the useful range of wavelengths for therapeutic activation of the PS is 600 to 800 nm, to avoid interference by endogenous chromophores within the body, and yet maintain the energetics necessary for the generation of cytotoxic species (as discussed below) such as singlet oxygen (1O2). However, it is important to note that photosensitizers can also serve as fluorescence imaging agents for which activation with light in the 400nm range is often used and has been extremely useful in diagnostic imaging applications as described extensively in Section 2 of this review. The obvious limitation of short wavelength excitation is the lack of tissue penetration so that the volumes that are probed under these conditions are relatively shallow.






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Figure 1


(A) A schematic representation of PDT where PS is a photoactivatable multifunctional agent, which, upon light activation can serve as both an imaging agent and a therapeutic agent. (B) A schematic representation of the sequence of administration, localization and light activation of the PS for PDT or fluorescence imaging. Typically the PS is delivered systemically and allowed to circulate for an appropriate time interval (the “drug-light interval”), during which the PS accumulates preferentially in the target lesion(s) prior to light activation. In the idealized depiction here the PS is accumulation is shown to be entirely in the target tissue, however, even if this is not the case, light delivery confers a second layer of selectivity so that the cytotoxic effect will be generated only in regions where both drug and light are present. Upon localization of the PS, light activation will result in fluorescence emission which can be implemented for imaging applications, as well as generation cytotoxic species for therapy. In the former case light activation is achieved with a low fluence rate to generate fluorescence emission with little or no cytotoxic effect, while in the latter case a high fluence rate is used to generate a sufficient concentration of cytotoxic species to achieve biological effects.

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Imaging and photodynamic therapy: mechanisms, monitoring, and optimization.

4. Survey of Novel Multiphoton Active Materials 1257 4.1. Multiphoton Absorbing Systems 1257 4.2. Organic Molecules 1257 4.3. Organic Liquids and Liquid Crystals 1259 4.4. Conjugated Polymers 1259 4.4.1. Polydiacetylenes 1261 4.4.2. Polyphenylenevinylenes (PPVs) 1261 4.4.3. Polythiophenes 1263 4.4.4. Other Conjugated Polymers 1265 4.4.5. Dendrimers 1265 4.4.6. Hyperbranched Polymers 1267 4.5. Fullerenes 1267 4.6. Coordination and Organometallic Compounds 1271 4.6.1. Metal Dithiolenes 1271 4.6.2. Pyridine-Based Multidentate Ligands 1272 4.6.3. Other Transition-Metal Complexes 1273 4.6.4. Lanthanide Complexes 1275 4.6.5. Ferrocene Derivatives 1275 4.6.6. Alkynylruthenium Complexes 1279 4.6.7. Platinum Acetylides 1279 4.7. Porphyrins and Metallophophyrins 1279 4.8. Nanoparticles 1281 4.9. Biomolecules and Derivatives 1282 5. Nonlinear Optical Characterizations of Multiphoton Active Materials 1282

Multiphoton Absorbing Materials : Molecular Designs, Characterizations, and Applications

Two-photon excitation provides a means of activating chemical or physical processes with high spatial resolution in three dimensions and has made possible the development of three-dimensional fluorescence imaging, optical data storage, and lithographic microfabrication. These applications take advantage of the fact that the two-photon absorption probability depends quadratically on intensity, so under tight-focusing conditions, the absorption is confined at the focus to a volume of order λ3 (where λ is the laser wavelength). Any subsequent process, such as fluorescence or a photoinduced chemical reaction, is also localized in this small volume. Although three-dimensional data storage and microfabrication have been illustrated using two-photon-initiated polymerization of resins incorporating conventional ultraviolet-absorbing initiators, such photopolymer systems exhibit low photosensitivity as the initiators have small two-photon absorption cross-sections (δ). Consequently, this approach requires high laser power, and its widespread use remains impractical. Here we report on a class of π;-conjugated compounds that exhibit large δ (as high as 1, 250 × 10−50 cm4 s per photon) and enhanced two-photon sensitivity relative to ultraviolet initiators. Two-photon excitable resins based on these new initiators have been developed and used to demonstrate a scheme for three-dimensional data storage which permits fluorescent and refractive read-out, and the fabrication of three-dimensional micro-optical and micromechanical structures, including photonic-bandgap-type structures.

Two-photon polymerization initiators for three-dimensional optical data storage and microfabrication

Two-photon absorption has important advantages over conventional one-photon absorption, which has led to applications in microscopy, microfabrication, three-dimensional data storage, optical power limiting, up-converted lasing, photodynamic therapy, and for the localized release of bio-active species. These applications have generated a demand for new dyes with high two-photon absorption cross-sections. This Review introduces the theory of two-photon absorption, surveys the wide range of potential applications, and highlights emerging structure-property correlations that can serve as guidelines for the development of efficient two-photon dyes.

Two-photon absorption and the design of two-photon dyes.

Macromolecules with aggregation-induced emission (AIE) attributes are a class of luminescent materials that display enhanced emission when they are aggregated. They have attracted much attention because of their good solubility, processability, high emission efficiency in the aggregated states, etc. A large variety of AIE macromolecules have been developed, showing exponential growth of research interest in this field. This review summarizes the design principles and recent synthetic advancements, topological structures, as well as the frontiers of functionalities and potential applications of AIE macromolecules, especially fluorescence sensing, biological applications and optoelectronic applications, with an emphasis on the recent progress. New luminogenic systems without conventional chromophores displaying aggregated state emission are discussed. The highly dense clusters of heteroatoms with lone pair electrons in these systems may serve as the chromophore and are cited as “heterodox clusters”. It is expected that the mechanistic insights into the AIE phenomena, based on the restriction of intramolecular motions and structure rigidification, can guide the future design of AIE materials with fascinating structures and functionalities.

AIE macromolecules: syntheses, structures and functionalities

We present the two-photon absorption (2PA) spectra of a series of conjugated porphyrin dimers and show that they possess extremely large intrinsic (femtosecond) peak 2PA cross sections, up to sigma2 = 1 x 104 GM in the near-IR region; these are among the highest values measured for any organic molecule. Moreover, we demonstrate that the second-order perturbation theory applied to a simple three-level model gives a perfect quantitative description of the observed 2PA cross section. By comparing all the factors of the three-level model for dimers with those of corresponding monomer (for which sigma2 = 20 GM), we explain an approximately 500-fold cooperative enhancement in sigma2 and find that the most important factor is the strength of excited-state transition. The matrix element of dipole moment of this transition amounts gigantic values of 30-40 D for conjugated porphyrin dimers, which can be accounted for a large delocalization radius (large electron-hole separation) in this state. We also demonstrate efficient generation of singlet oxygen upon one- and two-photon excitation of these porphyrin dimers, which can be useful for two-photon initiated photodynamic therapy of cancer.

Understanding strong two-photon absorption in pi-conjugated porphyrin dimers via double-resonance enhancement in a three-level model.

Two-photon absorption spectra (2PA) of a series of conjugated dimers and the corresponding monomer were studied in the near-IR region. All of the dimers show very large peak cross section values, σ2 = (3−10) × 103 GM (1 GM = 1 × 10-50 cm4 s photon-1), which is several hundred times larger than that obtained for the corresponding monomer in the same region. We explain such dramatic cooperative enhancement by a combination of several factors, such as strong enhancement of the lowest one-photon Q-transition, better resonance conditions in the three-level system, dramatic enhancement of the excited-state singlet−singlet transition, and parallel arrangement of consecutive transitions in dimers, as compared to perpendicular arrangement in the monomer. We show that the absolute values of the 2PA cross section in these molecules are quantitatively described by a quantum-mechanical expression, derived for the three-level model. We also demonstrate the possibility of singlet oxygen generation upon one- and two-phot...

Extremely strong near-IR two-photon absorption in conjugated porphyrin dimers: quantitative description with three-essential-states model.

We present, for the first time, unambiguous spectroscopic evidence of strong cooperative enhancement of two-photon absorption (TPA) in a series of dendritic macromolecules. The maximum TPA cross section increases in proportion to N2, where N = 2, 4, 6 is the number of constituent identical chromophore units. We show that the enhancement is facilitated by the quasi-planar structure, which allows direct interbranch conjugation throughout the molecule.

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Strong cooperative enhancement of two-photon absorption in dendrimers

We report what is to our knowledge a record high value for an intrinsic two-photon absorption (TPA) cross section, σ2=11×10-47 cm4 s photon-1 molecule-1, measured with femtosecond pulses in a new dendrimer molecule comprising 29 repeat units of 4,4′-bis(diphenylamino)stilbene chromophore. We measure the dependence of TPA on excitation wavelength in three consecutive generations of the dendrimer and show that the maximum σ2 value increases faster than the total number of stilbene chromophores. This result indicates that it is possible to obtain even larger σ2 values in higher generations of this dendrimer family.

https://www.physics.montana.edu/arebane/research/publications/publications_pdf/Opics_Lett_2001.pdf

Dendrimer molecules with record large two-photon absorption cross section.

https://www.physics.montana.edu/arebane/research/publications/publications_pdf/CPL_2002_2.pdf

Aliaksandr Karotki

Papers

Understanding strong two-photon absorption in pi-conjugated porphyrin dimers via double-resonance enhancement in a three-level model.

Extremely strong near-IR two-photon absorption in conjugated porphyrin dimers: quantitative description with three-essential-states model.

Strong cooperative enhancement of two-photon absorption in dendrimers

Dendrimer molecules with record large two-photon absorption cross section.

Resonance enhancement of two-photon absorption in porphyrins