1
|
Udeneev A, Kulichenko A, Kalyagina N, Shiryaev A, Pisareva T, Plotnikova A, Linkov K, Zavodnov S, Loshchenov M. Comparison of chlorin-e6 detection efficiency by video systems with excitation wavelengths of 405nm and 635nm. Photodiagnosis Photodyn Ther 2023; 43:103729. [PMID: 37517428 DOI: 10.1016/j.pdpdt.2023.103729] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2023] [Revised: 07/10/2023] [Accepted: 07/25/2023] [Indexed: 08/01/2023]
Abstract
BACKGROUND Fluorescence diagnostics with two different wide field-of-view imaging systems with fluorescence excitation at 405 nm and 635 nm, respectively, were compared. Both systems include fluorescence quantification and experimental geometry normalization algorithms. METHODS A newly developed system with an excitation wavelength of 405 nm was tested on intralipid fluorescent tumor phantoms with chlorin-e6. Both, this new system and a second existing system with an excitation wavelength of 635 nm, were used for fluorescent diagnosis in six patients with basal cell carcinoma and cancer of the oral mucosa. For PDT, a red diode laser with a wavelength of 660 nm was used for all 6 patients. One patient received an additional irradiation using the red LED source of the new system RESULTS: The boundaries of the lesions and the fluorescence intensity were successfully determined by both video systems. CONCLUSIONS Both fluorescence imaging approaches showed comparable contrast between diseased and healthy tissues. For oral mucosal cancer, a system with violet fluorescence excitation, bispectral frame analysis, and time-resolved background suppression showed better contrast between the tumor and normal tissue and effective elimination of autofluorescence. Moreover, both systems provided efficient quantification of fluorescence and gave fluorescence indices that were weakly dependent on the distance between the device and the tissue.
Collapse
Affiliation(s)
- Andrei Udeneev
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute MEPhI), Kashirskoye shosse 31, Moscow, 115409 Russia.
| | - Anastasia Kulichenko
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute MEPhI), Kashirskoye shosse 31, Moscow, 115409 Russia; Prokhorov General Physics Institute of the Russian Academy of Sciences, Vavilova Str., 38, Moscow, 119991 Russia
| | - Nina Kalyagina
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute MEPhI), Kashirskoye shosse 31, Moscow, 115409 Russia; Prokhorov General Physics Institute of the Russian Academy of Sciences, Vavilova Str., 38, Moscow, 119991 Russia
| | - Artem Shiryaev
- Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation, Department of Oncology, Radiotherapy and Reconstructive Surgery, University Clinical Hospital No.1, Bolshaya Pirogovskaya Str., 6, Moscow, 119435, Russia
| | - Tatiana Pisareva
- Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation, Department of Oncology, Radiotherapy and Reconstructive Surgery, University Clinical Hospital No.1, Bolshaya Pirogovskaya Str., 6, Moscow, 119435, Russia
| | - Arina Plotnikova
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute MEPhI), Kashirskoye shosse 31, Moscow, 115409 Russia
| | - Kirill Linkov
- Prokhorov General Physics Institute of the Russian Academy of Sciences, Vavilova Str., 38, Moscow, 119991 Russia
| | - Sergei Zavodnov
- Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of the Russian Federation, Department of Oncology, Radiotherapy and Reconstructive Surgery, University Clinical Hospital No.1, Bolshaya Pirogovskaya Str., 6, Moscow, 119435, Russia
| | - Maxim Loshchenov
- National Research Nuclear University MEPhI (Moscow Engineering Physics Institute MEPhI), Kashirskoye shosse 31, Moscow, 115409 Russia
| |
Collapse
|
2
|
Krafft C, Popp J, Bronsert P, Miernik A. Raman Spectroscopic Imaging of Human Bladder Resectates towards Intraoperative Cancer Assessment. Cancers (Basel) 2023; 15:cancers15072162. [PMID: 37046822 PMCID: PMC10093366 DOI: 10.3390/cancers15072162] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Revised: 02/28/2023] [Accepted: 03/30/2023] [Indexed: 04/14/2023] Open
Abstract
Raman spectroscopy offers label-free assessment of bladder tissue for in vivo and ex vivo intraoperative applications. In a retrospective study, control and cancer specimens were prepared from ten human bladder resectates. Raman microspectroscopic images were collected from whole tissue samples in a closed chamber at 785 nm laser excitation using a 20× objective lens and 250 µm step size. Without further preprocessing, Raman images were decomposed by the hyperspectral unmixing algorithm vertex component analysis into endmember spectra and their abundancies. Hierarchical cluster analysis distinguished endmember Raman spectra that were assigned to normal bladder, bladder cancer, necrosis, epithelium and lipid inclusions. Interestingly, Raman spectra of microplastic particles, pigments or carotenoids were detected in 13 out of 20 specimens inside tissue and near tissue margins and their identity was confirmed by spectral library surveys. Hypotheses about the origin of these foreign materials are discussed. In conclusion, our Raman workflow and data processing protocol with minimal user interference offers advantages for future clinical translation such as intraoperative tumor detection and label-free material identification in complex matrices.
Collapse
Affiliation(s)
- Christoph Krafft
- Leibniz Institute of Photonic Technology, Member of Leibniz Health Technologies and Member of the Leibniz Centre for Photonics in Infection Research, 07745 Jena, Germany
| | - Jürgen Popp
- Leibniz Institute of Photonic Technology, Member of Leibniz Health Technologies and Member of the Leibniz Centre for Photonics in Infection Research, 07745 Jena, Germany
- Institute of Physical Chemistry and Abbe Center of Photonics, Friedrich Schiller University Jena, Member of the Leibniz Centre for Photonics in Infection Research, 07743 Jena, Germany
| | - Peter Bronsert
- Medical Center, Faculty of Medicine, Institute of Surgical Pathology, University of Freiburg, 79106 Freiburg, Germany
| | - Arkadiusz Miernik
- Medical Center, Faculty of Medicine, Department of Urology, University of Freiburg, 79106 Freiburg, Germany
| |
Collapse
|
3
|
Two diagnostic criteria of optical spectroscopy for bladder tumor detection: Clinical study using 5-ALA induced fluorescence and mathematical modeling. Photodiagnosis Photodyn Ther 2020; 31:101829. [PMID: 32445963 DOI: 10.1016/j.pdpdt.2020.101829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2019] [Revised: 05/02/2020] [Accepted: 05/15/2020] [Indexed: 11/20/2022]
Abstract
BACKGROUND The study proposes to improve bladder cancer diagnosis by photodynamic diagnosis (PDD) using red-light excitation (632.8 nm) of 5-ALA induced-protoporphyrin IX. Employing 9 patients' bladders, two types of signals were used to improve diagnostic accuracy for malignancy and we also present numerical modeling of the scattering coefficient to provide biological explanation of the results obtained. METHODS Two modalities of bladder cancer spectral diagnosis are presented: conventional PDD and intensity assessment of the diffusely reflected laser light by fiber-optic spectroscopy. Experiments are done in clinical conditions and as a series of numerical simulations. RESULTS High-grade cancerous bladder tissues display twice a higher relative fluorescence intensity (mean value 1, n = 9) than healthy (0.39, n = 9), dysplastic (0.44, n = 5) tissues and CIS (0.39, n = 2). The laser back-scattering signal allows to discriminate most effectively high-grade cancerous and dysplastic tissues from normal. Numerical modeling of diffuse reflectance spectra reveals that spectral behavior of the back-scattered light depends on both, nuclear size and nuclear density of tumoral cells. CONCLUSIONS Unlike the fluorescence signal, where its value is higher in the case of pathological tissues, the tendency of the laser signal to, both, decrease or increase in comparison with the signal from normal urothelium, should be perceived as a sign towards neoplasm. Numerical simulation reveals that such a double-analysis at a multiwavelength mode potentially may be used to provide diagnostic accuracy.
Collapse
|