1
|
Rajamani AS, Rammohan A, J KS, Hakeem AR, Sai VVR, Vij M, Rela M. Point-of-care device for the noninvasive assessment of hepatic macrosteatosis in liver donors. J Gastrointest Surg 2024; 28:799-804. [PMID: 38570233 DOI: 10.1016/j.gassur.2024.02.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/24/2023] [Revised: 02/16/2024] [Accepted: 02/23/2024] [Indexed: 04/05/2024]
Abstract
BACKGROUND Quantification of macrosteatosis (MS) in the liver is important given that it has shown to directly correlate with adverse post-liver transplant (LT) outcomes. With advances in medical technology and an implicit understanding of pathology, noninvasive methods of quantitatively assessing MS are in various stages of development. Each of these methods is based on the physical principles of differences between a fat-laden hepatocyte and a normal one. METHODS In this regard, after a proof-of-concept study on a prototype for a simple, real-time, handheld device using the principle of diffuse reflectance spectroscopy, this study presents an upgraded point-of-care (POC) device for the noninvasive assessment of hepatic MS in liver donors. RESULTS The device was validated on cohort of donor livers and showed a sensitivity (0.0021 V/% fat) and highly correlated (r = 0.9868, P < .0001) with gold-standard liver biopsy. Results showed that this upgraded POC device provides a reliable method for the noninvasive assessment of hepatic MS, which is crucial for selecting suitable donor livers for LT. CONCLUSION The device has the potential to be an invaluable apparatus at the hands of the organ-retrieving surgeon. It is noninvasive, portable (handheld), and economic; provides real-time readings of the percentage of MS; and can be efficaciously handled by any member of the organ-retrieving team.
Collapse
Affiliation(s)
- Allwyn S Rajamani
- Biomedical Engineering Group, Department of Applied Mechanics, Indian Institute of Technology Madras, Chennai, India; Department of Biomedical Engineering, Sri Sivasubramaniya Nadar College of Engineering, Kalavakkam, Chengalpattu, India
| | - Ashwin Rammohan
- The Institute of Liver Disease & Transplantation, Dr Rela Institute & Medical Centre, Bharath Institute of Higher Education & Research, Chennai, India.
| | - Kuzhandai Shamlee J
- Biomedical Engineering Group, Department of Applied Mechanics, Indian Institute of Technology Madras, Chennai, India
| | - Abdul R Hakeem
- Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom
| | - V V Raghavendra Sai
- Biomedical Engineering Group, Department of Applied Mechanics, Indian Institute of Technology Madras, Chennai, India
| | - Mukul Vij
- The Institute of Liver Disease & Transplantation, Dr Rela Institute & Medical Centre, Bharath Institute of Higher Education & Research, Chennai, India
| | - Mohamed Rela
- The Institute of Liver Disease & Transplantation, Dr Rela Institute & Medical Centre, Bharath Institute of Higher Education & Research, Chennai, India
| |
Collapse
|
2
|
Potapova EV, Zherebtsov EA, Shupletsov VV, Dremin VV, Kandurova KY, Mamoshin AV, Abramov AY, Dunaev AV. Detection of NADH and NADPH levels in vivo identifies shift of glucose metabolism in cancer to energy production. FEBS J 2024; 291:2674-2682. [PMID: 38311986 DOI: 10.1111/febs.17067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Revised: 11/15/2023] [Accepted: 01/17/2024] [Indexed: 02/06/2024]
Abstract
Profound changes in the metabolism of cancer cells have been known for almost 100 years, and many aspects of these changes have continued to be actively studied and discussed. Differences in the results of various studies can be explained by the diversity of tumours, which have differing processes of energy metabolism, and by limitations in the methods used. Here, using fluorescence lifetime needle optical biopsy in a hepatocellular carcinoma (HCC) mouse model and patients with HCC, we measured reduced nicotinamide adenine dinucleotide (NADH) and reduced nicotinamide adenine dinucleotide phosphate (NADPH) in control liver, and in HCC tumours and their adjacent regions. We found that NADH level (mostly responsible for energy metabolism) is increased in tumours but also in adjacent regions of the same liver. NADPH level is significantly decreased in the tumours of patients but increased in the HCC mouse model. However, in the ex vivo tumour slices of mouse HCC, reactive oxygen species production and glutathione level (both dependent on NADPH) were significantly suppressed. Thus, glucose-dependent NADH and NADPH production in tumours changed but with a more pronounced shift to energy production (NADH), rather than NADPH synthesis for redox balance.
Collapse
Affiliation(s)
- Elena V Potapova
- Research and Development Center of Biomedical Photonics, Orel State University, Russia
| | | | - Valery V Shupletsov
- Research and Development Center of Biomedical Photonics, Orel State University, Russia
| | - Viktor V Dremin
- Research and Development Center of Biomedical Photonics, Orel State University, Russia
- College of Engineering and Physical Sciences, Aston University, Birmingham, UK
| | - Ksenia Y Kandurova
- Research and Development Center of Biomedical Photonics, Orel State University, Russia
| | - Andrian V Mamoshin
- Research and Development Center of Biomedical Photonics, Orel State University, Russia
- Orel Regional Clinical Hospital, Russia
| | - Andrey Y Abramov
- Research and Development Center of Biomedical Photonics, Orel State University, Russia
- Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, London, UK
| | - Andrey V Dunaev
- Research and Development Center of Biomedical Photonics, Orel State University, Russia
| |
Collapse
|
3
|
Novikov A, Perevoschikov S, Usenov I, Sakharova T, Artyushenko V, Bogomolov A. Multimodal fiber probe for simultaneous mid-infrared and Raman spectroscopy. Sci Rep 2024; 14:7430. [PMID: 38548800 PMCID: PMC10978856 DOI: 10.1038/s41598-024-57539-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Accepted: 03/19/2024] [Indexed: 04/01/2024] Open
Abstract
A fiber probe has been developed that enables simultaneous acquisition of mid-infrared (MIR) and Raman spectra in the region of 3100-2600 cm-1. Multimodal measurement is based on a proposed ZrO2 crystal design at the tip of an attenuated total reflection (ATR) probe. Mid-infrared ATR spectra are obtained through a pair of chalcogenide infrared (CIR) fibers mounted at the base of the crystal. The probe enables both excitation and acquisition of a weak Raman signal from a portion of the sample in front of the crystal using an additional pair of silica fibers located in a plane perpendicular to the CIR fibers. The advantages of combining MIR and Raman spectra in a single probe have been discussed.
Collapse
Affiliation(s)
- Alexander Novikov
- Art Photonics GmbH, Rudower Chaussee 46, 12489, Berlin, Germany.
- Technische Universität Berlin, Straße Des 17. Juni 135, 10623, Berlin, Germany.
| | - Stanislav Perevoschikov
- Art Photonics GmbH, Rudower Chaussee 46, 12489, Berlin, Germany
- Skolkovo Institute of Science and Technology, Bolshoy Boulevard 30, Bld. 1, 121205, Moscow, Russia
| | - Iskander Usenov
- Art Photonics GmbH, Rudower Chaussee 46, 12489, Berlin, Germany
- Technische Universität Berlin, Straße Des 17. Juni 135, 10623, Berlin, Germany
| | | | | | - Andrey Bogomolov
- Art Photonics GmbH, Rudower Chaussee 46, 12489, Berlin, Germany
- Samara State Technical University, Molodogvardeyskaya Str. 244, 443100, Samara, Russia
| |
Collapse
|
4
|
Kandurova KY, Sumin DS, Mamoshin AV, Potapova EV. Deconvolution of the fluorescence spectra measured through a needle probe to assess the functional state of the liver. Lasers Surg Med 2023; 55:690-701. [PMID: 37300892 DOI: 10.1002/lsm.23695] [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: 03/22/2023] [Revised: 05/24/2023] [Accepted: 05/29/2023] [Indexed: 06/12/2023]
Abstract
OBJECTIVES Currently, one of the most pressing issues for surgeons in the treatment of obstructive jaundice is the ability to assess the functional state of the liver and to detect and determine the degree of liver failure in a timely manner with simple and objective techniques. In this regard, the use of fluorescence spectroscopy method can be considered as one of the ways to improve the informativity of existing diagnostic algorithms in clinical practice and to introduce new diagnostic tools. Thus, the aim of the work was to study in vivo the functional state of liver parenchyma by the method of fluorescence spectroscopy implemented through a needle probe and assess the contribution of the main tissue fluorophores to reveal new diagnostic criteria. MATERIALS AND METHODS We compared data from 20 patients diagnosed with obstructive jaundice and 11 patients without this syndrome. Measurements were performed using a fluorescence spectroscopy method at excitation wavelengths of 365 and 450 nm. Data were collected using a 1 mm fiber optic needle probe. The analysis was based on the comparison of the results of deconvolution with the combinations of Gaussian curves reflecting the contribution of the pure fluorophores in the liver tissues. RESULTS The results showed a statistically significant increase in the contribution of curves reflecting NAD(P)H fluorescence, bilirubin, and flavins in the group of patients with obstructive jaundice. This and the calculated redox ratio values indicated that the energy metabolism of the hepatocytes may have shifted to glycolysis due to hypoxia. An increase in vitamin A fluorescence was also observed. It may also serve as a marker of liver damage, indicating impaired vitamin A mobilization from the liver due to cholestasis. CONCLUSIONS The results obtained reflect changes associated with shifts in the content of the main fluorophores characterizing hepatocyte dysfunction caused by accumulation of bilirubin and bile acids and after disturbance of oxygen utilization. The contributions of NAD(P)H, flavins, and bilirubin as well as vitamin A can be used for further studies as promising diagnostic and prognostic markers for the course of liver failure. Further work will include collecting fluorescence spectroscopy data in patients with different clinical effects of obstructive jaundice on postoperative clinical outcome after biliary decompression.
Collapse
Affiliation(s)
- Ksenia Y Kandurova
- Research and Development Center of Biomedical Photonics, Orel State University, Orel, Russia
| | - Dmitry S Sumin
- Research and Development Center of Biomedical Photonics, Orel State University, Orel, Russia
- Department of Interventional Radiology, Orel Regional Clinical Hospital, Orel, Russia
| | - Andrian V Mamoshin
- Research and Development Center of Biomedical Photonics, Orel State University, Orel, Russia
- Department of Interventional Radiology, Orel Regional Clinical Hospital, Orel, Russia
| | - Elena V Potapova
- Research and Development Center of Biomedical Photonics, Orel State University, Orel, Russia
| |
Collapse
|
5
|
Dunaev AV, Potapova EV, Loktionova Y, Bryanskaya EO, Kandurova KY, Novikova IN. Biomedical Photonics Methods in Solving Diagnostic Tasks. BIOMEDICAL ENGINEERING 2023; 56:332-336. [PMID: 36686581 PMCID: PMC9838328 DOI: 10.1007/s10527-023-10230-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Indexed: 01/13/2023]
Abstract
Modern photonics methods are considered in relation to solving a number of diagnostic problems in practical medicine. The basic principles of the application of optical noninvasive diagnostic methods are described and examples are given: laser Doppler flowmetry, digital diaphanoscopy, Raman spectroscopy, spectrophotometry, time-resolved fluorescence spectroscopy, and video capillaroscopy. The advantages and prospects of using photonics methods in clinical practice, making it possible to detect various pathological conditions of biological tissues, including those at the early stages of diseases, are demonstrated.
Collapse
Affiliation(s)
- A. V. Dunaev
- Science and Technology Center for Biomedical Photonics, I. S. Turgenev Orel State University, Orel, Russia
| | - E. V. Potapova
- Science and Technology Center for Biomedical Photonics, I. S. Turgenev Orel State University, Orel, Russia
| | - Yu.I. Loktionova
- Department of Instrumentation, Metrology, and Certification, Science and Technology Center for Biomedical Photonics, I. S. Turgenev Orel State University, Orel, Russia
| | - E. O. Bryanskaya
- Science and Technology Center for Biomedical Photonics, I. S. Turgenev Orel State University, Orel, Russia
| | - K. Yu. Kandurova
- Department of Instrumentation, Metrology, and Certification, Science and Technology Center for Biomedical Photonics, I. S. Turgenev Orel State University, Orel, Russia
| | - I. N. Novikova
- Science and Technology Center for Biomedical Photonics, I. S. Turgenev Orel State University, Orel, Russia
| |
Collapse
|
6
|
Reistad N, Sturesson C. Distinguishing tumor from healthy tissue in human liver ex vivo using machine learning and multivariate analysis of diffuse reflectance spectra. JOURNAL OF BIOPHOTONICS 2022; 15:e202200140. [PMID: 35860880 DOI: 10.1002/jbio.202200140] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/06/2022] [Revised: 06/27/2022] [Accepted: 07/12/2022] [Indexed: 06/15/2023]
Abstract
The aim of this work was to evaluate the capability of diffuse reflectance spectroscopy to distinguish malignant liver tissues from surrounding tissues and to determine whether an extended wavelength range (450-1550 nm) offers any advantages over using the conventional wavelength range. Furthermore, multivariate analysis combined with a machine learning algorithm, either linear discriminant analysis or the more advanced support vector machine, was used to discriminate between and classify freshly excised human liver specimens from 18 patients. Tumors were distinguished from surrounding liver tissues with a sensitivity of 99%, specificity of 100%, classification rate of 100% and a Matthews correlation coefficient of 100% using the extended wavelength range and a combination of principal component analysis and support vector techniques. The results indicate that this technology may be useful in clinical applications for real-time tissue diagnostics of tumor margins where rapid classification is important.
Collapse
Affiliation(s)
- Nina Reistad
- Department of Physics, Lund University, Lund, Sweden
| | - Christian Sturesson
- Division of Surgery, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden
| |
Collapse
|
7
|
Zherebtsov EA, Potapova EV, Mamoshin AV, Shupletsov VV, Kandurova KY, Dremin VV, Abramov AY, Dunaev AV. Fluorescence lifetime needle optical biopsy discriminates hepatocellular carcinoma. BIOMEDICAL OPTICS EXPRESS 2022; 13:633-646. [PMID: 35284175 PMCID: PMC8884204 DOI: 10.1364/boe.447687] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Revised: 11/30/2021] [Accepted: 11/30/2021] [Indexed: 05/06/2023]
Abstract
This work presents results of in vivo and in situ measurements of hepatocellular carcinoma by a developed optical biopsy system. Here, we describe the technical details of the implementation of fluorescence lifetime and diffuse reflectance measurements by the system, equipped with an original needle optical probe, compatible with the 17.5G biopsy needle standard. The fluorescence lifetime measurements observed by the setup were verified in fresh solutions of NADH and FAD++, and then applied in a murine model for the characterisation of inoculated hepatocellular carcinoma (HCC) and adjacent liver tissue. The technique, applied in vivo and in situ and supplemented by measurements of blood oxygen saturation, made it possible to reveal statistically significant transformation in the set of measured parameters linked with the cellular pools of NADH and NADPH. In the animal model, we demonstrate that the characteristic changes in registered fluorescent parameters can be used to reliably distinguish the HCC tissue, liver tissue in the control, and the metabolically changed liver tissues of animals with the developed HCC tumour. For further transition to clinical applications, the optical biopsy system was tested during the routing procedure of the PNB in humans with suspected HCC. The comparison of the data from murine and human HCC tissues suggests that the tested animal model is generally representative in the sense of the registered fluorescence lifetime parameters, while statistically significant differences between their absolute values can still be observed.
Collapse
Affiliation(s)
- Evgenii A Zherebtsov
- Research & Development Center of Biomedical Photonics, Orel State University, Orel, Russia
- Optoelectronics and Measurement Techniques unit, University of Oulu, Oulu, Finland
- Co-first authors with equal contribution
| | - Elena V Potapova
- Research & Development Center of Biomedical Photonics, Orel State University, Orel, Russia
- Co-first authors with equal contribution
| | - Andrian V Mamoshin
- Research & Development Center of Biomedical Photonics, Orel State University, Orel, Russia
- Orel Regional Clinical Hospital, Orel, Russia
| | - Valery V Shupletsov
- Research & Development Center of Biomedical Photonics, Orel State University, Orel, Russia
| | - Ksenia Y Kandurova
- Research & Development Center of Biomedical Photonics, Orel State University, Orel, Russia
| | - Viktor V Dremin
- Research & Development Center of Biomedical Photonics, Orel State University, Orel, Russia
- College of Engineering and Physical Sciences, Aston University, Birmingham, UK
| | - Andrey Y Abramov
- Research & Development Center of Biomedical Photonics, Orel State University, Orel, Russia
- Department of Clinical and Movement Neurosciences, UCL Queen Square Institute of Neurology, London, UK
| | - Andrey V Dunaev
- Research & Development Center of Biomedical Photonics, Orel State University, Orel, Russia
| |
Collapse
|
8
|
Piavchenko G, Kozlov I, Dremin V, Stavtsev D, Seryogina E, Kandurova K, Shupletsov V, Lapin K, Alekseyev A, Kuznetsov S, Bykov A, Dunaev A, Meglinski I. Impairments of cerebral blood flow microcirculation in rats brought on by cardiac cessation and respiratory arrest. JOURNAL OF BIOPHOTONICS 2021; 14:e202100216. [PMID: 34534405 DOI: 10.1002/jbio.202100216] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/15/2021] [Revised: 09/06/2021] [Accepted: 09/09/2021] [Indexed: 05/21/2023]
Abstract
The impairments of cerebral blood flow microcirculation brought on by cardiac and respiratory arrest were assessed with multi-modal diagnostic facilities, utilising laser speckle contrast imaging, fluorescence spectroscopy and diffuse reflectance spectroscopy. The results of laser speckle contrast imaging show a notable reduction of cerebral blood flow in small and medium size vessels during a few minutes of respiratory arrest, while the same effect was observed in large sinuses and their branches during the circulatory cessation. Concurrently, the redox ratio assessed with fluorescence spectroscopy indicates progressing hypoxia, NADH accumulation and increase of FAD consumption. The results of diffuse reflectance spectra measurements display a more rapid grow of the perfusion of deoxygenated blood in case of circulatory impairment. In addition, consequent histopathological analysis performed by using new tissue staining procedure developed in-house. It shows notably higher reduction of size of the neurons due to their wrinkling within brain tissues influenced by circulation impair. Whereas, the brain tissues altered with the respiratory arrest demonstrate focal perivascular oedema and mild hypoxic changes of neuronal morphology. Thus, the study suggests that consequences of a cessation of cerebral blood flow become more dramatic and dangerous compare to respiratory arrest.
Collapse
Affiliation(s)
- Gennadii Piavchenko
- Department of Histology, Cytology and Embryology, I.M. Sechenov First Moscow State Medical University, Moscow, Russia
- V.A. Negovsky Scientific Research Institute of General Reanimatology, Federal Research and Clinical Centre of Intensive Care Medicine and Rehabilitology, Moscow, Russia
- Cell Physiology and Pathology Laboratory, Orel State University, Orel, Russia
| | - Igor Kozlov
- R&D Center of Biomedical Photonics, Orel State University, Orel, Russia
| | - Viktor Dremin
- Cell Physiology and Pathology Laboratory, Orel State University, Orel, Russia
- R&D Center of Biomedical Photonics, Orel State University, Orel, Russia
- College of Engineering and Physical Sciences, Aston University, Birmingham, UK
| | - Dmitry Stavtsev
- R&D Center of Biomedical Photonics, Orel State University, Orel, Russia
- Institute of Biomedical Systems, National Research University of Electronic Technology (MIET), Zelenograd, Russia
| | - Evgeniya Seryogina
- Cell Physiology and Pathology Laboratory, Orel State University, Orel, Russia
| | - Ksenia Kandurova
- R&D Center of Biomedical Photonics, Orel State University, Orel, Russia
| | - Valery Shupletsov
- R&D Center of Biomedical Photonics, Orel State University, Orel, Russia
| | - Konstantin Lapin
- V.A. Negovsky Scientific Research Institute of General Reanimatology, Federal Research and Clinical Centre of Intensive Care Medicine and Rehabilitology, Moscow, Russia
| | - Alexander Alekseyev
- Cell Physiology and Pathology Laboratory, Orel State University, Orel, Russia
| | - Sergey Kuznetsov
- Department of Histology, Cytology and Embryology, I.M. Sechenov First Moscow State Medical University, Moscow, Russia
| | - Alexander Bykov
- Opto-Electronics and Measurement Techniques, Faculty of Information and Electrical Engineering, University of Oulu, Oulu, Finland
| | - Andrey Dunaev
- Cell Physiology and Pathology Laboratory, Orel State University, Orel, Russia
- R&D Center of Biomedical Photonics, Orel State University, Orel, Russia
| | - Igor Meglinski
- Department of Histology, Cytology and Embryology, I.M. Sechenov First Moscow State Medical University, Moscow, Russia
- V.A. Negovsky Scientific Research Institute of General Reanimatology, Federal Research and Clinical Centre of Intensive Care Medicine and Rehabilitology, Moscow, Russia
- Opto-Electronics and Measurement Techniques, Faculty of Information and Electrical Engineering, University of Oulu, Oulu, Finland
- Immanuel Kant Baltic Federal University, Kaliningrad, Russia
- College of Engineering and Physical Sciences, Aston University, Birmingham, UK
| |
Collapse
|
9
|
Chiroiu V, Nedelcu N, Pisla D, Munteanu L, Rugină C. On the flexible needle insertion into the human liver. Sci Rep 2021; 11:10251. [PMID: 33986330 PMCID: PMC8119694 DOI: 10.1038/s41598-021-89479-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Accepted: 02/15/2021] [Indexed: 01/03/2023] Open
Abstract
In the present research, the navigation of a flexible needle into the human liver in the context of the robotic-assisted intraoperative treatment of the liver tumors, is reported. Cosserat (micropolar) elasticity is applied to describe the interaction between the needle and the human liver. The theory incorporates the local rotation of points and the couple stress (a torque per unit area) as well as the force stress (force per unit area) representing the chiral features of the human liver. To predict the deformation of the needle and the liver, the elastic properties of the human liver have been evaluated. Outcomes reveal that considering smaller deformations of the needle and the liver results in better needle navigation mechanism. The needle geometry can enhance the penetration.
Collapse
Affiliation(s)
- Veturia Chiroiu
- Institute of the Solid Mechanics, Romanian Academy, Bucharest, Romania.
| | - Nicoleta Nedelcu
- Institute of the Solid Mechanics, Romanian Academy, Bucharest, Romania
| | - Doina Pisla
- Technical University of Cluj-Napoca, Cluj-Napoca, Romania
| | - Ligia Munteanu
- Institute of the Solid Mechanics, Romanian Academy, Bucharest, Romania
| | - Cristian Rugină
- Institute of the Solid Mechanics, Romanian Academy, Bucharest, Romania
| |
Collapse
|
10
|
Spatially-Resolved Multiply-Excited Autofluorescence and Diffuse Reflectance Spectroscopy: SpectroLive Medical Device for Skin In Vivo Optical Biopsy. ELECTRONICS 2021. [DOI: 10.3390/electronics10030243] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/15/2022]
Abstract
This contribution presents the development of an optical spectroscopy device, called SpectroLive, that allows spatially-resolved multiply-excited autofluorescence and diffuse reflectance measurements. Besides describing the device, this study aims at presenting the metrological and safety regulation validations performed towards its aimed application to skin carcinoma in vivo diagnosis. This device is made of six light sources and four spectrometers for detection of the back-scattered intensity spectra collected through an optical probe (made of several optical fibers) featuring four source-to-detector separations (from 400 to 1000 µm). In order to be allowed by the French authorities to be evaluated in clinics, the SpectroLive device was successfully checked for electromagnetic compatibility and electrical and photobiological safety. In order to process spectra, spectral correction and metrological calibration were implemented in the post-processing software. Finally, we characterized the device’s sensitivity to autofluorescence detection: excitation light irradiance at the optical probe tip in contact with skin surface ranges from 2 to 11 W/m², depending on the light source. Such irradiances combined to sensitive detectors allow the device to acquire a full spectroscopic sequence within 6 s which is a short enough duration to be compatible with optical-guided surgery. All these results about sensitivity and safety make the SpectroLive device mature enough to be evaluated through a clinical trial that aims at evaluating its diagnostic accuracy for skin carcinoma diagnosis.
Collapse
|
11
|
Zherebtsov E, Zajnulina M, Kandurova K, Potapova E, Dremin V, Mamoshin A, Sokolovski S, Dunaev A, Rafailov EU. Machine Learning Aided Photonic Diagnostic System for Minimally Invasive Optically Guided Surgery in the Hepatoduodenal Area. Diagnostics (Basel) 2020; 10:E873. [PMID: 33121013 PMCID: PMC7693603 DOI: 10.3390/diagnostics10110873] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2020] [Revised: 10/19/2020] [Accepted: 10/24/2020] [Indexed: 12/29/2022] Open
Abstract
Abdominal cancer is a widely prevalent group of tumours with a high level of mortality if diagnosed at a late stage. Although the cancer death rates have in general declined over the past few decades, the mortality from tumours in the hepatoduodenal area has significantly increased in recent years. The broader use of minimal access surgery (MAS) for diagnostics and treatment can significantly improve the survival rate and quality of life of patients after surgery. This work aims to develop and characterise an appropriate technical implementation for tissue endogenous fluorescence (TEF) and assess the efficiency of machine learning methods for the real-time diagnosis of tumours in the hepatoduodenal area. In this paper, we present the results of the machine learning approach applied to the optically guided MAS. We have elaborated tissue fluorescence approach with a fibre-optic probe to record the TEF and blood perfusion parameters during MAS in patients with cancers in the hepatoduodenal area. The measurements from the laser Doppler flowmetry (LDF) channel were used as a sensor of the tissue vitality to reduce variability in TEF data. Also, we evaluated how the blood perfusion oscillations are changed in the tumour tissue. The evaluated amplitudes of the cardiac (0.6-1.6 Hz) and respiratory (0.2-0.6 Hz) oscillations was significantly higher in intact tissues (p < 0.001) compared to the cancerous ones, while the myogenic (0.2-0.06 Hz) oscillation did not demonstrate any statistically significant difference. Our results demonstrate that a fibre-optic TEF probe accompanied with ML algorithms such as k-Nearest Neighbours or AdaBoost is highly promising for the real-time in situ differentiation between cancerous and healthy tissues by detecting the information about the tissue type that is encoded in the fluorescence spectrum. Also, we show that the detection can be supplemented and enhanced by parallel collection and classification of blood perfusion oscillations.
Collapse
Affiliation(s)
- Evgeny Zherebtsov
- Research and Development Center of Biomedical Photonics, Orel State University, 302026 Orel, Russia; (K.K.); (E.P.); (V.D.); (A.M.); (A.D.)
- Faculty of Information Technology and Electrical Engineering, University of Oulu, Optoelectronics and Measurement Techniques Unit, 90570 Oulu, Finland
| | - Marina Zajnulina
- Aston Institute of Photonic Technologies, Aston University, Birmingham B4 7ET, UK; (M.Z.); (S.S.); (E.U.R.)
| | - Ksenia Kandurova
- Research and Development Center of Biomedical Photonics, Orel State University, 302026 Orel, Russia; (K.K.); (E.P.); (V.D.); (A.M.); (A.D.)
| | - Elena Potapova
- Research and Development Center of Biomedical Photonics, Orel State University, 302026 Orel, Russia; (K.K.); (E.P.); (V.D.); (A.M.); (A.D.)
| | - Viktor Dremin
- Research and Development Center of Biomedical Photonics, Orel State University, 302026 Orel, Russia; (K.K.); (E.P.); (V.D.); (A.M.); (A.D.)
- Aston Institute of Photonic Technologies, Aston University, Birmingham B4 7ET, UK; (M.Z.); (S.S.); (E.U.R.)
| | - Andrian Mamoshin
- Research and Development Center of Biomedical Photonics, Orel State University, 302026 Orel, Russia; (K.K.); (E.P.); (V.D.); (A.M.); (A.D.)
- Department of X-ray Surgical Methods of Diagnosis and Treatment, Orel Regional Clinical Hospital, 302028 Orel, Russia
| | - Sergei Sokolovski
- Aston Institute of Photonic Technologies, Aston University, Birmingham B4 7ET, UK; (M.Z.); (S.S.); (E.U.R.)
| | - Andrey Dunaev
- Research and Development Center of Biomedical Photonics, Orel State University, 302026 Orel, Russia; (K.K.); (E.P.); (V.D.); (A.M.); (A.D.)
| | - Edik U. Rafailov
- Aston Institute of Photonic Technologies, Aston University, Birmingham B4 7ET, UK; (M.Z.); (S.S.); (E.U.R.)
| |
Collapse
|