Indocyanine green is a sensitive adjunct in the identification and surgical management of local and metastatic hepatoblastoma

This is a single institution retrospective review of patients who received ICG prior to either pulmonary metastatectomy or liver resection for hepatoblastoma

ICG was highly sensitive for detecting hepatoblastoma, about 90%

In a meaningful number of cases, ICG was able to detect tumor deposits that were not visible, palpable, or detectable on preoperative imaging

Specificity was lower than sensitivity with false positives

False positives often represented vascular changes or inflammation

There were no adverse outcomes associated with any of the additional resections guided by ICG

ICG was effective in both open and minimally invasive surgery

ICG was effective in both relapse and primary disease