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A Sensitive Fibre Optic Probe for Autofluorescence Spectroscopy of Oral Tongue Cancer: Monte Carlo Simulation Study. BIOMED RESEARCH INTERNATIONAL 2020; 2020:1936570. [PMID: 32337228 PMCID: PMC7168752 DOI: 10.1155/2020/1936570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/20/2020] [Revised: 03/11/2020] [Accepted: 03/25/2020] [Indexed: 11/17/2022]
Abstract
The objective of this paper is to determine the best optical probe configuration that would help to detect neoplastic lesions in oral tongue epithelial tissue. Three geometrical configurations are investigated. The first one is a single-fibre probe with different fibre diameters. The second one is a multitilted fibre probe that employs different tilting angles for emission and collection fibres. While the third one is a multidiameter probe that employs different fibre diameters and distances between the emission and the collection fibres. All probes were evaluated for their depth-limited sensitivity in the epithelium layer of the tongue. Probes that showed efficient sensitivities were then compared for their fluorescence intensities acquired from both tissue types. The sensitivity for the first two types of probes was found to be roughly comparable. However, the differentiation capability of the multitilted fibre probe between dysplastic and healthy tissue was found to be noticeably larger by 30% of that of the single-fibre probe. The third type showed more sensitivity to fluorescence emerging from deeper layers. Finally, the proposed configuration is presented and proved to achieve higher sensitivity for both superficial and deep layers.
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Steelman ZA, Ho DS, Chu KK, Wax A. Light scattering methods for tissue diagnosis. OPTICA 2019; 6:479-489. [PMID: 33043100 PMCID: PMC7544148 DOI: 10.1364/optica.6.000479] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/02/2023]
Abstract
Light scattering has become a common biomedical research tool, enabling diagnostic sensitivity to myriad tissue alterations associated with disease. Light-tissue interactions are particularly attractive for diagnostics due to the variety of contrast mechanisms that can be used, including spectral, angle-resolved, and Fourier-domain detection. Photonic diagnostic tools offer further benefit in that they are non-ionizing, non-invasive, and give real-time feedback. In this review, we summarize recent innovations in light scattering technologies, with a focus on clinical achievements over the previous ten years.
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Bailey MJ, Verma N, Fradkin L, Lam S, MacAulay C, Poh C, Markey MK, Sokolov K. Detection of precancerous lesions in the oral cavity using oblique polarized reflectance spectroscopy: a clinical feasibility study. JOURNAL OF BIOMEDICAL OPTICS 2017; 22:65002. [PMID: 28609512 PMCID: PMC5469421 DOI: 10.1117/1.jbo.22.6.065002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/06/2017] [Accepted: 05/18/2017] [Indexed: 05/20/2023]
Abstract
We developed a multifiber optical probe for oblique polarized reflectance spectroscopy (OPRS) in vivo and evaluated its performance in detection of dysplasia in the oral cavity. The probe design allows the implementation of a number of methods to enable depth resolved spectroscopic measurements including polarization gating, source–detector separation, and differential spectroscopy; this combination was evaluated in carrying out binary classification tasks between four major diagnostic categories: normal, benign, mild dysplasia (MD), and severe dysplasia (SD). Multifiber OPRS showed excellent performance in the discrimination of normal from benign, MD, SD, and MD plus SD yielding sensitivity/specificity values of 100%/93%, 96%/95%, 100%/98%, and 100%/100%, respectively. The classification of benign versus dysplastic lesions was more challenging with sensitivity and specificity values of 80%/93%, 71%/93%, and 74%/80% in discriminating benign from SD, MD, and SD plus MD categories, respectively; this challenge is most likely associated with a strong and highly variable scattering from a keratin layer that was found in these sites. Classification based on multiple fibers was significantly better than that based on any single detection pair for tasks dealing with benign versus dysplastic sites. This result indicates that the multifiber probe can perform better in the detection of dysplasia in keratinized tissues.
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Affiliation(s)
- Maria J. Bailey
- University of Texas M.D. Anderson Cancer Center, Department of Imaging Physics, Houston, Texas, United States
- University of Texas at Austin, Department of Biomedical Engineering, Austin, Texas, United States
| | - Nishant Verma
- University of Texas at Austin, Department of Biomedical Engineering, Austin, Texas, United States
| | - Leonid Fradkin
- University of Texas at Austin, Department of Biomedical Engineering, Austin, Texas, United States
| | - Sylvia Lam
- British Columbia Cancer Agency, Integrative Oncology Department, Vancouver, British Columbia, Canada
| | - Calum MacAulay
- British Columbia Cancer Agency, Integrative Oncology Department, Vancouver, British Columbia, Canada
| | - Catherine Poh
- British Columbia Cancer Agency, Integrative Oncology Department, Vancouver, British Columbia, Canada
| | - Mia K. Markey
- University of Texas M.D. Anderson Cancer Center, Department of Imaging Physics, Houston, Texas, United States
- University of Texas at Austin, Department of Biomedical Engineering, Austin, Texas, United States
| | - Konstantin Sokolov
- University of Texas M.D. Anderson Cancer Center, Department of Imaging Physics, Houston, Texas, United States
- University of Texas at Austin, Department of Biomedical Engineering, Austin, Texas, United States
- Rice University, Department of Bioengineering, Houston, Texas, United States
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Fernández P J, Méndez-Sánchez SC, Gonzalez-Correa CA, Miranda DA. Could field cancerization be interpreted as a biochemical anomaly amplification due to transformed cells? Med Hypotheses 2016; 97:107-111. [PMID: 27876116 DOI: 10.1016/j.mehy.2016.10.026] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2016] [Accepted: 10/26/2016] [Indexed: 12/12/2022]
Abstract
Field cancerization is a concept used to explain cellular and molecular alterations in tissue associated to neoplasia and cancer. This effect was proposed by Slaughter in order to explain the development of multiple primary tumors and locally recurrent cancer. The particular changes associated with this effect, in each type of cancer, have been detected even at distances greater than 10cm off the tumor, in areas classified as normal by histopathological studies. Early detection of lung, colon, and ovary cancer has been reported by the use of Partial Wave Microscopy Spectroscopy (PWS) and has been explained in terms of the field cancerization effect. Until now, field cancerization has been studied as a field effect and we hypothesize that it can be understood as an amplifying effect of biochemical abnormalities in cells, which leads us to ask the question: Could field cancerization be interpreted as a biochemical anomaly amplification due to transformed cells? We propose this question because the biochemical changes due to field cancerization alter the dynamics of molecules and cells in abnormal tissues in comparison to normal ones, these alterations modify the interaction of intracellular and extracellular medium, as well as cellular movement. We hypothesize that field cancerization when interpreted as an amplification effect can be used for the early detection of cancer by measuring the change of cell dynamics.
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Affiliation(s)
- Janeth Fernández P
- Universidad Industrial de Santander, Cra 27 Cll 9, Bucaramanga, Colombia
| | - Stelia C Méndez-Sánchez
- Escuela de Química, Universidad Industrial de Santander, Cra 27 Cll 9, Bucaramanga, Colombia
| | | | - David A Miranda
- Universidad Industrial de Santander, Cra 27 Cll 9, Bucaramanga, Colombia.
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Abstract
Pancreatic ductal adenocarcinoma (PDA) is a challenging disease, as overall survival has not improved over the last several decades. The disease is characterized by late diagnosis, difficult major surgery in resectable patients, and a biologically chemoresistant tumor. Intense research in the field is ongoing to develop biomarkers for early detection and prognostication. Surgery is presently the crux of the management of PDA and has been standardized over the years with high-volume centers reporting <5 % operative mortality. The biggest problem is to overcome the inherent chemoresistance of the tumor that is densely fibrotic and hypoxic and has a tendency to invade surrounding neuronal plexuses. This review attempts to summarize in brief the reasons why PDA is difficult to treat, and provides a glimpse of the ongoing research in the field.
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Rosenthal MH, Lee A, Jajoo K. Imaging and Endoscopic Approaches to Pancreatic Cancer. Hematol Oncol Clin North Am 2015; 29:675-99. [DOI: 10.1016/j.hoc.2015.04.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
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Kanick SC, McClatchy DM, Krishnaswamy V, Elliott JT, Paulsen KD, Pogue BW. Sub-diffusive scattering parameter maps recovered using wide-field high-frequency structured light imaging. BIOMEDICAL OPTICS EXPRESS 2014; 5:3376-90. [PMID: 25360357 PMCID: PMC4206309 DOI: 10.1364/boe.5.003376] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/27/2014] [Revised: 08/22/2014] [Accepted: 08/25/2014] [Indexed: 05/03/2023]
Abstract
This study investigates the hypothesis that structured light reflectance imaging with high spatial frequency patterns [Formula: see text] can be used to quantitatively map the anisotropic scattering phase function distribution [Formula: see text] in turbid media. Monte Carlo simulations were used in part to establish a semi-empirical model of demodulated reflectance ([Formula: see text]) in terms of dimensionless scattering [Formula: see text] and [Formula: see text], a metric of the first two moments of the [Formula: see text] distribution. Experiments completed in tissue-simulating phantoms showed that simultaneous analysis of [Formula: see text] spectra sampled at multiple [Formula: see text] in the frequency range [0.05-0.5] [Formula: see text] allowed accurate estimation of both [Formula: see text] in the relevant tissue range [0.4-1.8] [Formula: see text], and [Formula: see text] in the range [1.4-1.75]. Pilot measurements of a healthy volunteer exhibited [Formula: see text]-based contrast between scar tissue and surrounding normal skin, which was not as apparent in wide field diffuse imaging. These results represent the first wide-field maps to quantify sub-diffuse scattering parameters, which are sensitive to sub-microscopic tissue structures and composition, and therefore, offer potential for fast diagnostic imaging of ultrastructure on a size scale that is relevant to surgical applications.
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