1
|
Pal R, Lwin TM, Krishnamoorthy M, Collins HR, Chan CD, Prilutskiy A, Nasrallah MP, Dijkhuis TH, Shukla S, Kendall AL, Marshall MS, Carp SA, Hung YP, Shih AR, Martinez-Lage M, Zukerberg L, Sadow PM, Faquin WC, Nahed BV, Feng AL, Emerick KS, Mieog JSD, Vahrmeijer AL, Rajasekaran K, Lee JYK, Rankin KS, Lozano-Calderon S, Varvares MA, Tanabe KK, Kumar ATN. Fluorescence lifetime of injected indocyanine green as a universal marker of solid tumours in patients. Nat Biomed Eng 2023; 7:1649-1666. [PMID: 37845517 DOI: 10.1038/s41551-023-01105-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2022] [Accepted: 09/10/2023] [Indexed: 10/18/2023]
Abstract
The surgical resection of solid tumours can be enhanced by fluorescence-guided imaging. However, variable tumour uptake and incomplete clearance of fluorescent dyes reduces the accuracy of distinguishing tumour from normal tissue via conventional fluorescence intensity-based imaging. Here we show that, after systemic injection of the near-infrared dye indocyanine green in patients with various types of solid tumour, the fluorescence lifetime (FLT) of tumour tissue is longer than the FLT of non-cancerous tissue. This tumour-specific shift in FLT can be used to distinguish tumours from normal tissue with an accuracy of over 97% across tumour types, and can be visualized at the cellular level using microscopy and in larger specimens through wide-field imaging. Unlike fluorescence intensity, which depends on imaging-system parameters, tissue depth and the amount of dye taken up by tumours, FLT is a photophysical property that is largely independent of these factors. FLT imaging with indocyanine green may improve the accuracy of cancer surgeries.
Collapse
Affiliation(s)
- Rahul Pal
- Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA
| | - Thinzar M Lwin
- Department of Surgical Oncology, City of Hope Hospital, Duarte, CA, USA
| | - Murali Krishnamoorthy
- Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA
| | - Hannah R Collins
- Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA
| | - Corey D Chan
- Newcastle University Centre for Cancer, Translational and Clinical Research Institute, Newcastle University, Newcastle upon Tyne, UK
| | - Andrey Prilutskiy
- Department of Pathology, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA
| | - MacLean P Nasrallah
- Department of Pathology, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
| | - Tom H Dijkhuis
- Department of Surgery, Leiden University Medical Center, Leiden, the Netherlands
| | - Shriya Shukla
- Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA
| | - Amy L Kendall
- Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA
| | - Michael S Marshall
- Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Stefan A Carp
- Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA
| | - Yin P Hung
- Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Angela R Shih
- Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Maria Martinez-Lage
- Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Lawrence Zukerberg
- Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Peter M Sadow
- Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
- Department of Otolaryngology and Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA
| | - William C Faquin
- Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
- Department of Otolaryngology and Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA
| | - Brian V Nahed
- Department of Neurosurgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Allen L Feng
- Department of Otolaryngology and Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA
| | - Kevin S Emerick
- Department of Otolaryngology and Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA
| | - J Sven D Mieog
- Department of Surgery, Leiden University Medical Center, Leiden, the Netherlands
| | | | - Karthik Rajasekaran
- Department of Otorhinolaryngology-Head and Neck Surgery, University of Pennsylvania, Philadelphia, PA, USA
| | - John Y K Lee
- Department of Neurosurgery, Hospital of the University of Pennsylvania, Philadelphia, PA, USA
| | - Kenneth S Rankin
- The North of England Bone and Soft Tissue Tumour Service, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK
| | - Santiago Lozano-Calderon
- Department of Orthopedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Mark A Varvares
- Department of Otolaryngology and Head and Neck Surgery, Massachusetts Eye and Ear, Harvard Medical School, Boston, MA, USA
| | - Kenneth K Tanabe
- Division of Gastrointestinal and Oncologic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA
| | - Anand T N Kumar
- Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown, MA, USA.
| |
Collapse
|
2
|
Myllylä T, Korhonen V, Karthikeyan P, Honka U, Lohela J, Inget K, Ferdinando H, Karhula SS, Nikkinen J. Cerebral tissue oxygenation response to brain irradiation measured during clinical radiotherapy. JOURNAL OF BIOMEDICAL OPTICS 2023; 28:015002. [PMID: 36742351 PMCID: PMC9887167 DOI: 10.1117/1.jbo.28.1.015002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Accepted: 12/01/2022] [Indexed: 06/18/2023]
Abstract
SIGNIFICANCE Cancer therapy treatments produce extensive changes in the physiological and morphological properties of tissues, which are also individual dependent. Currently, a key challenge involves developing more tailored cancer therapy, and consequently, individual biological response measurement during therapy, such as tumor hypoxia, is of high interest. This is the first time human cerebral haemodynamics and cerebral tissue oxygenation index (TOI) changes were measured during the irradiation in clinical radiotherapy and functional near-infrared spectroscopy (fNIRS) technique was demonstrated as a feasible technique for clinical use in radiotherapy, based on 34 online patient measurements. AIM Our aim is to develop predictive biomarkers and noninvasive real-time methods to establish the effect of radiotherapy during treatment as well as to optimize radiotherapy dose planning for individual patients. In particular, fNIRS-based technique could offer an effective and clinically feasible online technique for continuous monitoring of brain tissue hypoxia and responses to chemo- and radiotherapy, which involves modulating tumor oxygenation to increase or decrease tumor hypoxia. We aim to show that fNIRS is feasible for repeatability measuring in patient radiotherapy, the temporal alterations of tissue oxygenation induced by radiation. APPROACH Fiber optics setup using multiwavelength fNIRS was built and combined with a medical linear accelerator to measure cerebral tissue oxygenation changes during the whole-brain radiotherapy treatment, where the radiation dose is given in whole brain area only preventing dosage to eyes. Correlation of temporal alterations in cerebral haemodynamics and TOI response to brain irradiation was quantified. RESULTS Online fNIRS patient measurement of cerebral haemodynamics during clinical brain radiotherapy is feasible in clinical environment, and results based on 34 patient measurements show strong temporal alterations in cerebral haemodynamics and decrease in TOI during brain irradiation and confirmed the repeatability. Our proof-of-concept study shows evidently that irradiation causes characteristic immediate changes in brain tissue oxygenation. CONCLUSIONS In particular, TOI seems to be a sensitive parameter to observe the tissue effects of radiotherapy. Monitoring the real-time interactions between the subjected radiation dose and corresponding haemodynamic effects may provide important tool for the researchers and clinicians in the field of radiotherapy. Eventually, presented fNIRS technique could be used for improving dose planning and safety control for individual patients.
Collapse
Affiliation(s)
- Teemu Myllylä
- University of Oulu, Research Unit of Health Sciences and Technology, Oulu, Finland
- University of Oulu, Optoelectronics and Measurement Techniques Unit, Oulu, Finland
| | - Vesa Korhonen
- University of Oulu, Research Unit of Health Sciences and Technology, Oulu, Finland
- Oulu University Hospital, Department of Diagnostic Radiology, Oulu, Finland
- Medical Research Center, Oulu, Finland
| | - Priya Karthikeyan
- University of Oulu, Research Unit of Health Sciences and Technology, Oulu, Finland
| | - Ulriika Honka
- University of Oulu, Research Unit of Health Sciences and Technology, Oulu, Finland
| | - Jesse Lohela
- University of Oulu, Research Unit of Health Sciences and Technology, Oulu, Finland
- Oulu University Hospital, Department of Oncology and Radiotherapy, Oulu, Finland
| | - Kalle Inget
- University of Oulu, Research Unit of Health Sciences and Technology, Oulu, Finland
- Medical Research Center, Oulu, Finland
| | - Hany Ferdinando
- University of Oulu, Research Unit of Health Sciences and Technology, Oulu, Finland
| | - Sakari S. Karhula
- University of Oulu, Research Unit of Health Sciences and Technology, Oulu, Finland
- Medical Research Center, Oulu, Finland
- Oulu University Hospital, Department of Oncology and Radiotherapy, Oulu, Finland
| | - Juha Nikkinen
- University of Oulu, Research Unit of Health Sciences and Technology, Oulu, Finland
- Medical Research Center, Oulu, Finland
- Oulu University Hospital, Department of Oncology and Radiotherapy, Oulu, Finland
| |
Collapse
|
3
|
Jules A, Means D, Troncoso JR, Fernandes A, Dadgar S, Siegel ER, Rajaram N. Diffuse Reflectance Spectroscopy of Changes in Tumor Microenvironment in Response to Different Doses of Radiation. Radiat Res 2022; 198:545-552. [PMID: 36240754 PMCID: PMC9798304 DOI: 10.1667/rade-21-00228.1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Accepted: 09/28/2022] [Indexed: 12/31/2022]
Abstract
Radiation therapy plays an important role in cancer treatment, as it is an established method used as part of the treatment plan for the majority of cancer patients. Real-time monitoring of the effects of radiation on the tumor microenvironment can contribute to the development of better treatment plans. In this study, we use diffuse reflectance spectroscopy, a non-invasive optical fiber-based technique, to determine the effects of different doses of radiation on the tumor microenvironment, as well as to determine the sensitivity of diffuse reflectance spectroscopy to low doses of radiation that are used in the treatment of certain cancers. We injected 4T1 cells into 50 Balb/c mice to generate tumor xenografts. When the tumors grew to 200 mm3, we distributed the mice into a control group or one of three radiation groups: 1, 2, or 4 Gy/fraction, and they underwent treatment for five consecutive days. We measured the tumor volume and collected diffuse reflectance spectra every day, with optical measurements being acquired both before and one h postirradiation on the five days of treatment. Based on the diffusely reflected light, we quantified vascular oxygenation, total hemoglobin content, and tissue scattering within these tumors. There was a significant increase in tumor vascular oxygenation, which was primarily due to an increase in oxygenated hemoglobin, in response to a 1 Gy/fraction of radiation, while there was a decrease in tissue scattering in response to all doses of radiation. Immunohistochemical analysis revealed that tumor cell proliferation and apoptosis were higher in irradiated groups compared to the control group. Our findings show that diffuse reflectance spectroscopy is sensitive to microenvironmental changes in tumors treated with doses of radiation as low as 1 Gy/fraction.
Collapse
Affiliation(s)
- April Jules
- Department of Biomedical Engineering, University of Arkansas, Fayetteville, Arkansas
| | - Davin Means
- Department of Biological Sciences, University of Arkansas, Fayetteville, Arkansas
| | | | - Alric Fernandes
- Department of Chemistry and Biochemistry, University of Arkansas, Fayetteville, Arkansas
| | - Sina Dadgar
- Department of Biomedical Engineering, University of Arkansas, Fayetteville, Arkansas
| | - Eric R Siegel
- Department of Biostatistics, University of Arkansas for Medical Sciences, Little Rock, Arkansas
| | - Narasimhan Rajaram
- Department of Biomedical Engineering, University of Arkansas, Fayetteville, Arkansas
| |
Collapse
|
4
|
Robledo EA, Murillo J, Martin RV, Leiva K, Beiner C, Rodrigues MA, Fagundes M, Panoff J, Chuong M, Wu W, Godavarty A. Assessment of Tissue Oxygenation and Radiation Dermatitis Pre-, During, and Post-Radiation Therapy in Breast Cancer Patients. Front Oncol 2022; 12:879032. [PMID: 35880160 PMCID: PMC9307894 DOI: 10.3389/fonc.2022.879032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Accepted: 03/24/2022] [Indexed: 11/13/2022] Open
Abstract
Over 95% of breast cancer patients treated with radiation therapy (RT) undergo an adverse skin reaction known as radiation dermatitis (RD). Assessment of severity or grading of RD is clinically visual and hence subjective. Our objective is to determine sub-clinical tissue oxygenation (oxygen saturation) changes in response to RT in breast cancer patients using near-infrared spectroscopic imaging and correlate these changes to RD grading. A 4-8 week longitudinal pilot imaging study was carried out on 10 RT-treated breast cancer patients. Non-contact near-infrared spectroscopic (NIRS) imaging was performed on the irradiated ipsilateral and the contralateral breast/chest wall, axilla and lower neck regions before RT, across the weeks of RT, and during follow-up after RT ended. Significant changes (p < 0.05) in oxygen saturation (StO2) of irradiated and contralateral breast/chest wall and axilla regions were observed across weeks of RT. The overall drop in StO2 was negatively correlated to RD scaling (in 7 out of 9 cases) and was higher in the irradiated regions when compared to its contralateral region. Differences in the pre-RT StO2 between ipsilateral and contralateral chest wall is a potential predictor of the severity of RD. The subclinical recovery of StO2 to its original state was longer than the visual recovery in RD grading scale, as observed from the post-RT assessment of tissue oxygenation.
Collapse
Affiliation(s)
- Edwin A. Robledo
- Optical Imaging Laboratory, Department of Biomedical Engineering, Florida International University, Miami, FL, United States
| | - Juan Murillo
- Optical Imaging Laboratory, Department of Biomedical Engineering, Florida International University, Miami, FL, United States
| | - Raquel Veiga Martin
- Optical Imaging Laboratory, Department of Biomedical Engineering, Florida International University, Miami, FL, United States
| | - Kevin Leiva
- Optical Imaging Laboratory, Department of Biomedical Engineering, Florida International University, Miami, FL, United States
| | - Corina Beiner
- Department of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, United States
| | - Maria Amelia Rodrigues
- Department of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, United States
| | - Marcio Fagundes
- Department of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, United States
| | - Joseph Panoff
- Department of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, United States
| | - Michael Chuong
- Department of Radiation Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, United States
| | - Wensong Wu
- Department of Mathematics and Statistics, Florida International University, Miami, FL, United States
| | - Anuradha Godavarty
- Optical Imaging Laboratory, Department of Biomedical Engineering, Florida International University, Miami, FL, United States
- *Correspondence: Anuradha Godavarty,
| |
Collapse
|
5
|
Troncoso JR, Diaz PM, Lee DE, Quick CM, Rajaram N. Longitudinal monitoring of tumor response to immune checkpoint inhibitors using noninvasive diffuse reflectance spectroscopy. BIOMEDICAL OPTICS EXPRESS 2021; 12:3982-3991. [PMID: 34457393 PMCID: PMC8367250 DOI: 10.1364/boe.426879] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/27/2021] [Revised: 05/28/2021] [Accepted: 06/02/2021] [Indexed: 05/03/2023]
Abstract
Immune checkpoint inhibitors have revolutionized cancer treatment. However, there are currently no methods for noninvasively and nondestructively evaluating tumor response to immune checkpoint inhibitors. We used diffuse reflectance spectroscopy to monitor in vivo tumor microenvironmental changes in response to immune checkpoint inhibitors in a CT26 murine colorectal cancer model. Mice growing CT26 tumor xenografts were treated with either anti-PD-L1, anti-CTLA-4, a combination of both inhibitors, or isotype control on 3 separate days. Monotherapy with either anti-PD-L1 or anti-CTLA-4 led to a large increase in tumor vascular oxygenation within the first 6 days. Reoxygenation in anti-CTLA-4-treated tumors was due to a combination of increased oxygenated hemoglobin and decreased deoxygenated hemoglobin, pointing to a possible change in tumor oxygen consumption following treatment. Within the anti-PD-L1-treated tumors, reoxygenation was primarily due to an increase in oxygenated hemoglobin with the minimal change in deoxygenated hemoglobin, indicative of a likely increase in tumor perfusion. The tumors in the combined treatment group did not show any significant changes in tumor oxygenation following therapy. These studies demonstrate the sensitivity of diffuse reflectance spectroscopy to tumor microenvironmental changes following immunotherapy and the potential of such non-invasive techniques to determine early tumor response to immune checkpoint inhibitors.
Collapse
Affiliation(s)
| | - Paola Monterroso Diaz
- Department of Biomedical Engineering, University of Arkansas, Fayetteville, AR 72703, USA
| | - David E. Lee
- Department of Exercise Science, University of Arkansas, Fayetteville, AR 72703, USA
- Currently with the Duke Molecular Physiological Institute, Duke University, Durham, NC 27701, USA
| | - Charles M. Quick
- Division of Pathology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
| | - Narasimhan Rajaram
- Department of Biomedical Engineering, University of Arkansas, Fayetteville, AR 72703, USA
- Winthrop P. Rockefeller Cancer Institute, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
| |
Collapse
|
6
|
Dadgar S, Troncoso JR, Siegel ER, Curry NM, Griffin RJ, Dings RPM, Rajaram N. Spectroscopic investigation of radiation-induced reoxygenation in radiation-resistant tumors. Neoplasia 2021; 23:49-57. [PMID: 33220616 PMCID: PMC7683290 DOI: 10.1016/j.neo.2020.11.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Revised: 10/29/2020] [Accepted: 11/03/2020] [Indexed: 12/12/2022]
Abstract
Fractionated radiation therapy is believed to reoxygenate and subsequently radiosensitize surviving hypoxic cancer cells. Measuring tumor reoxygenation between radiation fractions could conceivably provide an early biomarker of treatment response. However, the relationship between tumor reoxygenation and local control is not well understood. We used noninvasive optical fiber-based diffuse reflectance spectroscopy to monitor radiation-induced changes in hemoglobin oxygen saturation (sO2) in tumor xenografts grown from two head and neck squamous cell carcinoma cell lines - UM-SCC-22B and UM-SCC-47. Tumors were treated with 4 doses of 2 Gy over 2 consecutive weeks and diffuse reflectance spectra were acquired every day during the 2-week period. There was a statistically significant increase in sO2 in the treatment-responsive UM-SCC-22B tumors immediately following radiation. This reoxygenation trend was due to an increase in oxygenated hemoglobin (HbO2) and disappeared over the next 48 h as sO2 returned to preradiation baseline values. Conversely, sO2 in the relatively radiation-resistant UM-SCC-47 tumors increased after every dose of radiation and was driven by a significant decrease in deoxygenated hemoglobin (dHb). Immunohistochemical analysis revealed significantly elevated expression of hypoxia-inducible factor (HIF-1) in the UM-SCC-47 tumors prior to radiation and up to 48 h postradiation compared with the UM-SCC-22B tumors. Our observation of a decrease in dHb, a corresponding increase in sO2, as well as greater HIF-1α expression only in UM-SCC-47 tumors strongly suggests that the reoxygenation within these tumors is due to a decrease in oxygen consumption in the cancer cells, which could potentially play a role in promoting radiation resistance.
Collapse
Affiliation(s)
- Sina Dadgar
- Department of Biomedical Engineering, University of Arkansas, Fayetteville, AR, USA
| | | | - Eric R Siegel
- Department of Biostatistics, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Natalie M Curry
- Department of Biomedical Engineering, University of Arkansas, Fayetteville, AR, USA
| | - Robert J Griffin
- Department of Radiation Oncology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Ruud P M Dings
- Department of Radiation Oncology, University of Arkansas for Medical Sciences, Little Rock, AR, USA
| | - Narasimhan Rajaram
- Department of Biomedical Engineering, University of Arkansas, Fayetteville, AR, USA.
| |
Collapse
|
7
|
Swartz HM, Flood AB, Schaner PE, Halpern H, Williams BB, Pogue BW, Gallez B, Vaupel P. How best to interpret measures of levels of oxygen in tissues to make them effective clinical tools for care of patients with cancer and other oxygen-dependent pathologies. Physiol Rep 2020; 8:e14541. [PMID: 32786045 PMCID: PMC7422807 DOI: 10.14814/phy2.14541] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Revised: 07/01/2020] [Accepted: 07/01/2020] [Indexed: 02/07/2023] Open
Abstract
It is well understood that the level of molecular oxygen (O2 ) in tissue is a very important factor impacting both physiology and pathological processes as well as responsiveness to some treatments. Data on O2 in tissue could be effectively utilized to enhance precision medicine. However, the nature of the data that can be obtained using existing clinically applicable techniques is often misunderstood, and this can confound the effective use of the information. Attempts to make clinical measurements of O2 in tissues will inevitably provide data that are aggregated over time and space and therefore will not fully represent the inherent heterogeneity of O2 in tissues. Additionally, the nature of existing techniques to measure O2 may result in uneven sampling of the volume of interest and therefore may not provide accurate information on the "average" O2 in the measured volume. By recognizing the potential limitations of the O2 measurements, one can focus on the important and useful information that can be obtained from these techniques. The most valuable clinical characterizations of oxygen are likely to be derived from a series of measurements that provide data about factors that can change levels of O2 , which then can be exploited both diagnostically and therapeutically. The clinical utility of such data ultimately needs to be verified by careful studies of outcomes related to the measured changes in levels of O2 .
Collapse
Affiliation(s)
- Harold M Swartz
- Department of Radiology, Dartmouth Medical School, Hanover, NH, USA
- Department of Medicine, Section of Radiation Oncology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA
- Thayer School of Engineering, Dartmouth College, Hanover, NH, USA
| | - Ann Barry Flood
- Department of Radiology, Dartmouth Medical School, Hanover, NH, USA
| | - Philip E Schaner
- Department of Medicine, Section of Radiation Oncology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA
| | - Howard Halpern
- Department Radiation and Cellular Oncology, University of Chicago, Chicago, IL, USA
| | - Benjamin B Williams
- Department of Radiology, Dartmouth Medical School, Hanover, NH, USA
- Department of Medicine, Section of Radiation Oncology, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA
- Thayer School of Engineering, Dartmouth College, Hanover, NH, USA
| | - Brian W Pogue
- Thayer School of Engineering, Dartmouth College, Hanover, NH, USA
- Department of Surgery, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA
| | - Bernard Gallez
- Louvain Drug Research Institute, Université catholique de Louvain, Brussels, Belgium
| | - Peter Vaupel
- Department Radiation Oncology, University Medical Center, University of Freiburg, Freiburg, Germany
- German Cancer Center Consortium (DKTK) Partner Site Freiburg, German Cancer Research Center (DKFZ), Heidelberg, Germany
| |
Collapse
|
8
|
Beć KB, Grabska J, Huck CW. Near-Infrared Spectroscopy in Bio-Applications. Molecules 2020; 25:E2948. [PMID: 32604876 PMCID: PMC7357077 DOI: 10.3390/molecules25122948] [Citation(s) in RCA: 108] [Impact Index Per Article: 27.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2020] [Revised: 06/19/2020] [Accepted: 06/21/2020] [Indexed: 11/17/2022] Open
Abstract
Near-infrared (NIR) spectroscopy occupies a specific spot across the field of bioscience and related disciplines. Its characteristics and application potential differs from infrared (IR) or Raman spectroscopy. This vibrational spectroscopy technique elucidates molecular information from the examined sample by measuring absorption bands resulting from overtones and combination excitations. Recent decades brought significant progress in the instrumentation (e.g., miniaturized spectrometers) and spectral analysis methods (e.g., spectral image processing and analysis, quantum chemical calculation of NIR spectra), which made notable impact on its applicability. This review aims to present NIR spectroscopy as a matured technique, yet with great potential for further advances in several directions throughout broadly understood bio-applications. Its practical value is critically assessed and compared with competing techniques. Attention is given to link the bio-application potential of NIR spectroscopy with its fundamental characteristics and principal features of NIR spectra.
Collapse
Affiliation(s)
- Krzysztof B. Beć
- Institute of Analytical Chemistry and Radiochemistry, Leopold-Franzens University, Innrain 80/82, CCB-Center for Chemistry and Biomedicine, 6020 Innsbruck, Austria;
| | | | - Christian W. Huck
- Institute of Analytical Chemistry and Radiochemistry, Leopold-Franzens University, Innrain 80/82, CCB-Center for Chemistry and Biomedicine, 6020 Innsbruck, Austria;
| |
Collapse
|
9
|
Du Le VN, Srinivasan VJ. Beyond diffuse correlations: deciphering random flow in time-of-flight resolved light dynamics. OPTICS EXPRESS 2020; 28:11191-11214. [PMID: 32403635 PMCID: PMC7340374 DOI: 10.1364/oe.385202] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
Diffusing wave spectroscopy (DWS) and diffuse correlation spectroscopy (DCS) can assess blood flow index (BFI) of biological tissue with multiply scattered light. Though the main biological function of red blood cells (RBCs) is advection, in DWS/DCS, RBCs are assumed to undergo Brownian motion. To explain this discrepancy, we critically examine the cumulant approximation, a major assumption in DWS/DCS. We present a precise criterion for validity of the cumulant approximation, and in realistic tissue models, identify conditions that invalidate it. We show that, in physiologically relevant scenarios, the first cumulant term for random flow and second cumulant term for Brownian motion alone can cancel each other. In such circumstances, assuming pure Brownian motion of RBCs and the first cumulant approximation, a routine practice in DWS/DCS of BFI, can yield good agreement with data, but only because errors due to two incorrect assumptions cancel out. We conclude that correctly assessing random flow from scattered light dynamics requires going beyond the cumulant approximation and propose a more accurate model to do so.
Collapse
Affiliation(s)
- V. N. Du Le
- Department of Biomedical Engineering, University of California Davis, Davis, CA 95616, USA
| | - Vivek J. Srinivasan
- Department of Biomedical Engineering, University of California Davis, Davis, CA 95616, USA
- Department of Ophthalmology and Vision Science, University of California Davis, Davis School of Medicine, Sacramento, CA 96817, USA
| |
Collapse
|
10
|
Optics Based Label-Free Techniques and Applications in Brain Monitoring. APPLIED SCIENCES-BASEL 2020. [DOI: 10.3390/app10062196] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Functional near-infrared spectroscopy (fNIRS) has been utilized already around three decades for monitoring the brain, in particular, oxygenation changes in the cerebral cortex. In addition, other optical techniques are currently developed for in vivo imaging and in the near future can be potentially used more in human brain research. This paper reviews the most common label-free optical technologies exploited in brain monitoring and their current and potential clinical applications. Label-free tissue monitoring techniques do not require the addition of dyes or molecular contrast agents. The following optical techniques are considered: fNIRS, diffuse correlations spectroscopy (DCS), photoacoustic imaging (PAI) and optical coherence tomography (OCT). Furthermore, wearable optical brain monitoring with the most common applications is discussed.
Collapse
|
11
|
Ling H, Gui Z, Hao H, Shang Y. Enhancement of diffuse correlation spectroscopy tissue blood flow measurement by acoustic radiation force. BIOMEDICAL OPTICS EXPRESS 2020; 11:301-315. [PMID: 32010518 PMCID: PMC6968737 DOI: 10.1364/boe.381757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/30/2019] [Revised: 12/09/2019] [Accepted: 12/10/2019] [Indexed: 05/03/2023]
Abstract
The current research on acousto-optic effects focuses on the interactions of acoustic waves with static optical properties rather than dynamic features such as tissue blood flow. Diffuse correlation spectroscopy (DCS) is an emerging technology capable of direct measurements of tissue blood flow by probing the movements of red blood cells (RBCs). In this article, we investigated the relations between the acoustic radiation force (ARF) and ultrasonic patterns by the finite element simulations. Based on the outcomes, we experimentally explored how the ultrasound-generated ARF enhance the DCS data as well as the blood flow measurements. The results yield the optimal pattern to generate ARF and elucidate the relations between the ultrasonic emission and flow elevations. The flow modality combing the DCS with ARF modulations, which was proposed in this study for the first time, would promote disease diagnosis and therapeutic assessment in the situation wherein the blood flow contrast between healthy and pathological tissues is insufficient.
Collapse
Affiliation(s)
- Hao Ling
- Shanxi Provincial Key Laboratory for Biomedical Imaging and Big Data, North University of China, No. 3 Xueyuan Road, Taiyuan 030051, China
| | - Zhiguo Gui
- Shanxi Provincial Key Laboratory for Biomedical Imaging and Big Data, North University of China, No. 3 Xueyuan Road, Taiyuan 030051, China
| | - Huiyan Hao
- Shanxi Provincial Key Laboratory for Biomedical Imaging and Big Data, North University of China, No. 3 Xueyuan Road, Taiyuan 030051, China
| | - Yu Shang
- Shanxi Provincial Key Laboratory for Biomedical Imaging and Big Data, North University of China, No. 3 Xueyuan Road, Taiyuan 030051, China
| |
Collapse
|
12
|
Mireles M, Morales-Dalmau J, Johansson JD, Vidal-Rosas EE, Vilches C, Martínez-Lozano M, Sanz V, de Miguel I, Casanovas O, Quidant R, Durduran T. Non-invasive and quantitative in vivo monitoring of gold nanoparticle concentration and tissue hemodynamics by hybrid optical spectroscopies. NANOSCALE 2019; 11:5595-5606. [PMID: 30860518 DOI: 10.1039/c8nr08790c] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Owing to their unique combination of chemical and physical properties, inorganic nanoparticles show a great deal of potential as suitable agents for early diagnostics and less invasive therapies. Yet, their translation to the clinic has been hindered, in part, by the lack of non-invasive methods to quantify their concentration in vivo while also assessing their effect on the tissue physiology. In this work, we demonstrate that diffuse optical techniques, employing near-infrared light, have the potential to address this need in the case of gold nanoparticles which support localized surface plasmons. An orthoxenograft mouse model of clear cell renal cell carcinoma was non-invasively assessed by diffuse reflectance and correlation spectroscopies before and over several days following a single intravenous tail vein injection of polyethylene glycol-coated gold nanorods (AuNRs-PEG). Our platform enables to resolve the kinetics of the AuNR-PEG uptake by the tumor in quantitative agreement with ex vivo inductively coupled plasma mass spectroscopy. Furthermore, it allows for the simultaneous monitoring of local tissue hemodynamics, enabling us to conclude that AuNRs-PEG do not significantly alter the animal physiology. We note that the penetration depth of this current probe was a few millimeters but can readily be extended to centimeters, hence gaining clinical relevance. This study and the methodology presented here complement the nanomedicine toolbox by providing a flexible platform, extendable to other absorbing agents that can potentially be translated to human trials.
Collapse
Affiliation(s)
- Miguel Mireles
- ICFO - Institut de Ciències Fotòniques, The Barcelona Institute of Science and Technology, 08860 Castelldefels, Barcelona, Spain.
| | | | | | | | | | | | | | | | | | | | | |
Collapse
|
13
|
Orlova AG, Maslennikova AV, Golubiatnikov GY, Suryakova AS, Kirillin MY, Kurakina DA, Kalganova TI, Volovetsky AB, Turchin IV. Diffuse optical spectroscopy assessment of rodent tumor model oxygen state after single-dose irradiation. Biomed Phys Eng Express 2019; 5. [PMID: 34247150 DOI: 10.1088/2057-1976/ab0b19] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2018] [Accepted: 02/27/2019] [Indexed: 01/09/2023]
Abstract
Modern radiation therapy of malignant tumors requires careful selection of conditions that can improve the effectiveness of the treatment. The study of the dynamics and mechanisms of tumor reoxygenation after radiation therapy makes it possible to select the regimens for optimizing the ongoing treatment. Diffuse optical spectroscopy (DOS) is among the methods used for non-invasive assessment of tissue oxygenation. In this work DOS was used forin vivoregistration of changes in oxygenation level of an experimental rat tumor after single-dose irradiation at a dose of 10 Gy and investigation of their possible mechanisms. It was demonstrated that in 24 h after treatment, tumor oxygenation increases, which is mainly due to an increase in the oxygen supply to the tissues. DOS is demonstrated to be efficient for study of changes in blood flow parameters when monitoring tumor response to therapy.
Collapse
Affiliation(s)
- A G Orlova
- Department for Radiophysical Methods in Medicine, Institute of Applied Physics, Russian Academy of Sciences, Nizhny Novgorod, Russia
| | - A V Maslennikova
- Department of Oncology, Privolzhsky Research Medical University, Nizhny Novgorod, Russia.,Institute of Biology and Biomedicine, N.I. Lobachevsky Nizhny Novgorod State University, Nizhny Novgorod, Russia
| | - G Yu Golubiatnikov
- Department for Radiophysical Methods in Medicine, Institute of Applied Physics, Russian Academy of Sciences, Nizhny Novgorod, Russia
| | - A S Suryakova
- Institute of Biology and Biomedicine, N.I. Lobachevsky Nizhny Novgorod State University, Nizhny Novgorod, Russia
| | - M Yu Kirillin
- Department for Radiophysical Methods in Medicine, Institute of Applied Physics, Russian Academy of Sciences, Nizhny Novgorod, Russia
| | - D A Kurakina
- Department for Radiophysical Methods in Medicine, Institute of Applied Physics, Russian Academy of Sciences, Nizhny Novgorod, Russia
| | - T I Kalganova
- Department of Oncology, Privolzhsky Research Medical University, Nizhny Novgorod, Russia.,Clinical Laboratory, N.A. Semashko Nizhny Novgorod Regional Clinical Hospital, Nizhny Novgorod, Russia
| | - A B Volovetsky
- Institute of Biology and Biomedicine, N.I. Lobachevsky Nizhny Novgorod State University, Nizhny Novgorod, Russia
| | - I V Turchin
- Department for Radiophysical Methods in Medicine, Institute of Applied Physics, Russian Academy of Sciences, Nizhny Novgorod, Russia
| |
Collapse
|
14
|
Portable Near-Infrared Technologies and Devices for Noninvasive Assessment of Tissue Hemodynamics. JOURNAL OF HEALTHCARE ENGINEERING 2019; 2019:3750495. [PMID: 30891170 PMCID: PMC6390246 DOI: 10.1155/2019/3750495] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/18/2018] [Revised: 12/24/2018] [Accepted: 01/14/2019] [Indexed: 12/29/2022]
Abstract
Tissue hemodynamics, including the blood flow, oxygenation, and oxygen metabolism, are closely associated with many diseases. As one of the portable optical technologies to explore human physiology and assist in healthcare, near-infrared diffuse optical spectroscopy (NIRS) for tissue oxygenation measurement has been developed for four decades. In recent years, a dynamic NIRS technology, namely, diffuse correlation spectroscopy (DCS), has been emerging as a portable tool for tissue blood flow measurement. In this article, we briefly describe the basic principle and algorithms for static NIRS and dynamic NIRS (i.e., DCS). Then, we elaborate on the NIRS instrumentation, either commercially available or custom-made, as well as their applications to physiological studies and clinic. The extension of NIRS/DCS from spectroscopy to imaging was depicted, followed by introductions of advanced algorithms that were recently proposed. The future prospective of the NIRS/DCS and their feasibilities for routine utilization in hospital is finally discussed.
Collapse
|
15
|
Zhang P, Gui Z, Guo G, Shang Y. Approaches to denoise the diffuse optical signals for tissue blood flow measurement. BIOMEDICAL OPTICS EXPRESS 2018; 9:6170-6185. [PMID: 31065421 PMCID: PMC6490982 DOI: 10.1364/boe.9.006170] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/25/2018] [Revised: 10/21/2018] [Accepted: 10/26/2018] [Indexed: 05/03/2023]
Abstract
Various diseases are relevant to the abnormal blood flow in tissue. Diffuse correlation spectroscopy (DCS) is an emerging technology to extract the blood flow index (BFI) from light electric field temporal autocorrelation data. To account for tissue heterogeneity and irregular geometry, we developed an innovative DCS algorithm (i.e., the Nth order linear algorithm, or simply the NL algorithm) previously, in which the DCS signals are fully utilized through iterative linear regressions. Under the framework of NL algorithm, the BFI to be extracted is significantly influenced by the linear regression approach adopted. In this study, three approaches were proposed and evaluated for performing the iterative linear regressions, in order to understand what are the appropriate regression methods for BFI estimation. The three methods are least-squared minimization (L2 norm), least-absolute minimization (L1 norm) and support vector regression (SVR), where L2 norm is a conventional approach to perform linear regression. L1 norm and SVR are the approaches newly introduced here to process the DCS data. Computer simulations and the autocorrelation data collected from liquid phantom and human tissues are utilized to evaluate the three approaches. The results show that the best performance is achieved by the SVR approach in extracting the BFI values, with an error rate of 2.23% at 3.0 cm source-detector separation. The L1 norm method gives a medium error of 2.81%. In contrast, the L2 norm method leads to the largest error (3.93%) in extracting the BFI values. The outcomes derived from this study will be very helpful for the tissue blood flow measurements, which is critical for translating the DCS technology to the clinic.
Collapse
Affiliation(s)
- Peng Zhang
- Shanxi Provincial Key Laboratory for Biomedical Imaging and Big Data, North University of China, No. 3 Xueyuan Road, Taiyuan 030051, China
| | - Zhiguo Gui
- Shanxi Provincial Key Laboratory for Biomedical Imaging and Big Data, North University of China, No. 3 Xueyuan Road, Taiyuan 030051, China
| | - GuoDong Guo
- Shanxi Provincial Key Laboratory for Biomedical Imaging and Big Data, North University of China, No. 3 Xueyuan Road, Taiyuan 030051, China
- Department of Computer Science and Electrical Engineering, West Virginia University, Morgantown, WV26506, USA
| | - Yu Shang
- Shanxi Provincial Key Laboratory for Biomedical Imaging and Big Data, North University of China, No. 3 Xueyuan Road, Taiyuan 030051, China
| |
Collapse
|
16
|
Roberts PR, Jani AB, Packianathan S, Albert A, Bhandari R, Vijayakumar S. Upcoming imaging concepts and their impact on treatment planning and treatment response in radiation oncology. Radiat Oncol 2018; 13:146. [PMID: 30103786 PMCID: PMC6088418 DOI: 10.1186/s13014-018-1091-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2018] [Accepted: 07/31/2018] [Indexed: 12/14/2022] Open
Abstract
For 2018, the American Cancer Society estimated that there would be approximately 1.7 million new diagnoses of cancer and about 609,640 cancer-related deaths in the United States. By 2030 these numbers are anticipated to exceed a staggering 21 million annual diagnoses and 13 million cancer-related deaths. The three primary therapeutic modalities for cancer treatments are surgery, chemotherapy, and radiation therapy. Individually or in combination, these treatment modalities have provided and continue to provide curative and palliative care to the myriad victims of cancer. Today, CT-based treatment planning is the primary means through which conventional photon radiation therapy is planned. Although CT remains the primary treatment planning modality, the field of radiation oncology is moving beyond the sole use of CT scans to define treatment targets and organs at risk. Complementary tissue scans, such as magnetic resonance imaging (MRI) and positron electron emission (PET) scans, have all improved a physician’s ability to more specifically identify target tissues, and in some cases, international guidelines have even been issued. Moreover, efforts to combine PET and MR to define solid tumors for radiotherapy planning and treatment evaluation are also gaining traction. Keeping these advances in mind, we present brief overviews of other up-and-coming key imaging concepts that appear promising for initial treatment target definition or treatment response from radiation therapy.
Collapse
Affiliation(s)
- Paul Russell Roberts
- Department of Radiation Oncology, University of Mississippi Medical Center, 350 Woodrow Wilson Drive Suite 1600, Jackson, MS, 39213, USA
| | - Ashesh B Jani
- Department of Radiation Oncology, Winship Cancer Institute of Emory University, 1365 Clifton Rd, Atlanta, GA, 30322, USA
| | - Satyaseelan Packianathan
- Department of Radiation Oncology, University of Mississippi Medical Center, 350 Woodrow Wilson Drive Suite 1600, Jackson, MS, 39213, USA
| | - Ashley Albert
- Department of Radiation Oncology, University of Mississippi Medical Center, 350 Woodrow Wilson Drive Suite 1600, Jackson, MS, 39213, USA
| | - Rahul Bhandari
- Department of Radiation Oncology, University of Mississippi Medical Center, 350 Woodrow Wilson Drive Suite 1600, Jackson, MS, 39213, USA
| | - Srinivasan Vijayakumar
- Department of Radiation Oncology, University of Mississippi Medical Center, 350 Woodrow Wilson Drive Suite 1600, Jackson, MS, 39213, USA.
| |
Collapse
|
17
|
Diaz PM, Jenkins SV, Alhallak K, Semeniak D, Griffin RJ, Dings RPM, Rajaram N. Quantitative diffuse reflectance spectroscopy of short-term changes in tumor oxygenation after radiation in a matched model of radiation resistance. BIOMEDICAL OPTICS EXPRESS 2018; 9:3794-3804. [PMID: 30338156 PMCID: PMC6191608 DOI: 10.1364/boe.9.003794] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/06/2018] [Revised: 07/13/2018] [Accepted: 07/18/2018] [Indexed: 05/20/2023]
Abstract
There is a critical need to identify patients with radiation-resistant tumors early after treatment commencement. In this study, we use diffuse reflectance spectroscopy (DRS) to investigate changes in vascular oxygenation and total hemoglobin concentration in A549 radiation-sensitive and resistant tumors treated with a clinically relevant dose fraction of 2 Gy. DRS spectra were acquired before, immediately after, 24, and 48 hours after radiation. Our data reveals a significantly higher reoxygenation (sO2) in the radiation-resistant tumors 24 and 48h after treatment, and provides promising evidence that DRS can discern between the reoxygenation trends of radiation-sensitive and resistant tumors.
Collapse
Affiliation(s)
- Paola Monterroso Diaz
- Department of Biomedical Engineering, University of Arkansas, Fayetteville, AR 72701, USA
| | - Samir V. Jenkins
- Division of Radiation Biology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
| | - Kinan Alhallak
- Department of Biomedical Engineering, University of Arkansas, Fayetteville, AR 72701, USA
| | - Daria Semeniak
- Department of Biomedical Engineering, University of Arkansas, Fayetteville, AR 72701, USA
| | - Robert J. Griffin
- Division of Radiation Biology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
| | - Ruud P. M. Dings
- Division of Radiation Biology, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA
| | - Narasimhan Rajaram
- Department of Biomedical Engineering, University of Arkansas, Fayetteville, AR 72701, USA
| |
Collapse
|
18
|
Biete A, Holub K. Haemoglobin monitoring in endometrial cancer patients undergoing radiotherapy. Clin Transl Oncol 2017; 19:1518-1523. [DOI: 10.1007/s12094-017-1698-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2017] [Accepted: 05/29/2017] [Indexed: 02/06/2023]
|
19
|
Farzam P, Johansson J, Mireles M, Jiménez-Valerio G, Martínez-Lozano M, Choe R, Casanovas O, Durduran T. Pre-clinical longitudinal monitoring of hemodynamic response to anti-vascular chemotherapy by hybrid diffuse optics. BIOMEDICAL OPTICS EXPRESS 2017; 8:2563-2582. [PMID: 28663891 PMCID: PMC5480498 DOI: 10.1364/boe.8.002563] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/20/2017] [Revised: 03/20/2017] [Accepted: 03/30/2017] [Indexed: 05/20/2023]
Abstract
The longitudinal effect of an anti-vascular endothelial growth factor receptor 2 (VEGFR-2) antibody (DC 101) therapy on a xenografted renal cell carcinoma (RCC) mouse model was monitored using hybrid diffuse optics. Two groups of immunosuppressed male nude mice (seven treated, seven controls) were measured. Tumor microvascular blood flow, total hemoglobin concentration and blood oxygenation were investigated as potential biomarkers for the monitoring of the therapy effect twice a week and were related to the final treatment outcome. These hemodynamic biomarkers have shown a clear differentiation between two groups by day four. Moreover, we have observed that pre-treatment values and early changes in hemodynamics are highly correlated with the therapeutic outcome demonstrating the potential of diffuse optics to predict the therapy response at an early time point.
Collapse
Affiliation(s)
- Parisa Farzam
- ICFO-Institut de Ciències Fotòniques, The Barcelona Institute of Sciences and Technology, 08860, Castelldefels (Barcelona),
Spain
- Athinoula A. Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02129,
USA
| | - Johannes Johansson
- ICFO-Institut de Ciències Fotòniques, The Barcelona Institute of Sciences and Technology, 08860, Castelldefels (Barcelona),
Spain
- Department of Biomedical Engineering, Linköping University, 58185 Linköping,
Sweden
| | - Miguel Mireles
- ICFO-Institut de Ciències Fotòniques, The Barcelona Institute of Sciences and Technology, 08860, Castelldefels (Barcelona),
Spain
| | - Gabriela Jiménez-Valerio
- Program Against Cancer Therapeutic Resistance (ProCURE), Catalan Institute of Oncology, Bellvitge Biomedical Research Institute – IDIBELL, 08908, L’Hospitalet de Llobregat (Barcelona),
Spain
| | - Mar Martínez-Lozano
- Program Against Cancer Therapeutic Resistance (ProCURE), Catalan Institute of Oncology, Bellvitge Biomedical Research Institute – IDIBELL, 08908, L’Hospitalet de Llobregat (Barcelona),
Spain
| | - Regine Choe
- Department of Biomedical Engineering, University of Rochester, Rochester, NY 14627,
USA
- Department of Electrical and Computer Engineering, University of Rochester, Rochester, NY 14627,
USA
| | - Oriol Casanovas
- Program Against Cancer Therapeutic Resistance (ProCURE), Catalan Institute of Oncology, Bellvitge Biomedical Research Institute – IDIBELL, 08908, L’Hospitalet de Llobregat (Barcelona),
Spain
| | - Turgut Durduran
- ICFO-Institut de Ciències Fotòniques, The Barcelona Institute of Sciences and Technology, 08860, Castelldefels (Barcelona),
Spain
- Instituciò Catalana de Recerca i Estudis Avançats (ICREA), 08015, Barcelona,
Spain
| |
Collapse
|
20
|
Cochran JM, Chung SH, Leproux A, Baker WB, Busch DR, DeMichele AM, Tchou J, Tromberg BJ, Yodh AG. Longitudinal optical monitoring of blood flow in breast tumors during neoadjuvant chemotherapy. Phys Med Biol 2017; 62:4637-4653. [PMID: 28402286 DOI: 10.1088/1361-6560/aa6cef] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
We measure tissue blood flow markers in breast tumors during neoadjuvant chemotherapy and investigate their correlation to pathologic complete response in a pilot longitudinal patient study (n = 4). Tumor blood flow is quantified optically by diffuse correlation spectroscopy (DCS), and tissue optical properties, blood oxygen saturation, and total hemoglobin concentration are derived from concurrent diffuse optical spectroscopic imaging (DOSI). The study represents the first longitudinal DCS measurement of neoadjuvant chemotherapy in humans over the entire course of treatment; it therefore offers a first correlation between DCS flow indices and pathologic complete response. The use of absolute optical properties measured by DOSI facilitates significant improvement of DCS blood flow calculation, which typically assumes optical properties based on literature values. Additionally, the combination of the DCS blood flow index and the tissue oxygen saturation from DOSI permits investigation of tissue oxygen metabolism. Pilot results from four patients suggest that lower blood flow in the lesion-bearing breast is correlated with pathologic complete response. Both absolute lesion blood flow and lesion flow relative to the contralateral breast exhibit potential for characterization of pathological response. This initial demonstration of the combined optical approach for chemotherapy monitoring provides incentive for more comprehensive studies in the future and can help power those investigations.
Collapse
Affiliation(s)
- J M Cochran
- Department of Physics and Astronomy, University of Pennsylvania, 209 S 33rd St, Philadelphia, PA 19104, United States of America
| | | | | | | | | | | | | | | | | |
Collapse
|
21
|
Yazdi HS, O’Sullivan TD, Leproux A, Hill B, Durkin A, Telep S, Lam J, Yazdi SS, Police AM, Carroll RM, Combs FJ, Strömberg T, Yodh AG, Tromberg BJ. Mapping breast cancer blood flow index, composition, and metabolism in a human subject using combined diffuse optical spectroscopic imaging and diffuse correlation spectroscopy. JOURNAL OF BIOMEDICAL OPTICS 2017; 22:45003. [PMID: 28384703 PMCID: PMC5381696 DOI: 10.1117/1.jbo.22.4.045003] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/23/2016] [Accepted: 03/13/2017] [Indexed: 05/18/2023]
Abstract
Diffuse optical spectroscopic imaging (DOSI) and diffuse correlation spectroscopy (DCS) are model-based near-infrared (NIR) methods that measure tissue optical properties (broadband absorption, ? a , and reduced scattering, ? s ? ) and blood flow (blood flow index, BFI), respectively. DOSI-derived ? a values are used to determine composition by calculating the tissue concentration of oxy- and deoxyhemoglobin ( HbO 2 , HbR), water, and lipid. We developed and evaluated a combined, coregistered DOSI/DCS handheld probe for mapping and imaging these parameters. We show that uncertainties of 0.3 ?? mm ? 1 (37%) in ? s ? and 0.003 ?? mm ? 1 (33%) in ? a lead to ? 53 % and 9% errors in BFI, respectively. DOSI/DCS imaging of a solid tissue-simulating flow phantom and
Collapse
MESH Headings
- Adult
- Carcinoma, Ductal, Breast/blood supply
- Carcinoma, Ductal, Breast/diagnostic imaging
- Carcinoma, Ductal, Breast/drug therapy
- Diffusion
- Female
- Hemoglobins/analysis
- Humans
- Lipids/blood
- Models, Theoretical
- Neoadjuvant Therapy
- Oxyhemoglobins/analysis
- Phantoms, Imaging
- Spectrophotometry/methods
- Spectroscopy, Near-Infrared/methods
- Tomography, Optical/methods
Collapse
Affiliation(s)
- Hossein S. Yazdi
- University of California, Beckman Laser Institute and Medical Clinic, Irvine, California, United States
| | - Thomas D. O’Sullivan
- University of California, Beckman Laser Institute and Medical Clinic, Irvine, California, United States
| | - Anais Leproux
- University of California, Beckman Laser Institute and Medical Clinic, Irvine, California, United States
| | - Brian Hill
- University of California, Beckman Laser Institute and Medical Clinic, Irvine, California, United States
| | - Amanda Durkin
- University of California, Beckman Laser Institute and Medical Clinic, Irvine, California, United States
| | - Seraphim Telep
- University of California, Beckman Laser Institute and Medical Clinic, Irvine, California, United States
| | - Jesse Lam
- University of California, Beckman Laser Institute and Medical Clinic, Irvine, California, United States
| | - Siavash S. Yazdi
- University of California, Beckman Laser Institute and Medical Clinic, Irvine, California, United States
| | - Alice M. Police
- University of California, Chao Family Comprehensive Cancer Center, Orange, California, United States
| | - Robert M. Carroll
- University of California, Chao Family Comprehensive Cancer Center, Orange, California, United States
| | - Freddie J. Combs
- University of California, Chao Family Comprehensive Cancer Center, Orange, California, United States
| | - Tomas Strömberg
- University of California, Beckman Laser Institute and Medical Clinic, Irvine, California, United States
- Linköping University, Department of Biomedical Engineering, Linköping, Sweden
| | - Arjun G. Yodh
- University of Pennsylvania, Department of Physics and Astronomy, Philadelphia, Pennsylvania, United States
| | - Bruce J. Tromberg
- University of California, Beckman Laser Institute and Medical Clinic, Irvine, California, United States
- Address all correspondence to: Bruce J. Tromberg, E-mail:
| |
Collapse
|
22
|
Shang Y, Li T, Yu G. Clinical applications of near-infrared diffuse correlation spectroscopy and tomography for tissue blood flow monitoring and imaging. Physiol Meas 2017; 38:R1-R26. [PMID: 28199219 PMCID: PMC5726862 DOI: 10.1088/1361-6579/aa60b7] [Citation(s) in RCA: 45] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Abstract
OBJECTIVE Blood flow is one such available observable promoting a wealth of physiological insight both individually and in combination with other metrics. APPROACH Near-infrared diffuse correlation spectroscopy (DCS) and, to a lesser extent, diffuse correlation tomography (DCT), have increasingly received interest over the past decade as noninvasive methods for tissue blood flow measurements and imaging. DCS/DCT offers several attractive features for tissue blood flow measurements/imaging such as noninvasiveness, portability, high temporal resolution, and relatively large penetration depth (up to several centimeters). MAIN RESULTS This review first introduces the basic principle and instrumentation of DCS/DCT, followed by presenting clinical application examples of DCS/DCT for the diagnosis and therapeutic monitoring of diseases in a variety of organs/tissues including brain, skeletal muscle, and tumor. SIGNIFICANCE Clinical study results demonstrate technical versatility of DCS/DCT in providing important information for disease diagnosis and intervention monitoring.
Collapse
Affiliation(s)
- Yu Shang
- Key Laboratory of Instrumentation Science & Dynamic Measurement, North University of China, No.3 Xueyuan Road, Taiyuan, Shanxi 030051, China
| | - Ting Li
- State Key Lab Elect Thin Film & Integrated Device, University of Electronic Science & Technology of China, Chengdu, Sichuan 610054, China
| | - Guoqiang Yu
- Department of Biomedical Engineering, University of Kentucky, 514C RMB, 143 Graham Avenue, Lexington, KY 40506-0108, USA
| |
Collapse
|
23
|
Sirotkina MA, Matveev LA, Shirmanova MV, Zaitsev VY, Buyanova NL, Elagin VV, Gelikonov GV, Kuznetsov SS, Kiseleva EB, Moiseev AA, Gamayunov SV, Zagaynova EV, Feldchtein FI, Vitkin A, Gladkova ND. Photodynamic therapy monitoring with optical coherence angiography. Sci Rep 2017; 7:41506. [PMID: 28148963 PMCID: PMC5288644 DOI: 10.1038/srep41506] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2016] [Accepted: 12/19/2016] [Indexed: 12/04/2022] Open
Abstract
Photodynamic therapy (PDT) is a promising modern approach for cancer therapy with low normal tissue toxicity. This study was focused on a vascular-targeting Chlorine E6 mediated PDT. A new angiographic imaging approach known as M-mode-like optical coherence angiography (MML-OCA) was able to sensitively detect PDT-induced microvascular alterations in the mouse ear tumour model CT26. Histological analysis showed that the main mechanisms of vascular PDT was thrombosis of blood vessels and hemorrhage, which agrees with angiographic imaging by MML-OCA. Relationship between MML-OCA-detected early microvascular damage post PDT (within 24 hours) and tumour regression/regrowth was confirmed by histology. The advantages of MML-OCA such as direct image acquisition, fast processing, robust and affordable system opto-electronics, and label-free high contrast 3D visualization of the microvasculature suggest attractive possibilities of this method in practical clinical monitoring of cancer therapies with microvascular involvement.
Collapse
Affiliation(s)
- M A Sirotkina
- Nizhny Novgorod State Medical Academy, Minina Square 10/1, 603005 Nizhny Novgorod, Russia
| | - L A Matveev
- Nizhny Novgorod State Medical Academy, Minina Square 10/1, 603005 Nizhny Novgorod, Russia.,Institute of Applied Physics Russian Academy of Sciences, Ulyanova Street 46, 603950 Nizhny Novgorod, Russia
| | - M V Shirmanova
- Nizhny Novgorod State Medical Academy, Minina Square 10/1, 603005 Nizhny Novgorod, Russia
| | - V Y Zaitsev
- Nizhny Novgorod State Medical Academy, Minina Square 10/1, 603005 Nizhny Novgorod, Russia.,Institute of Applied Physics Russian Academy of Sciences, Ulyanova Street 46, 603950 Nizhny Novgorod, Russia
| | - N L Buyanova
- Nizhny Novgorod State Medical Academy, Minina Square 10/1, 603005 Nizhny Novgorod, Russia
| | - V V Elagin
- Nizhny Novgorod State Medical Academy, Minina Square 10/1, 603005 Nizhny Novgorod, Russia
| | - G V Gelikonov
- Nizhny Novgorod State Medical Academy, Minina Square 10/1, 603005 Nizhny Novgorod, Russia.,Institute of Applied Physics Russian Academy of Sciences, Ulyanova Street 46, 603950 Nizhny Novgorod, Russia
| | - S S Kuznetsov
- Nizhny Novgorod State Medical Academy, Minina Square 10/1, 603005 Nizhny Novgorod, Russia
| | - E B Kiseleva
- Nizhny Novgorod State Medical Academy, Minina Square 10/1, 603005 Nizhny Novgorod, Russia
| | - A A Moiseev
- Nizhny Novgorod State Medical Academy, Minina Square 10/1, 603005 Nizhny Novgorod, Russia.,Institute of Applied Physics Russian Academy of Sciences, Ulyanova Street 46, 603950 Nizhny Novgorod, Russia
| | - S V Gamayunov
- Republican Clinical Oncology Dispensary, Gladkova F. Street 23, 428000 Cheboksary, Russia
| | - E V Zagaynova
- Nizhny Novgorod State Medical Academy, Minina Square 10/1, 603005 Nizhny Novgorod, Russia
| | - F I Feldchtein
- Nizhny Novgorod State Medical Academy, Minina Square 10/1, 603005 Nizhny Novgorod, Russia
| | - A Vitkin
- Nizhny Novgorod State Medical Academy, Minina Square 10/1, 603005 Nizhny Novgorod, Russia.,University of Toronto and University Health Network, 610 University Ave., Toronto, Ontario, M5G 2M9, Canada
| | - N D Gladkova
- Nizhny Novgorod State Medical Academy, Minina Square 10/1, 603005 Nizhny Novgorod, Russia
| |
Collapse
|
24
|
Diaz D, Lafontant A, Neidrauer M, Weingarten MS, DiMaria-Ghalili RA, Scruggs E, Rece J, Fried GW, Kuzmin VL, Zubkov L. Pressure injury prediction using diffusely scattered light. JOURNAL OF BIOMEDICAL OPTICS 2017; 22:25003. [PMID: 28301656 DOI: 10.1117/1.jbo.22.2.025003] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/08/2016] [Accepted: 01/23/2017] [Indexed: 06/06/2023]
Abstract
Pressure injuries (PIs) originate beneath the surface of the skin at the interface between bone and soft tissue. We used diffuse correlation spectroscopy (DCS) and diffuse near-infrared spectroscopy (DNIRS) to predict the development of PIs by measuring dermal and subcutaneous red cell motion and optical absorption and scattering properties in 11 spinal cord injury subjects with only nonbleachable redness in the sacrococcygeal area in a rehabilitation hospital and 20 healthy volunteers. A custom optical probe was developed to obtain continuous DCS and DNIRS data from sacrococcygeal tissue while the subjects were placed in supine and lateral positions to apply pressure from body weight and to release pressure, respectively. Rehabilitation patients were measured up to four times over a two-week period. Three rehabilitation patients developed open PIs (POs) within four weeks and eight patients did not (PNOs). Temporal correlation functions in the area of redness were significantly different ( p < 0.01 ) during both baseline and applied pressure stages for POs and PNOs. The results show that our optical method may be used for the early prediction of ulcer progression.
Collapse
Affiliation(s)
- David Diaz
- Drexel University, School of Biomedical Engineering, Philadelphia, Pennsylvania, United States
| | - Alec Lafontant
- Drexel University, School of Biomedical Engineering, Philadelphia, Pennsylvania, United States
| | - Michael Neidrauer
- Drexel University, School of Biomedical Engineering, Philadelphia, Pennsylvania, United States
| | - Michael S Weingarten
- Drexel University, College of Medicine, Department of Surgery, Philadelphia, Pennsylvania, United States
| | - Rose Ann DiMaria-Ghalili
- Drexel University, College of Nursing and Health Professions, Philadelphia, Pennsylvania, United States
| | - Ericka Scruggs
- Magee Rehabilitation Hospital, Philadelphia, Pennsylvania, United States
| | - Julianne Rece
- Magee Rehabilitation Hospital, Philadelphia, Pennsylvania, United States
| | - Guy W Fried
- Magee Rehabilitation Hospital, Philadelphia, Pennsylvania, United States
| | | | - Leonid Zubkov
- Drexel University, School of Biomedical Engineering, Philadelphia, Pennsylvania, United States
| |
Collapse
|
25
|
Ramirez G, Proctor AR, Jung KW, Wu TT, Han S, Adams RR, Ren J, Byun DK, Madden KS, Brown EB, Foster TH, Farzam P, Durduran T, Choe R. Chemotherapeutic drug-specific alteration of microvascular blood flow in murine breast cancer as measured by diffuse correlation spectroscopy. BIOMEDICAL OPTICS EXPRESS 2016; 7:3610-3630. [PMID: 27699124 PMCID: PMC5030036 DOI: 10.1364/boe.7.003610] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/01/2016] [Revised: 08/16/2016] [Accepted: 08/17/2016] [Indexed: 05/08/2023]
Abstract
The non-invasive, in vivo measurement of microvascular blood flow has the potential to enhance breast cancer therapy monitoring. Here, longitudinal blood flow of 4T1 murine breast cancer (N=125) under chemotherapy was quantified with diffuse correlation spectroscopy based on layer models. Six different treatment regimens involving doxorubicin, cyclophosphamide, and paclitaxel at clinically relevant doses were investigated. Treatments with cyclophosphamide increased blood flow as early as 3 days after administration, whereas paclitaxel induced a transient blood flow decrease at 1 day after administration. Early blood flow changes correlated strongly with the treatment outcome and distinguished treated from untreated mice individually for effective treatments.
Collapse
Affiliation(s)
- Gabriel Ramirez
- Department of Biomedical Engineering, University of Rochester, Rochester, NY 14627,
USA
| | - Ashley R. Proctor
- Department of Biomedical Engineering, University of Rochester, Rochester, NY 14627,
USA
| | - Ki Won Jung
- Department of Biomedical Engineering, University of Rochester, Rochester, NY 14627,
USA
| | - Tong Tong Wu
- Department of Biostatistics and Computational Biology, University of Rochester Medical Center, Rochester, NY 14642,
USA
| | - Songfeng Han
- The Institute of Optics, University of Rochester, Rochester, NY 14627,
USA
| | - Russell R. Adams
- Department of Biomedical Engineering, University of Rochester, Rochester, NY 14627,
USA
| | - Jingxuan Ren
- Department of Biomedical Engineering, University of Rochester, Rochester, NY 14627,
USA
| | - Daniel K. Byun
- Department of Biomedical Engineering, University of Rochester, Rochester, NY 14627,
USA
| | - Kelley S. Madden
- Department of Biomedical Engineering, University of Rochester, Rochester, NY 14627,
USA
| | - Edward B. Brown
- Department of Biomedical Engineering, University of Rochester, Rochester, NY 14627,
USA
| | - Thomas H. Foster
- Department of Biomedical Engineering, University of Rochester, Rochester, NY 14627,
USA
- The Institute of Optics, University of Rochester, Rochester, NY 14627,
USA
- Department of Imaging Sciences, University of Rochester Medical Center, Rochester, NY 14642,
USA
| | - Parisa Farzam
- ICFO- Institut de Ciències Fotòniques, The Barcelona Institute of Science and Technology, 08860 Castelldefels (Barcelona),
Spain
| | - Turgut Durduran
- ICFO- Institut de Ciències Fotòniques, The Barcelona Institute of Science and Technology, 08860 Castelldefels (Barcelona),
Spain
- Institució Catalana de Recerca i Estudis Avançats (ICREA), 08015 Barcelona,
Spain
| | - Regine Choe
- Department of Biomedical Engineering, University of Rochester, Rochester, NY 14627,
USA
- Department of Electrical and Computer Engineering, University of Rochester, Rochester, NY 14627,
USA
| |
Collapse
|
26
|
Han S, Proctor AR, Vella JB, Benoit DSW, Choe R. Non-invasive diffuse correlation tomography reveals spatial and temporal blood flow differences in murine bone grafting approaches. BIOMEDICAL OPTICS EXPRESS 2016; 7:3262-3279. [PMID: 27699097 PMCID: PMC5030009 DOI: 10.1364/boe.7.003262] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/16/2016] [Revised: 07/30/2016] [Accepted: 07/31/2016] [Indexed: 05/16/2023]
Abstract
Longitudinal blood flow during murine bone graft healing was monitored non-invasively using diffuse correlation tomography. The system utilized spatially dense data from a scanning set-up, non-linear reconstruction, and micro-CT anatomical information. Weekly in vivo measurements were performed. Blood flow changes in autografts, which heal successfully, were localized to graft regions and consistent across mice. Poor healing allografts showed heterogeneous blood flow elevation and high inter-subject variabilities. Allografts with tissue-engineered periosteum showed responses intermediate to both autografts and allografts, consistent with healing observed. These findings suggest that spatiotemporal blood flow changes can be utilized to differentiate the degree of bone graft healing.
Collapse
Affiliation(s)
- Songfeng Han
- Institute of Optics, University of Rochester, Rochester, NY 14627, USA
| | - Ashley R. Proctor
- Department of Biomedical Engineering, University of Rochester, Rochester, NY 14627, USA
| | - Joseph B. Vella
- Department of Biomedical Engineering, University of Rochester, Rochester, NY 14627, USA
- Department of Orthopaedics and Center for Musculoskeletal Research, University of Rochester Medical Center, Rochester, NY 14642, USA
- Department of Otolaryngology-Head and Neck Surgery, University of Rochester Medical Center, Rochester, NY 14642, USA
| | - Danielle S. W. Benoit
- Department of Biomedical Engineering, University of Rochester, Rochester, NY 14627, USA
- Department of Orthopaedics and Center for Musculoskeletal Research, University of Rochester Medical Center, Rochester, NY 14642, USA
- Department of Chemical Engineering, University of Rochester, Rochester, NY 14627, USA
- Department of Biomedical Genetics, University of Rochester Medical Center, Rochester, NY 14642, USA
| | - Regine Choe
- Department of Biomedical Engineering, University of Rochester, Rochester, NY 14627, USA
- Department of Electrical and Computer Engineering, University of Rochester, Rochester, NY 14627, USA
| |
Collapse
|
27
|
Photodynamic Therapy-Induced Microvascular Changes in a Nonmelanoma Skin Cancer Model Assessed by Photoacoustic Microscopy and Diffuse Correlation Spectroscopy. PHOTONICS 2016. [DOI: 10.3390/photonics3030048] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
|
28
|
Dong L, Kudrimoti M, Irwin D, Chen L, Kumar S, Shang Y, Huang C, Johnson EL, Stevens SD, Shelton BJ, Yu G. Diffuse optical measurements of head and neck tumor hemodynamics for early prediction of chemoradiation therapy outcomes. JOURNAL OF BIOMEDICAL OPTICS 2016; 21:85004. [PMID: 27564315 PMCID: PMC4999482 DOI: 10.1117/1.jbo.21.8.085004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/11/2016] [Accepted: 08/08/2016] [Indexed: 05/03/2023]
Abstract
This study used a hybrid near-infrared diffuse optical instrument to monitor tumor hemodynamic responses to chemoradiation therapy for early prediction of treatment outcomes in patients with head and neck cancer. Forty-seven patients were measured once per week to evaluate the hemodynamic status of clinically involved cervical lymph nodes as surrogates for the primary tumor response. Patients were classified into two groups: complete response (CR) (n=29) and incomplete response (IR) (n=18). Tumor hemodynamic responses were found to be associated with clinical outcomes (CR/IR), wherein the associations differed depending on human papillomavirus (HPV-16) status. In HPV-16 positive patients, significantly lower levels in tumor oxygenated hemoglobin concentration ([HbO2]) at weeks 1 to 3, total hemoglobin concentration at week 3, and blood oxygen saturation (StO2) at week 3 were found in the IR group. In HPV-16 negative patients, significantly higher levels in tumor blood flow index and reduced scattering coefficient (μs′) at week 3 were observed in the IR group. These hemodynamic parameters exhibited significantly high accuracy for early prediction of clinical outcomes, within the first three weeks of therapy, with the areas under the receiver operating characteristic curves (AUCs) ranging from 0.83 to 0.96.
Collapse
Affiliation(s)
- Lixin Dong
- University of Kentucky College of Engineering, Department of Biomedical Engineering, 143 Graham Avenue, Lexington, Kentucky 40506, United States
| | - Mahesh Kudrimoti
- University of Kentucky College of Medicine, Department of Radiation Medicine, 800 Rose Street, Lexington, Kentucky 40536, United States
| | - Daniel Irwin
- University of Kentucky College of Engineering, Department of Biomedical Engineering, 143 Graham Avenue, Lexington, Kentucky 40506, United States
| | - Li Chen
- University of Kentucky, Biostatistics and Bioinformatics Shared Resource Facility, Markey Cancer Center, Lexington, 800 Rose Street, Kentucky 40536, United States
- University of Kentucky College of Public Health, Department of Biostatistics, Lexington, 111 Washington Avenue, Kentucky 40536, United States
| | - Sameera Kumar
- University of Kentucky College of Medicine, Department of Radiation Medicine, 800 Rose Street, Lexington, Kentucky 40536, United States
| | - Yu Shang
- University of Kentucky College of Engineering, Department of Biomedical Engineering, 143 Graham Avenue, Lexington, Kentucky 40506, United States
| | - Chong Huang
- University of Kentucky College of Engineering, Department of Biomedical Engineering, 143 Graham Avenue, Lexington, Kentucky 40506, United States
| | - Ellis L. Johnson
- University of Kentucky College of Medicine, Department of Radiation Medicine, 800 Rose Street, Lexington, Kentucky 40536, United States
| | - Scott D. Stevens
- University of Kentucky College of Medicine, Department of Radiology, 800 Rose Street, Lexington, Kentucky 40536, United States
| | - Brent J. Shelton
- University of Kentucky, Biostatistics and Bioinformatics Shared Resource Facility, Markey Cancer Center, Lexington, 800 Rose Street, Kentucky 40536, United States
- University of Kentucky College of Public Health, Department of Biostatistics, Lexington, 111 Washington Avenue, Kentucky 40536, United States
| | - Guoqiang Yu
- University of Kentucky College of Engineering, Department of Biomedical Engineering, 143 Graham Avenue, Lexington, Kentucky 40506, United States
- Address all correspondence to: Guoqiang Yu, E-mail:
| |
Collapse
|
29
|
Wang D, Parthasarathy AB, Baker WB, Gannon K, Kavuri V, Ko T, Schenkel S, Li Z, Li Z, Mullen MT, Detre JA, Yodh AG. Fast blood flow monitoring in deep tissues with real-time software correlators. BIOMEDICAL OPTICS EXPRESS 2016; 7:776-97. [PMID: 27231588 PMCID: PMC4866455 DOI: 10.1364/boe.7.000776] [Citation(s) in RCA: 60] [Impact Index Per Article: 7.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/14/2015] [Revised: 01/20/2016] [Accepted: 01/21/2016] [Indexed: 05/19/2023]
Abstract
We introduce, validate and demonstrate a new software correlator for high-speed measurement of blood flow in deep tissues based on diffuse correlation spectroscopy (DCS). The software correlator scheme employs standard PC-based data acquisition boards to measure temporal intensity autocorrelation functions continuously at 50 - 100 Hz, the fastest blood flow measurements reported with DCS to date. The data streams, obtained in vivo for typical source-detector separations of 2.5 cm, easily resolve pulsatile heart-beat fluctuations in blood flow which were previously considered to be noise. We employ the device to separate tissue blood flow from tissue absorption/scattering dynamics and thereby show that the origin of the pulsatile DCS signal is primarily flow, and we monitor cerebral autoregulation dynamics in healthy volunteers more accurately than with traditional instrumentation as a result of increased data acquisition rates. Finally, we characterize measurement signal-to-noise ratio and identify count rate and averaging parameters needed for optimal performance.
Collapse
Affiliation(s)
- Detian Wang
- Dept. of Physics and Astronomy, University of Pennsylvania, Philadelphia, PA 19104
USA
- Interdisciplinary Laboratory of Physics and Biomedicine, Institute of Fluid Physics, China Academy of Engineering Physics, Mianyang 621900,
China
| | | | - Wesley B. Baker
- Dept. of Physics and Astronomy, University of Pennsylvania, Philadelphia, PA 19104
USA
| | - Kimberly Gannon
- Div. of Stroke and Neurocritical Care, Hospital of the University of Pennsylvania, Philadelphia, PA 19104
USA
| | - Venki Kavuri
- Dept. of Physics and Astronomy, University of Pennsylvania, Philadelphia, PA 19104
USA
| | - Tiffany Ko
- Dept. of Physics and Astronomy, University of Pennsylvania, Philadelphia, PA 19104
USA
| | - Steven Schenkel
- Dept. of Physics and Astronomy, University of Pennsylvania, Philadelphia, PA 19104
USA
| | - Zhe Li
- Dept. of Physics and Astronomy, University of Pennsylvania, Philadelphia, PA 19104
USA
- State Key Laboratory of Precision Measurement Technology and Instruments, Tianjin University, Tianjin 300072,
China
| | - Zeren Li
- Interdisciplinary Laboratory of Physics and Biomedicine, Institute of Fluid Physics, China Academy of Engineering Physics, Mianyang 621900,
China
| | - Michael T. Mullen
- Div. of Stroke and Neurocritical Care, Hospital of the University of Pennsylvania, Philadelphia, PA 19104
USA
| | - John A. Detre
- Div. of Stroke and Neurocritical Care, Hospital of the University of Pennsylvania, Philadelphia, PA 19104
USA
| | - Arjun G. Yodh
- Dept. of Physics and Astronomy, University of Pennsylvania, Philadelphia, PA 19104
USA
| |
Collapse
|
30
|
Lindner C, Mora M, Farzam P, Squarcia M, Johansson J, Weigel UM, Halperin I, Hanzu FA, Durduran T. Diffuse Optical Characterization of the Healthy Human Thyroid Tissue and Two Pathological Case Studies. PLoS One 2016; 11:e0147851. [PMID: 26815533 PMCID: PMC4731400 DOI: 10.1371/journal.pone.0147851] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2015] [Accepted: 01/08/2016] [Indexed: 12/17/2022] Open
Abstract
The in vivo optical and hemodynamic properties of the healthy (n = 22) and pathological (n = 2) human thyroid tissue were measured non-invasively using a custom time-resolved spectroscopy (TRS) and diffuse correlation spectroscopy (DCS) system. Medical ultrasound was used to guide the placement of the hand-held hybrid optical probe. TRS measured the absorption and reduced scattering coefficients (μa, μs′) at three wavelengths (690, 785 and 830 nm) to derive total hemoglobin concentration (THC) and oxygen saturation (StO2). DCS measured the microvascular blood flow index (BFI). Their dependencies on physiological and clinical parameters and positions along the thyroid were investigated and compared to the surrounding sternocleidomastoid muscle. The THC in the thyroid ranged from 131.9 μM to 144.8 μM, showing a 25–44% increase compared to the surrounding sternocleidomastoid muscle tissue. The blood flow was significantly higher in the thyroid (BFIthyroid = 16.0 × 10-9 cm2/s) compared to the muscle (BFImuscle = 7.8 × 10-9 cm2/s), while StO2 showed a small (StO2, muscle = 63.8% to StO2, thyroid = 68.4%), yet significant difference. Two case studies with thyroid nodules underwent the same measurement protocol prior to thyroidectomy. Their THC and BFI reached values around 226.5 μM and 62.8 × 10-9 cm2/s respectively showing a clear contrast to the nodule-free thyroid tissue as well as the general population. The initial characterization of the healthy and pathologic human thyroid tissue lays the ground work for the future investigation on the use of diffuse optics in thyroid cancer screening.
Collapse
Affiliation(s)
- Claus Lindner
- ICFO - Institut de Ciències Fotòniques, The Barcelona Institute of Science and Technology, Castelldefels (Barcelona), Spain
- * E-mail:
| | - Mireia Mora
- Department of Endocrinology and Nutrition, Hospital Clínic, Barcelona, Spain
- Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Barcelona, Spain
| | - Parisa Farzam
- ICFO - Institut de Ciències Fotòniques, The Barcelona Institute of Science and Technology, Castelldefels (Barcelona), Spain
| | | | - Johannes Johansson
- ICFO - Institut de Ciències Fotòniques, The Barcelona Institute of Science and Technology, Castelldefels (Barcelona), Spain
| | - Udo M. Weigel
- ICFO - Institut de Ciències Fotòniques, The Barcelona Institute of Science and Technology, Castelldefels (Barcelona), Spain
- Hemophotonics S.L., Mediterranean Technology Park, Castelldefels (Barcelona), Spain
| | - Irene Halperin
- Department of Endocrinology and Nutrition, Hospital Clínic, Barcelona, Spain
- Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Barcelona, Spain
| | - Felicia A. Hanzu
- Department of Endocrinology and Nutrition, Hospital Clínic, Barcelona, Spain
- Institut d’Investigacions Biomèdiques August Pi I Sunyer (IDIBAPS), Barcelona, Spain
| | - Turgut Durduran
- ICFO - Institut de Ciències Fotòniques, The Barcelona Institute of Science and Technology, Castelldefels (Barcelona), Spain
- Institució Catalana de Recerca i Estudis Avançats (ICREA), Barcelona, Spain
| |
Collapse
|
31
|
Busch DR, Lynch JM, Winters ME, McCarthy AL, Newland JJ, Ko T, Cornaglia MA, Radcliffe J, McDonough JM, Samuel J, Matthews E, Xiao R, Yodh AG, Marcus CL, Licht DJ, Tapia IE. Cerebral Blood Flow Response to Hypercapnia in Children with Obstructive Sleep Apnea Syndrome. Sleep 2016; 39:209-16. [PMID: 26414896 DOI: 10.5665/sleep.5350] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2015] [Accepted: 08/07/2015] [Indexed: 11/03/2022] Open
Abstract
STUDY OBJECTIVES Children with obstructive sleep apnea syndrome (OSAS) often experience periods of hypercapnia during sleep, a potent stimulator of cerebral blood flow (CBF). Considering this hypercapnia exposure during sleep, it is possible that children with OSAS have abnormal CBF responses to hypercapnia even during wakefulness. Therefore, we hypothesized that children with OSAS have blunted CBF response to hypercapnia during wakefulness, compared to snorers and controls. METHODS CBF changes during hypercapnic ventilatory response (HCVR) were tested in children with OSAS, snorers, and healthy controls using diffuse correlation spectroscopy (DCS). Peak CBF changes with respect to pre-hypercapnic baseline were measured for each group. The study was conducted at an academic pediatric sleep center. RESULTS Twelve children with OSAS (aged 10.1 ± 2.5 [mean ± standard deviation] y, obstructive apnea hypopnea index [AHI] = 9.4 [5.1-15.4] [median, interquartile range] events/hour), eight snorers (11 ± 3 y, 0.5 [0-1.3] events/hour), and 10 controls (11.4 ± 2.6 y, 0.3 [0.2-0.4] events/hour) were studied. The fractional CBF change during hypercapnia, normalized to the change in end-tidal carbon dioxide, was significantly higher in controls (9 ± 1.8 %/mmHg) compared to OSAS (7.1 ± 1.5, P = 0.023) and snorers (6.7 ± 1.9, P = 0.025). CONCLUSIONS Children with OSAS and snorers have blunted CBF response to hypercapnia during wakefulness compared to controls. Noninvasive DCS blood flow measurements of hypercapnic reactivity offer insights into physiopathology of OSAS in children, which could lead to further understanding about the central nervous system complications of OSAS.
Collapse
Affiliation(s)
- David R Busch
- Division of Neurology, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.,Department of Physics and Astronomy, University of Pennsylvania, Philadelphia, PA
| | - Jennifer M Lynch
- Department of Physics and Astronomy, University of Pennsylvania, Philadelphia, PA
| | - Madeline E Winters
- Division of Neurology, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
| | | | - John J Newland
- Division of Neurology, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
| | - Tiffany Ko
- Department of Biomedical Engineering, University of Pennsylvania, Philadelphia, PA
| | - Mary Anne Cornaglia
- The Sleep Center, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
| | - Jerilynn Radcliffe
- Clinical and Translational Research Center, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
| | - Joseph M McDonough
- The Sleep Center, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
| | - John Samuel
- The Sleep Center, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
| | - Edward Matthews
- The Sleep Center, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
| | - Rui Xiao
- Department of Biostatistics and Epidemiology, University of Pennsylvania, Philadelphia, PA
| | - Arjun G Yodh
- Department of Physics and Astronomy, University of Pennsylvania, Philadelphia, PA
| | - Carole L Marcus
- The Sleep Center, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
| | - Daniel J Licht
- Division of Neurology, Children's Hospital of Philadelphia, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
| | - Ignacio E Tapia
- The Sleep Center, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
| |
Collapse
|
32
|
Rohrbach DJ, Rigual N, Arshad H, Tracy EC, Cooper MT, Shafirstein G, Wilding G, Merzianu M, Baumann H, Henderson BW, Sunar U. Intraoperative optical assessment of photodynamic therapy response of superficial oral squamous cell carcinoma. JOURNAL OF BIOMEDICAL OPTICS 2016; 21:18002. [PMID: 26780226 PMCID: PMC5996863 DOI: 10.1117/1.jbo.21.1.018002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/11/2015] [Accepted: 12/11/2015] [Indexed: 06/05/2023]
Abstract
This study investigated whether diffuse optical spectroscopy (DOS) measurements could assess clinical response to photodynamic therapy (PDT) in patients with head and neck squamous cell carcinoma (HNSCC). In addition, the correlation between parameters measured with DOS and the crosslinking of signal transducer and activator of transcription 3 (STAT3), a molecular marker for PDT-induced photoreaction, was investigated. Thirteen patients with early stage HNSCC received the photosensitizer 2-[1-hexyloxyethyl]-2-devinylpyropheophorbide-a (HPPH) and DOS measurements were performed before and after PDT in the operating room (OR). In addition, biopsies were acquired after PDT to assess the STAT3 crosslinking. Parameters measured with DOS, including blood volume fraction, blood oxygen saturation (StO2), HPPH concentration (cHPPH), HPPH fluorescence, and blood flow index (BFI), were compared to the pathologic response and the STAT3 crosslinking. The best individual predictor of pathological response was a change in cHPPH (sensitivity=60%, specificity=100%), while discrimination analysis using a two-parameter classifier (change in cHPPH and change in StO2) classified pathological response with 100% sensitivity and 100% specificity. BFI showed the best correlation with the crosslinking of STAT3. These results indicate that DOS-derived parameters can assess the clinical response in the OR, allowing for earlier reintervention if needed.
Collapse
Affiliation(s)
- Daniel J. Rohrbach
- Roswell Park Cancer Institute, Department of Cell Stress Biology, Elm and Carlton Streets, Buffalo, New York 14263, United States
- Wright State University, Department of Biomedical, Industrial and Human Factors Engineering, 207 Russ Center, Dayton, Ohio 45435, United States
| | - Nestor Rigual
- Roswell Park Cancer Institute, Department of Head and Neck Surgery, Elm and Carlton Streets, Buffalo, New York 14263, United States
| | - Hassan Arshad
- Roswell Park Cancer Institute, Department of Head and Neck Surgery, Elm and Carlton Streets, Buffalo, New York 14263, United States
| | - Erin C. Tracy
- Roswell Park Cancer Institute, Department of Cellular and Molecular Biology, Elm and Carlton Streets, Buffalo, New York 14263, United States
| | - Michelle T. Cooper
- Roswell Park Cancer Institute, Department of Cell Stress Biology, Elm and Carlton Streets, Buffalo, New York 14263, United States
| | - Gal Shafirstein
- Roswell Park Cancer Institute, Department of Cell Stress Biology, Elm and Carlton Streets, Buffalo, New York 14263, United States
| | - Gregory Wilding
- Roswell Park Cancer Institute, Department of Biostatistics and Bioinformatics, Elm and Carlton Streets, Buffalo, New York 14263, United States
| | - Mihai Merzianu
- Roswell Park Cancer Institute, Department of Pathology and Laboratory Medicine, Elm and Carlton Streets, Buffalo, New York 14263, United States
| | - Heinz Baumann
- Roswell Park Cancer Institute, Department of Cellular and Molecular Biology, Elm and Carlton Streets, Buffalo, New York 14263, United States
| | - Barbara W. Henderson
- Roswell Park Cancer Institute, Department of Cell Stress Biology, Elm and Carlton Streets, Buffalo, New York 14263, United States
| | - Ulas Sunar
- Roswell Park Cancer Institute, Department of Cell Stress Biology, Elm and Carlton Streets, Buffalo, New York 14263, United States
- Wright State University, Department of Biomedical, Industrial and Human Factors Engineering, 207 Russ Center, Dayton, Ohio 45435, United States
- State University of New York at Buffalo, Department of Biomedical Engineering, 332 Bonner Hall, Buffalo, New York 14228, United States
| |
Collapse
|
33
|
Huang C, Lin Y, He L, Irwin D, Szabunio MM, Yu G. Alignment of sources and detectors on breast surface for noncontact diffuse correlation tomography of breast tumors. APPLIED OPTICS 2015; 54:8808-16. [PMID: 26479823 PMCID: PMC4801123 DOI: 10.1364/ao.54.008808] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/21/2023]
Abstract
Noncontact diffuse correlation tomography (ncDCT) is an emerging technology for 3D imaging of deep tissue blood flow distribution without distorting hemodynamic properties. To adapt the ncDCT for imaging in vivo breast tumors, we designed a motorized ncDCT probe to scan over the breast surface. A computer-aided design (CAD)-based approach was proposed to create solid volume mesh from arbitrary breast surface obtained by a commercial 3D camera. The sources and detectors of ncDCT were aligned on the breast surface through ray tracing to mimic the ncDCT scanning with CAD software. The generated breast volume mesh along with the boundary data of ncDCT at the aligned source and detector pairs were used for finite-element-method-based flow image reconstruction. We evaluated the accuracy of source alignments on mannequin and human breasts; largest alignment errors were less than 10% in both tangential and radial directions of scanning. The impact of alignment errors (assigned 10%) on the tumor reconstruction was estimated using computer simulations. The deviations of simulated tumor location and blood flow contrast resulted from the alignment errors were 0.77 mm (less than the node distance of 1 mm) and 1%, respectively, which result in minor impact on flow image reconstruction. Finally, a case study on a human breast tumor was conducted and a tumor-to-normal flow contrast was reconstructed, demonstrating the feasibility of ncDCT in clinical application.
Collapse
Affiliation(s)
- Chong Huang
- Department of Biomedical Engineering, University of Kentucky, Lexington, Kentucky 40506, USA
| | - Yu Lin
- Department of Biomedical Engineering, University of Kentucky, Lexington, Kentucky 40506, USA
| | - Lian He
- Department of Biomedical Engineering, University of Kentucky, Lexington, Kentucky 40506, USA
| | - Daniel Irwin
- Department of Biomedical Engineering, University of Kentucky, Lexington, Kentucky 40506, USA
| | | | - Guoqiang Yu
- Department of Biomedical Engineering, University of Kentucky, Lexington, Kentucky 40506, USA
- Corresponding author:
| |
Collapse
|
34
|
Han S, Johansson J, Mireles M, Proctor AR, Hoffman MD, Vella JB, Benoit DSW, Durduran T, Choe R. Non-contact scanning diffuse correlation tomography system for three-dimensional blood flow imaging in a murine bone graft model. BIOMEDICAL OPTICS EXPRESS 2015; 6. [PMID: 26203392 PMCID: PMC4505720 DOI: 10.1364/boe.6.002695] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/15/2023]
Abstract
A non-contact galvanometer-based optical scanning system for diffuse correlation tomography was developed for monitoring bone graft healing in a murine femur model. A linear image reconstruction algorithm for diffuse correlation tomography was tested using finite-element method based simulated data and experimental data from a femur or a tube suspended in a homogeneous liquid phantom. Finally, the non-contact system was utilized to monitor in vivo blood flow changes prior to and one week after bone graft transplantation within murine femurs. Localized blood flow changes were observed in three mice, demonstrating a potential for quantification of longitudinal blood flow associated with bone graft healing.
Collapse
Affiliation(s)
- Songfeng Han
- Institute of Optics, University of Rochester, Rochester, NY 14627, USA
| | - Johannes Johansson
- ICFO- Institut de Ciències Fotòniques, 08860, Castelldefels (Barcelona), Spain
| | - Miguel Mireles
- ICFO- Institut de Ciències Fotòniques, 08860, Castelldefels (Barcelona), Spain
| | - Ashley R. Proctor
- Department of Biomedical Engineering, University of Rochester, Rochester, NY 14627, USA
| | - Michael D. Hoffman
- Department of Biomedical Engineering, University of Rochester, Rochester, NY 14627, USA
- Department of Orthopaedics and Center for Musculoskeletal Research, University of Rochester Medical Center, Rochester, NY 14642, USA
| | - Joseph B. Vella
- Department of Biomedical Engineering, University of Rochester, Rochester, NY 14627, USA
- Department of Orthopaedics and Center for Musculoskeletal Research, University of Rochester Medical Center, Rochester, NY 14642, USA
- Department of Otolaryngology-Head and Neck Surgery, University of Rochester Medical Center, Rochester, NY 14642, USA
| | - Danielle S. W. Benoit
- Department of Biomedical Engineering, University of Rochester, Rochester, NY 14627, USA
- Department of Orthopaedics and Center for Musculoskeletal Research, University of Rochester Medical Center, Rochester, NY 14642, USA
- Department of Chemical Engineering, University of Rochester, Rochester, NY 14627, USA
- Department of Biomedical Genetics, University of Rochester Medical Center, Rochester, NY 14642, USA
| | - Turgut Durduran
- ICFO- Institut de Ciències Fotòniques, 08860, Castelldefels (Barcelona), Spain
| | - Regine Choe
- Department of Biomedical Engineering, University of Rochester, Rochester, NY 14627, USA
- Department of Electrical and Computer Engineering, University of Rochester, Rochester, NY 14627, USA
| |
Collapse
|
35
|
Huang C, Radabaugh JP, Aouad RK, Lin Y, Gal TJ, Patel AB, Valentino J, Shang Y, Yu G. Noncontact diffuse optical assessment of blood flow changes in head and neck free tissue transfer flaps. JOURNAL OF BIOMEDICAL OPTICS 2015; 20:075008. [PMID: 26187444 PMCID: PMC4696658 DOI: 10.1117/1.jbo.20.7.075008] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/23/2015] [Accepted: 06/23/2015] [Indexed: 05/18/2023]
Abstract
Knowledge of tissue blood flow (BF) changes after free tissue transfer may enable surgeons to predict the failure of flap thrombosis at an early stage. This study used our recently developed noncontact diffuse correlation spectroscopy to monitor dynamic BF changes in free flaps without getting in contact with the targeted tissue. Eight free flaps were elevated in patients with head and neck cancer; one of the flaps failed. Multiple BF measurements probing the transferred tissue were performed during and post the surgical operation. Postoperative BF values were normalized to the intraoperative baselines (assigning "1") for the calculation of relative BF change (rBF). The rBF changes over the seven successful flaps were 1.89 ± 0.15, 2.26 ± 0.13, and 2.43 ± 0.13 (mean ± standard error), respectively, on postoperative days 2, 4, and 7. These postoperative values were significantly higher than the intraoperative baseline values (p<0.001), indicating a gradual recovery of flap vascularity after the tissue transfer. By contrast, rBF changes observed from the unsuccessful flaps were 1.14 and 1.34, respectively, on postoperative days 2 and 4, indicating less flow recovery. Measurement of BF recovery after flap anastomosis holds the potential to act early to salvage ischemic flaps.
Collapse
Affiliation(s)
- Chong Huang
- University of Kentucky, Department of Biomedical Engineering, 143 Graham Avenue, Lexington, Kentucky 40506, United States
| | - Jeffrey P. Radabaugh
- University of Kentucky College of Medicine, Department of Otolaryngology–Head and Neck Surgery, 800 Rose Street, Lexington, Kentucky 40536, United States
| | - Rony K. Aouad
- University of Kentucky College of Medicine, Department of Otolaryngology–Head and Neck Surgery, 800 Rose Street, Lexington, Kentucky 40536, United States
| | - Yu Lin
- University of Kentucky, Department of Biomedical Engineering, 143 Graham Avenue, Lexington, Kentucky 40506, United States
| | - Thomas J. Gal
- University of Kentucky College of Medicine, Department of Otolaryngology–Head and Neck Surgery, 800 Rose Street, Lexington, Kentucky 40536, United States
| | - Amit B. Patel
- University of Kentucky College of Medicine, Department of Otolaryngology–Head and Neck Surgery, 800 Rose Street, Lexington, Kentucky 40536, United States
| | - Joseph Valentino
- University of Kentucky College of Medicine, Department of Otolaryngology–Head and Neck Surgery, 800 Rose Street, Lexington, Kentucky 40536, United States
| | - Yu Shang
- University of Kentucky, Department of Biomedical Engineering, 143 Graham Avenue, Lexington, Kentucky 40506, United States
| | - Guoqiang Yu
- University of Kentucky, Department of Biomedical Engineering, 143 Graham Avenue, Lexington, Kentucky 40506, United States
- Address all correspondence to: Guoqiang Yu,
| |
Collapse
|
36
|
Holt D, Parthasarathy AB, Okusanya O, Keating J, Venegas O, Deshpande C, Karakousis G, Madajewski B, Durham A, Nie S, Yodh AG, Singhal S. Intraoperative near-infrared fluorescence imaging and spectroscopy identifies residual tumor cells in wounds. JOURNAL OF BIOMEDICAL OPTICS 2015; 20:76002. [PMID: 26160347 PMCID: PMC4497968 DOI: 10.1117/1.jbo.20.7.076002] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/10/2015] [Accepted: 06/08/2015] [Indexed: 05/09/2023]
Abstract
Surgery is the most effective method to cure patients with solid tumors, and 50% of all cancer patients undergo resection. Local recurrences are due to tumor cells remaining in the wound, thus we explore near-infrared (NIR) fluorescence spectroscopy and imaging to identify residual cancer cells after surgery. Fifteen canines and two human patients with spontaneously occurring sarcomas underwent intraoperative imaging. During the operation, the wounds were interrogated with NIR fluorescence imaging and spectroscopy. NIR monitoring identified the presence or absence of residual tumor cells after surgery in 14/15 canines with a mean fluorescence signal-to-background ratio (SBR) of ∼16 . Ten animals showed no residual tumor cells in the wound bed (mean SBR<2 , P<0.001 ). None had a local recurrence at >1-year follow-up. In five animals, the mean SBR of the wound was >15 , and histopathology confirmed tumor cells in the postsurgical wound in four/five canines. In the human pilot study, neither patient had residual tumor cells in the wound bed, and both remain disease free at >1.5-year follow up. Intraoperative NIR fluorescence imaging and spectroscopy identifies residual tumor cells in surgical wounds. These observations suggest that NIR imaging techniques may improve tumor resection during cancer operations.
Collapse
Affiliation(s)
- David Holt
- University of Pennsylvania School of Veterinary Medicine, Department of Clinical Studies, Philadelphia, Pennsylvania 19104, United States
- Address all correspondence to: David Holt, E-mail:
| | - Ashwin B. Parthasarathy
- University of Pennsylvania, Department of Physics and Astronomy, Philadelphia, Pennsylvania 19104, United States
| | - Olugbenga Okusanya
- University of Pennsylvania School of Medicine, Department of Surgery, Philadelphia, Pennsylvania 19104, United States
| | - Jane Keating
- University of Pennsylvania School of Medicine, Department of Surgery, Philadelphia, Pennsylvania 19104, United States
| | - Ollin Venegas
- University of Pennsylvania School of Medicine, Department of Surgery, Philadelphia, Pennsylvania 19104, United States
| | - Charuhas Deshpande
- University of Pennsylvania School of Medicine, Department of Pathology, Philadelphia, Pennsylvania 19104, United States
| | - Giorgos Karakousis
- University of Pennsylvania School of Medicine, Department of Pathology, Philadelphia, Pennsylvania 19104, United States
| | - Brian Madajewski
- University of Pennsylvania School of Medicine, Department of Surgery, Philadelphia, Pennsylvania 19104, United States
| | - Amy Durham
- University of Pennsylvania School of Veterinary Medicine, Department of Pathobiology, Philadelphia, Pennsylvania 19104, United States
| | - Shuming Nie
- Emory University, Departments of Biomedical Engineering and Chemistry, Atlanta, Georgia 30322, United States
| | - Arjun G. Yodh
- University of Pennsylvania, Department of Physics and Astronomy, Philadelphia, Pennsylvania 19104, United States
| | - Sunil Singhal
- University of Pennsylvania School of Medicine, Department of Surgery, Philadelphia, Pennsylvania 19104, United States
| |
Collapse
|
37
|
Nichols BS, Schindler CE, Brown JQ, Wilke LG, Mulvey CS, Krieger MS, Gallagher J, Geradts J, Greenup RA, Von Windheim JA, Ramanujam N. A Quantitative Diffuse Reflectance Imaging (QDRI) System for Comprehensive Surveillance of the Morphological Landscape in Breast Tumor Margins. PLoS One 2015; 10:e0127525. [PMID: 26076123 PMCID: PMC4468201 DOI: 10.1371/journal.pone.0127525] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2015] [Accepted: 04/16/2015] [Indexed: 11/18/2022] Open
Abstract
In an ongoing effort to address the clear clinical unmet needs surrounding breast conserving surgery (BCS), our group has developed a next-generation multiplexed optical-fiber-based tool to assess breast tumor margin status during initial surgeries. Specifically detailed in this work is the performance and clinical validation of a research-grade intra-operative tool for margin assessment based on diffuse optical spectroscopy. Previous work published by our group has illustrated the proof-of-concept generations of this device; here we incorporate a highly optimized quantitative diffuse reflectance imaging (QDRI) system utilizing a wide-field (imaging area = 17cm2) 49-channel multiplexed fiber optic probe, a custom raster-scanning imaging platform, a custom dual-channel white LED source, and an astronomy grade imaging CCD and spectrograph. The system signal to noise ratio (SNR) was found to be greater than 40dB for all channels. Optical property estimation error was found to be less than 10%, on average, over a wide range of absorption (μa = 0–8.9cm-1) and scattering (μs’ = 7.0–9.7cm-1) coefficients. Very low inter-channel and CCD crosstalk was observed (2% max) when used on turbid media (including breast tissue). A raster-scanning mechanism was developed to achieve sub-pixel resolution and was found to be optimally performed at an upsample factor of 8, affording 0.75mm spatially resolved diffuse reflectance images (λ = 450–600nm) of an entire margin (area = 17cm2) in 13.8 minutes (1.23cm2/min). Moreover, controlled pressure application at the probe-tissue interface afforded by the imaging platform reduces repeated scan variability, providing <1% variation across repeated scans of clinical specimens. We demonstrate the clinical utility of this device through a pilot 20-patient study of high-resolution optical parameter maps of the ratio of the β-carotene concentration to the reduced scattering coefficient. An empirical cumulative distribution function (eCDF) analysis is used to reduce optical property maps to quantitative distributions representing the morphological landscape of breast tumor margins. The optimizations presented in this work provide an avenue to rapidly survey large tissue areas on intra-operative time scales with improved sensitivity to regions of focal disease that may otherwise be overlooked.
Collapse
Affiliation(s)
- Brandon S. Nichols
- Department of Biomedical Engineering, Duke University, Durham, NC, United States of America
- * E-mail:
| | - Christine E. Schindler
- Department of Biomedical Engineering, Duke University, Durham, NC, United States of America
| | - Jonathon Q. Brown
- Zenalux Biomedical, Research Triangle Park, NC, United States of America
- Department of Biomedical Engineering, Tulane University, New Orleans, LA, United States of America
| | - Lee G. Wilke
- Department of Surgery, The University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, United States of America
| | - Christine S. Mulvey
- Department of Biomedical Engineering, Duke University, Durham, NC, United States of America
| | - Marlee S. Krieger
- Department of Biomedical Engineering, Duke University, Durham, NC, United States of America
- Zenalux Biomedical, Research Triangle Park, NC, United States of America
| | - Jennifer Gallagher
- Department of Surgery, Duke University Medical Center, Durham, NC, United States of America
| | - Joseph Geradts
- Department of Pathology, Duke University Medical Center, Durham, NC, United States of America
| | - Rachel A. Greenup
- Department of Surgery, Duke University Medical Center, Durham, NC, United States of America
| | - Jesko A. Von Windheim
- Zenalux Biomedical, Research Triangle Park, NC, United States of America
- The Division of Environmental Sciences and Policy, Duke University, Durham, NC, United States of America
| | - Nirmala Ramanujam
- Department of Biomedical Engineering, Duke University, Durham, NC, United States of America
- Zenalux Biomedical, Research Triangle Park, NC, United States of America
| |
Collapse
|
38
|
Dong J, Toh HJ, Thong PSP, Tee CS, Bi R, Soo KC, Lee K. Hemodynamic monitoring of Chlorin e6-mediated photodynamic therapy using diffuse optical measurements. JOURNAL OF PHOTOCHEMISTRY AND PHOTOBIOLOGY B-BIOLOGY 2014; 140:163-72. [PMID: 25146878 DOI: 10.1016/j.jphotobiol.2014.07.020] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/03/2014] [Revised: 07/04/2014] [Accepted: 07/30/2014] [Indexed: 02/08/2023]
Abstract
Tumor response during photodynamic therapy (PDT) is heavily dependent on treatment parameters such as light dose, photosensitizer concentration, and tissue oxygenation. Therefore, it is desirable to have a real-time hemodynamic monitoring device in order to fine-tune the parameters and improve PDT efficacy. In this paper, such a tumor response monitoring system was built incorporating both frequency domain diffuse optical spectroscopy (FD-DOS) and diffuse correlation spectroscopy (DCS), which enables concurrent monitoring of tissue oxygenation (StO₂), total hemoglobin concentration (THC) and relative blood flow (rBF). The tumor metabolic rate of oxygen (TMRO₂) was calculated by using the hemodynamic parameters. Mouse models bearing xenograft tumors were subjected to chlorin e6 (Ce6)-mediated PDT, and the four parameters were monitored with varying treatment conditions. The results show (1) At 3 h post-PDT, rStO₂, rBF and rTMRO₂ exhibited sharp PDT-induced decreases in responders (>40% reduction in tumor volume). Statistically significant difference between responders and non-responders were observed in rStO₂ and rBF, but not in rTMRO₂. (2) Non-responders show gradual recovery of rStO₂, rBF and rTMRO₂ from ∼24 h post-PDT, while responder group did not show recovery up until 48 h post-PDT. Long-term study results up to 2 weeks are also shown. It suggests the hybrid diffuse optical system is not only capable of real-time treatment monitoring, but also able to extract tumor metabolic rate of oxygen to provide more insights about therapy mechanism. Translation of this technique to the clinic will make a quick prognosis feasible and help with treatment optimization.
Collapse
Affiliation(s)
- Jing Dong
- Division of Bioengineering, School of Chemical and Biomedical Engineering, Nanyang Technological University, 637457, Singapore
| | - Hui Jin Toh
- Division of Medical Sciences, National Cancer Centre Singapore, 169610, Singapore
| | - Patricia S P Thong
- Division of Medical Sciences, National Cancer Centre Singapore, 169610, Singapore
| | - Chuan Sia Tee
- Division of Medical Sciences, National Cancer Centre Singapore, 169610, Singapore
| | - Renzhe Bi
- Division of Bioengineering, School of Chemical and Biomedical Engineering, Nanyang Technological University, 637457, Singapore
| | - Khee-Chee Soo
- Division of Medical Sciences, National Cancer Centre Singapore, 169610, Singapore
| | - Kijoon Lee
- Division of Bioengineering, School of Chemical and Biomedical Engineering, Nanyang Technological University, 637457, Singapore; School of Basic Science, Daegu Gyeongbuk Institute of Science & Technology, Daegu 711-873, Republic of Korea.
| |
Collapse
|
39
|
Busch DR, Choe R, Durduran T, Friedman DH, Baker WB, Maidment AD, Rosen MA, Schnall MD, Yodh AG. Blood flow reduction in breast tissue due to mammographic compression. Acad Radiol 2014; 21:151-61. [PMID: 24439328 DOI: 10.1016/j.acra.2013.10.009] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/17/2013] [Revised: 10/08/2013] [Accepted: 10/14/2013] [Indexed: 10/25/2022]
Abstract
RATIONALE AND OBJECTIVES This study measures hemodynamic properties such as blood flow and hemoglobin concentration and oxygenation in the healthy human breast under a wide range of compressive loads. Because many breast-imaging technologies derive contrast from the deformed breast, these load-dependent vascular responses affect contrast agent-enhanced and hemoglobin-based breast imaging. METHODS Diffuse optical and diffuse correlation spectroscopies were used to measure the concentrations of oxygenated and deoxygenated hemoglobin, lipid, water, and microvascular blood flow during axial breast compression in the parallel-plate transmission geometry. RESULTS Significant reductions (P < .01) in total hemoglobin concentration (∼30%), blood oxygenation (∼20%), and blood flow (∼87%) were observed under applied pressures (forces) of up to 30 kPa (120 N) in 15 subjects. Lipid and water concentrations changed <10%. CONCLUSIONS Imaging protocols based on injected contrast agents should account for variation in tissue blood flow due to mammographic compression. Similarly, imaging techniques that depend on endogenous blood contrasts will be affected by breast compression during imaging.
Collapse
|
40
|
Sunar U. Monitoring photodynamic therapy of head and neck malignancies with optical spectroscopies. World J Clin Cases 2013; 1:96-105. [PMID: 24303476 PMCID: PMC3845916 DOI: 10.12998/wjcc.v1.i3.96] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2013] [Revised: 04/02/2013] [Accepted: 05/08/2013] [Indexed: 02/05/2023] Open
Abstract
In recent years there has been significant developments in photosensitizers (PSs), light sources and light delivery systems that have allowed decreasing the treatment time and skin phototoxicity resulting in more frequent use of photodynamic therapy (PDT) in the clinical settings. Compared to standard treatment approaches such as chemo-radiation and surgery, PDT has much reduced morbidity for head and neck malignancies and is becoming an alternative treatment option. It can be used as an adjunct therapy to other treatment modalities without any additive cumulative side effects. Surface illumination can be an option for pre-malignant and early-stage malignancies while interstitial treatment is for debulking of thick tumors in the head and neck region. PDT can achieve equivalent or greater efficacy in treating head and neck malignancies, suggesting that it may be considered as a first line therapy in the future. Despite progressive development, clinical PDT needs improvement in several topics for wider acceptance including standardization of protocols that involve the same administrated light and PS doses and establishing quantitative tools for PDT dosimetry planning and response monitoring. Quantitative measures such as optical parameters, PS concentration, tissue oxygenation and blood flow are essential for accurate PDT dosimetry as well as PDT response monitoring and assessing therapy outcome. Unlike conventional imaging modalities like magnetic resonance imaging, novel optical imaging techniques can quantify PDT-related parameters without any contrast agent administration and enable real-time assessment during PDT for providing fast feedback to clinicians. Ongoing developments in optical imaging offer the promise of optimization of PDT protocols with improved outcomes.
Collapse
|
41
|
He L, Lin Y, Shang Y, Shelton BJ, Yu G. Using optical fibers with different modes to improve the signal-to-noise ratio of diffuse correlation spectroscopy flow-oximeter measurements. JOURNAL OF BIOMEDICAL OPTICS 2013; 18:037001. [PMID: 23455963 PMCID: PMC4023649 DOI: 10.1117/1.jbo.18.3.037001] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
The dual-wavelength diffuse correlation spectroscopy (DCS) flow-oximeter is an emerging technique enabling simultaneous measurements of blood flow and blood oxygenation changes in deep tissues. High signal-to-noise ratio (SNR) is crucial when applying DCS technologies in the study of human tissues where the detected signals are usually very weak. In this study, single-mode, few-mode, and multimode fibers are compared to explore the possibility of improving the SNR of DCS flow-oximeter measurements. Experiments on liquid phantom solutions and in vivo muscle tissues show only slight improvements in flow measurements when using the few-mode fiber compared with using the single-mode fiber. However, light intensities detected by the few-mode and multimode fibers are increased, leading to significant SNR improvements in detections of phantom optical property and tissue blood oxygenation. The outcomes from this study provide useful guidance for the selection of optical fibers to improve DCS flow-oximeter measurements.
Collapse
Affiliation(s)
- Lian He
- University of Kentucky, Center for Biomedical Engineering, Lexington, Kentucky 40506
| | - Yu Lin
- University of Kentucky, Center for Biomedical Engineering, Lexington, Kentucky 40506
| | - Yu Shang
- University of Kentucky, Center for Biomedical Engineering, Lexington, Kentucky 40506
| | - Brent J. Shelton
- University of Kentucky, Markey Cancer Center, Lexington, Kentucky 40536
| | - Guoqiang Yu
- University of Kentucky, Center for Biomedical Engineering, Lexington, Kentucky 40506
- Address all correspondence to: Guoqiang Yu, University of Kentucky, Center for Biomedical Engineering, Lexington, Kentucky 40506. Tel: 859-257-9110; Fax: 859-257-1856; E-mail:
| |
Collapse
|
42
|
Yi WS, Cui DS, Li Z, Wu LL, Shen AG, Hu JM. Gastric cancer differentiation using Fourier transform near-infrared spectroscopy with unsupervised pattern recognition. SPECTROCHIMICA ACTA. PART A, MOLECULAR AND BIOMOLECULAR SPECTROSCOPY 2013; 101:127-131. [PMID: 23099170 DOI: 10.1016/j.saa.2012.09.037] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/10/2012] [Revised: 09/08/2012] [Accepted: 09/16/2012] [Indexed: 06/01/2023]
Abstract
The manuscript has investigated the application of near-infrared (NIR) spectroscopy for differentiation gastric cancer. The 90 spectra from cancerous and normal tissues were collected from a total of 30 surgical specimens using Fourier transform near-infrared spectroscopy (FT-NIR) equipped with a fiber-optic probe. Major spectral differences were observed in the CH-stretching second overtone (9000-7000 cm(-1)), CH-stretching first overtone (6000-5200 cm(-1)), and CH-stretching combination (4500-4000 cm(-1)) regions. By use of unsupervised pattern recognition, such as principal component analysis (PCA) and cluster analysis (CA), all spectra were classified into cancerous and normal tissue groups with accuracy up to 81.1%. The sensitivity and specificity was 100% and 68.2%, respectively. These present results indicate that CH-stretching first, combination band and second overtone regions can serve as diagnostic markers for gastric cancer.
Collapse
Affiliation(s)
- Wei-song Yi
- College of Chemistry and Molecular Sciences, Wuhan University, and Gastric & Intestine Department, Hubei Cancer Hospital, Wuhan 430072, PR China
| | | | | | | | | | | |
Collapse
|
43
|
Shang Y, Gurley K, Yu G. Diffuse Correlation Spectroscopy (DCS) for Assessment of Tissue Blood Flow in Skeletal Muscle: Recent Progress. ACTA ACUST UNITED AC 2013; 3:128. [PMID: 24724043 PMCID: PMC3979478 DOI: 10.4172/2161-0940.1000128] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Near-infrared diffuse correlation spectroscopy (DCS) is an emerging technology for monitoring blood flow in various tissues. This article reviews the recent progress of DCS for the assessment of skeletal muscle blood flow, including the developments in technology allowing use during dynamic exercise and muscular electrical stimulation, the utilization for diagnosis of muscle vascular diseases, and the applications for evaluating treatment effects. The limitations of current DCS studies and future perspective are finally discussed.
Collapse
Affiliation(s)
- Yu Shang
- Department of Biomedical Engineering, University of Kentucky, Lexington, KY 40506, USA
| | - Katelyn Gurley
- Department of Biomedical Engineering, University of Kentucky, Lexington, KY 40506, USA ; Department of Neurological Surgery, University of Louisville, Louisville, KY 40202, USA
| | - Guoqiang Yu
- Department of Biomedical Engineering, University of Kentucky, Lexington, KY 40506, USA
| |
Collapse
|
44
|
Dong L, He L, Lin Y, Shang Y, Yu G. Simultaneously extracting multiple parameters via fitting one single autocorrelation function curve in diffuse correlation spectroscopy. IEEE Trans Biomed Eng 2012. [PMID: 23193446 DOI: 10.1109/tbme.2012.2226885] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Near-infrared diffuse correlation spectroscopy (DCS) has recently been employed for noninvasive acquisition of blood flow information in deep tissues. Based on the established correlation diffusion equation, the light intensity autocorrelation function detected by DCS is determined by a blood flow index αD(B), tissue absorption coefficient μ(a), reduced scattering coefficient μ'(s), and a coherence factor β. This study is designed to investigate the possibility of extracting multiple parameters such as μ(a), μ'(s), β, and αD(B) through fitting one single autocorrelation function curve and evaluate the performance of different fitting methods. For this purpose, computer simulations, tissue-like phantom experiments, and in vivo tissue measurements were utilized. The results suggest that it is impractical to simultaneously fit αD(B) and μ(a) or αD(B) and μ'(s) from one single autocorrelation function curve due to the large crosstalk between these paired parameters. However, simultaneously fitting β and αD(B) is feasible and generates more accurate estimation with smaller standard deviation compared to the conventional two-step fitting method (i.e., first calculating β and then fitting αD(B)). The outcomes from this study provide a crucial guidance for DCS data analysis.
Collapse
Affiliation(s)
- Lixin Dong
- Center for Biomedical Engineering, University of Kentucky College of Engineering, Lexington, KY 40506, USA.
| | | | | | | | | |
Collapse
|
45
|
Rohrbach DJ, Rigual N, Tracy E, Kowalczewski A, Keymel KL, Cooper MT, Mo W, Baumann H, Henderson BW, Sunar U. Interlesion differences in the local photodynamic therapy response of oral cavity lesions assessed by diffuse optical spectroscopies. BIOMEDICAL OPTICS EXPRESS 2012; 3:2142-53. [PMID: 23024908 PMCID: PMC3447556 DOI: 10.1364/boe.3.002142] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/06/2012] [Revised: 07/27/2012] [Accepted: 08/10/2012] [Indexed: 05/04/2023]
Abstract
Photodynamic therapy (PDT) efficacy depends on the local dose deposited in the lesion as well as oxygen availability in the lesion. We report significant interlesion differences between two patients with oral lesions treated with the same drug dose and similar light dose of 2-1[hexyloxyethyl]-2-devinylpyropheophorbide-a (HPPH)-mediated photodynamic therapy (PDT). Pre-PDT and PDT-induced changes in hemodynamic parameters and HPPH photosensitizer content, quantified by diffuse optical methods, demonstrated substantial differences between the two lesions. The differences in PDT action determined by the oxidative cross-linking of signal transducer and activator of transcription 3 (STAT3), a molecular measure of accumulated local PDT photoreaction, also showed >100-fold difference between the lesions, greatly exceeding what would be expected from the slight difference in light dose. Our results suggest diffuse optical spectroscopies can provide in vivo metrics that are indicative of local PDT dose in oral lesions.
Collapse
Affiliation(s)
- Daniel J. Rohrbach
- Department of Cell Stress Biology & PDT Center, Roswell Park Cancer Institute, Elm & Carlton St, Buffalo, NY 14263, USA
| | - Nestor Rigual
- Department of Head and Neck Surgery, Roswell Park Cancer Institute, Elm & Carlton St, Buffalo, NY 14263, USA
| | - Erin Tracy
- Department of Molecular and Cellular Biology, Roswell Park Cancer Institute, Elm & Carlton St, Buffalo, NY 14263, USA
| | - Andrew Kowalczewski
- Department of Cell Stress Biology & PDT Center, Roswell Park Cancer Institute, Elm & Carlton St, Buffalo, NY 14263, USA
| | - Kenneth L. Keymel
- Department of Cell Stress Biology & PDT Center, Roswell Park Cancer Institute, Elm & Carlton St, Buffalo, NY 14263, USA
| | - Michele T. Cooper
- Department of Cell Stress Biology & PDT Center, Roswell Park Cancer Institute, Elm & Carlton St, Buffalo, NY 14263, USA
| | - Weirong Mo
- Department of Cell Stress Biology & PDT Center, Roswell Park Cancer Institute, Elm & Carlton St, Buffalo, NY 14263, USA
| | - Heinz Baumann
- Department of Molecular and Cellular Biology, Roswell Park Cancer Institute, Elm & Carlton St, Buffalo, NY 14263, USA
| | - Barbara W. Henderson
- Department of Cell Stress Biology & PDT Center, Roswell Park Cancer Institute, Elm & Carlton St, Buffalo, NY 14263, USA
| | - Ulas Sunar
- Department of Cell Stress Biology & PDT Center, Roswell Park Cancer Institute, Elm & Carlton St, Buffalo, NY 14263, USA
| |
Collapse
|
46
|
Gonzalez J, DeCerce J, Erickson SJ, Martinez SL, Nunez A, Roman M, Traub B, Flores CA, Roberts SM, Hernandez E, Aguirre W, Kiszonas R, Godavarty A. Hand-held optical imager (Gen-2): improved instrumentation and target detectability. JOURNAL OF BIOMEDICAL OPTICS 2012; 17:081402-1. [PMID: 23224163 PMCID: PMC3381015 DOI: 10.1117/1.jbo.17.8.081402] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/13/2011] [Revised: 02/27/2012] [Accepted: 03/12/2012] [Indexed: 05/11/2023]
Abstract
Hand-held optical imagers are developed by various researchers towards reflectance-based spectroscopic imaging of breast cancer. Recently, a Gen-1 handheld optical imager was developed with capabilities to perform two-dimensional (2-D) spectroscopic as well as three-dimensional (3-D) tomographic imaging studies. However, the imager was bulky with poor surface contact (~30%) along curved tissues, and limited sensitivity to detect targets consistently. Herein, a Gen-2 hand-held optical imager that overcame the above limitations of the Gen-1 imager has been developed and the instrumentation described. The Gen-2 hand-held imager is less bulky, portable, and has improved surface contact (~86%) on curved tissues. Additionally, the forked probe head design is capable of simultaneous bilateral reflectance imaging of both breast tissues, and also transillumination imaging of a single breast tissue. Experimental studies were performed on tissue phantoms to demonstrate the improved sensitivity in detecting targets using the Gen-2 imager. The improved instrumentation of the Gen-2 imager allowed detection of targets independent of their location with respect to the illumination points, unlike in Gen-1 imager. The developed imager has potential for future clinical breast imaging with enhanced sensitivity, via both reflectance and transillumination imaging.
Collapse
Affiliation(s)
- Jean Gonzalez
- Florida International University, Department of Biomedical Engineering, Optical Imaging Laboratory, Miami, Florida 33174
| | - Joseph DeCerce
- Florida International University, Department of Biomedical Engineering, Optical Imaging Laboratory, Miami, Florida 33174
| | - Sarah J. Erickson
- Florida International University, Department of Biomedical Engineering, Optical Imaging Laboratory, Miami, Florida 33174
| | - Sergio L. Martinez
- Florida International University, Department of Biomedical Engineering, Optical Imaging Laboratory, Miami, Florida 33174
| | - Annie Nunez
- Florida International University, Department of Biomedical Engineering, Optical Imaging Laboratory, Miami, Florida 33174
| | - Manuela Roman
- Florida International University, Department of Biomedical Engineering, Optical Imaging Laboratory, Miami, Florida 33174
| | - Barbara Traub
- Florida International University, Department of Biomedical Engineering, Optical Imaging Laboratory, Miami, Florida 33174
| | - Cecilia A. Flores
- Florida International University, Department of Biomedical Engineering, Optical Imaging Laboratory, Miami, Florida 33174
| | - Seigbeh M. Roberts
- Florida International University, Department of Biomedical Engineering, Optical Imaging Laboratory, Miami, Florida 33174
| | - Estrella Hernandez
- Florida International University, Department of Biomedical Engineering, Optical Imaging Laboratory, Miami, Florida 33174
| | - Wenceslao Aguirre
- Florida International University, Department of Biomedical Engineering, Optical Imaging Laboratory, Miami, Florida 33174
| | - Richard Kiszonas
- Sylvester Comprehensive Cancer Center, Breast Imaging Division, Miami, Florida 33136
| | - Anuradha Godavarty
- Florida International University, Department of Biomedical Engineering, Optical Imaging Laboratory, Miami, Florida 33174
| |
Collapse
|
47
|
Palmer GM, Vishwanath K, Dewhirst MW. Application of optical imaging and spectroscopy to radiation biology. Radiat Res 2012; 177:365-75. [PMID: 22360397 DOI: 10.1667/rr2531.1] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Optical imaging and spectroscopy is a diverse field that has been of critical importance in a wide range of areas in radiation research. It is capable of spanning a wide range of spatial and temporal scales, and has the sensitivity and specificity needed for molecular and functional imaging. This review will describe the basic principles of optical imaging and spectroscopy, highlighting a few relevant applications to radiation research.
Collapse
Affiliation(s)
- Gregory M Palmer
- Department of Radiation Oncology, Duke University Medical Center, Durham, North Carolina, USA.
| | | | | |
Collapse
|
48
|
Gen-2 hand-held optical imager towards cancer imaging: reflectance and transillumination phantom studies. SENSORS 2012; 12:1885-97. [PMID: 22438743 PMCID: PMC3304145 DOI: 10.3390/s120201885] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/31/2011] [Revised: 01/31/2012] [Accepted: 02/03/2012] [Indexed: 11/25/2022]
Abstract
Hand-held near-infrared (NIR) optical imagers are developed by various researchers towards non-invasive clinical breast imaging. Unlike these existing imagers that can perform only reflectance imaging, a generation-2 (Gen-2) hand-held optical imager has been recently developed to perform both reflectance and transillumination imaging. The unique forked design of the hand-held probe head(s) allows for reflectance imaging (as in ultrasound) and transillumination or compressed imaging (as in X-ray mammography). Phantom studies were performed to demonstrate two-dimensional (2D) target detection via reflectance and transillumination imaging at various target depths (1–5 cm deep) and using simultaneous multiple point illumination approach. It was observed that 0.45 cc targets were detected up to 5 cm deep during transillumination, but limited to 2.5 cm deep during reflectance imaging. Additionally, implementing appropriate data post-processing techniques along with a polynomial fitting approach, to plot 2D surface contours of the detected signal, yields distinct target detectability and localization. The ability of the gen-2 imager to perform both reflectance and transillumination imaging allows its direct comparison to ultrasound and X-ray mammography results, respectively, in future clinical breast imaging studies.
Collapse
|
49
|
Dong L, Kudrimoti M, Cheng R, Shang Y, Johnson EL, Stevens SD, Shelton BJ, Yu G. Noninvasive diffuse optical monitoring of head and neck tumor blood flow and oxygenation during radiation delivery. BIOMEDICAL OPTICS EXPRESS 2012; 3:259-72. [PMID: 22312579 PMCID: PMC3269843 DOI: 10.1364/boe.3.000259] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/28/2011] [Revised: 12/15/2011] [Accepted: 01/01/2012] [Indexed: 05/19/2023]
Abstract
This study explored using a novel diffuse correlation spectroscopy (DCS) flow-oximeter to noninvasively monitor blood flow and oxygenation changes in head and neck tumors during radiation delivery. A fiber-optic probe connected to the DCS flow-oximeter was placed on the surface of the radiologically/clinically involved cervical lymph node. The DCS flow-oximeter in the treatment room was remotely operated by a computer in the control room. From the early measurements, abnormal signals were observed when the optical device was placed in close proximity to the radiation beams. Through phantom tests, the artifacts were shown to be caused by scattered x rays and consequentially avoided by moving the optical device away from the x-ray beams. Eleven patients with head and neck tumors were continually measured once a week over a treatment period of seven weeks, although there were some missing data due to the patient related events. Large inter-patient variations in tumor hemodynamic responses were observed during radiation delivery. A significant increase in tumor blood flow was observed at the first week of treatment, which may be a physiologic response to hypoxia created by radiation oxygen consumption. Only small and insignificant changes were found in tumor blood oxygenation, suggesting that oxygen utilizations in tumors during the short period of fractional radiation deliveries were either minimal or balanced by other effects such as blood flow regulation. Further investigations in a large patient population are needed to correlate the individual hemodynamic responses with the clinical outcomes for determining the prognostic value of optical measurements.
Collapse
Affiliation(s)
- Lixin Dong
- Center for Biomedical Engineering, University of Kentucky College of Engineering, Lexington, KY 40506, USA
| | - Mahesh Kudrimoti
- Department of Radiation Medicine, University of Kentucky Chandler Hospital, Lexington, KY 40536, USA
| | - Ran Cheng
- Center for Biomedical Engineering, University of Kentucky College of Engineering, Lexington, KY 40506, USA
| | - Yu Shang
- Center for Biomedical Engineering, University of Kentucky College of Engineering, Lexington, KY 40506, USA
| | - Ellis L. Johnson
- Department of Radiation Medicine, University of Kentucky Chandler Hospital, Lexington, KY 40536, USA
| | - Scott D. Stevens
- Department of Radiology, University of Kentucky Chandler Hospital, Lexington, KY 40536, USA
| | - Brent J. Shelton
- Markey Cancer Center, University of Kentucky College of Medicine, and Department of Biostatistics, University of Kentucky College of Public Health, Lexington, KY 40536, USA
| | - Guoqiang Yu
- Center for Biomedical Engineering, University of Kentucky College of Engineering, Lexington, KY 40506, USA
| |
Collapse
|
50
|
Yu G. Near-infrared diffuse correlation spectroscopy in cancer diagnosis and therapy monitoring. JOURNAL OF BIOMEDICAL OPTICS 2012; 17:010901. [PMID: 22352633 PMCID: PMC3380819 DOI: 10.1117/1.jbo.17.1.010901] [Citation(s) in RCA: 43] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/04/2011] [Revised: 11/08/2011] [Accepted: 11/14/2011] [Indexed: 05/19/2023]
Abstract
A novel near-infrared (NIR) diffuse correlation spectroscopy (DCS) for tumor blood flow measurement is introduced in this review paper. DCS measures speckle fluctuations of NIR diffuse light in tissue, which are sensitive to the motions of red blood cells. DCS offers several attractive new features for tumor blood flow measurement such as noninvasiveness, portability, high temporal resolution, and relatively large penetration depth. DCS technology has been utilized for continuous measurement of tumor blood flow before, during, and after cancer therapies. In those pilot investigations, DCS hemodynamic measurements add important new variables into the mix for differentiation of benign from malignant tumors and for prediction of treatment outcomes. It is envisaged that with more clinical applications in large patient populations, DCS might emerge as an important method of choice for bedside management of cancer therapy, and it will certainly provide important new information about cancer physiology that may be of use in diagnosis.
Collapse
Affiliation(s)
- Guoqiang Yu
- University of Kentucky, Center for Biomedical Engineering, Lexington, Kentucky 40506-0070, USA.
| |
Collapse
|