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Adams AC, Kufcsák A, Lochenie C, Khadem M, Akram AR, Dhaliwal K, Seth S. Fibre-optic based exploration of lung cancer autofluorescence using spectral fluorescence lifetime. BIOMEDICAL OPTICS EXPRESS 2024; 15:1132-1147. [PMID: 38404342 PMCID: PMC10890895 DOI: 10.1364/boe.515609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Accepted: 01/05/2024] [Indexed: 02/27/2024]
Abstract
Fibre-optic based time-resolved fluorescence spectroscopy (TRFS) is an advanced spectroscopy technique that generates sample-specific spectral-temporal signature, characterising variations in fluorescence in real-time. As such, it can be used to interrogate tissue autofluorescence. Recent advancements in TRFS technology, including the development of devices that simultaneously measure high-resolution spectral and temporal fluorescence, paired with novel analysis methods extracting information from these multidimensional measurements effectively, provide additional insight into the underlying autofluorescence features of a sample. This study demonstrates, using both simulated data and endogenous fluorophores measured bench-side, that the shape of the spectral fluorescence lifetime, or fluorescence lifetimes estimated over high-resolution spectral channels across a broad range, is influenced by the relative abundance of underlying fluorophores in mixed systems and their respective environment. This study, furthermore, explores the properties of the spectral fluorescence lifetime in paired lung tissue deemed either abnormal or normal by pathologists. We observe that, on average, the shape of the spectral fluorescence lifetime at multiple locations sampled on 14 abnormal lung tissue, compared to multiple locations sampled on the respective paired normal lung tissue, shows more variability; and, while not statistically significant, the average spectral fluorescence lifetime in abnormal tissue is consistently lower over every wavelength than the normal tissue.
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Affiliation(s)
- Alexandra C. Adams
- Translational Healthcare Technology Group, Institute for Regeneration and Repair, 5 Little France Dr, Edinburgh EH16 4UU, UK
| | - András Kufcsák
- Institute of Photonics and Quantum Sciences, Heriot-Watt University, Edinburgh EH14 4AS, UK
| | - Charles Lochenie
- Translational Healthcare Technology Group, Institute for Regeneration and Repair, 5 Little France Dr, Edinburgh EH16 4UU, UK
| | - Mohsen Khadem
- Translational Healthcare Technology Group, Institute for Regeneration and Repair, 5 Little France Dr, Edinburgh EH16 4UU, UK
- School of Informatics, University of Edinburgh, Edinburgh EH8 9AB, UK
| | - Ahsan R. Akram
- Translational Healthcare Technology Group, Institute for Regeneration and Repair, 5 Little France Dr, Edinburgh EH16 4UU, UK
| | - Kevin Dhaliwal
- Translational Healthcare Technology Group, Institute for Regeneration and Repair, 5 Little France Dr, Edinburgh EH16 4UU, UK
| | - Sohan Seth
- Translational Healthcare Technology Group, Institute for Regeneration and Repair, 5 Little France Dr, Edinburgh EH16 4UU, UK
- School of Informatics, University of Edinburgh, Edinburgh EH8 9AB, UK
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Wilson BC, Eu D. Optical Spectroscopy and Imaging in Surgical Management of Cancer Patients. TRANSLATIONAL BIOPHOTONICS 2022. [DOI: 10.1002/tbio.202100009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Affiliation(s)
- Brian C. Wilson
- Princess Margaret Cancer Centre/University Health Network 101 College Street Toronto Ontario Canada
- Department of Medical Biophysics, Faculty of Medicine University of Toronto Canada
| | - Donovan Eu
- Department of Otolaryngology‐Head and Neck Surgery‐Surgical Oncology, Princess Margaret Cancer Centre/University Health Network University of Toronto Canada
- Department of Otolaryngology‐Head and Neck Surgery National University Hospital System Singapore
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Ouyang Y, Liu Y, Wang ZM, Liu Z, Wu M. FLIM as a Promising Tool for Cancer Diagnosis and Treatment Monitoring. NANO-MICRO LETTERS 2021; 13:133. [PMID: 34138374 PMCID: PMC8175610 DOI: 10.1007/s40820-021-00653-z] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/21/2021] [Accepted: 04/19/2021] [Indexed: 05/04/2023]
Abstract
Fluorescence lifetime imaging microscopy (FLIM) has been rapidly developed over the past 30 years and widely applied in biomedical engineering. Recent progress in fluorophore-dyed probe design has widened the application prospects of fluorescence. Because fluorescence lifetime is sensitive to microenvironments and molecule alterations, FLIM is promising for the detection of pathological conditions. Current cancer-related FLIM applications can be divided into three main categories: (i) FLIM with autofluorescence molecules in or out of a cell, especially with reduced form of nicotinamide adenine dinucleotide, and flavin adenine dinucleotide for cellular metabolism research; (ii) FLIM with Förster resonance energy transfer for monitoring protein interactions; and (iii) FLIM with fluorophore-dyed probes for specific aberration detection. Advancements in nanomaterial production and efficient calculation systems, as well as novel cancer biomarker discoveries, have promoted FLIM optimization, offering more opportunities for medical research and applications to cancer diagnosis and treatment monitoring. This review summarizes cutting-edge researches from 2015 to 2020 on cancer-related FLIM applications and the potential of FLIM for future cancer diagnosis methods and anti-cancer therapy development. We also highlight current challenges and provide perspectives for further investigation.
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Affiliation(s)
- Yuzhen Ouyang
- Hunan Provincial Tumor Hospital and the Affiliated Tumor Hospital of Xiangya Medical School, Central South University, Changsha, 410013, Hunan, People's Republic of China
- School of Physics and Electronics, Hunan Key Laboratory for Super-Microstructure and Ultrafast Process, Central South University, 932 South Lushan Road, Changsha, 410083, Hunan, People's Republic of China
- The Key Laboratory of Carcinogenesis of the Chinese Ministry of Health, The Key Laboratory of Carcinogenesis and Cancer Invasion of the Chinese Ministry of Education, Cancer Research Institute, Central South University, Changsha, 410008, Hunan, People's Republic of China
| | - Yanping Liu
- School of Physics and Electronics, Hunan Key Laboratory for Super-Microstructure and Ultrafast Process, Central South University, 932 South Lushan Road, Changsha, 410083, Hunan, People's Republic of China.
- Shenzhen Research Institute of Central South University, A510a, Virtual University Building, Nanshan District, Southern District, High-tech Industrial Park, Yuehai Street, Shenzhen, People's Republic of China.
- State Key Laboratory of High-Performance Complex Manufacturing, Central South University, 932 South Lushan Road, Changsha, 410083, Hunan, People's Republic of China.
| | - Zhiming M Wang
- Institute of Fundamental and Frontier Sciences, University of Electronic Science and Technology of China, Chengdu, 610054, Sichuan, People's Republic of China
| | - Zongwen Liu
- School of Chemical and Biomolecular Engineering, The University of Sydney, Sydney, NSW, 2006, Australia.
| | - Minghua Wu
- Hunan Provincial Tumor Hospital and the Affiliated Tumor Hospital of Xiangya Medical School, Central South University, Changsha, 410013, Hunan, People's Republic of China.
- School of Physics and Electronics, Hunan Key Laboratory for Super-Microstructure and Ultrafast Process, Central South University, 932 South Lushan Road, Changsha, 410083, Hunan, People's Republic of China.
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Wong A, Wong JCY, Pandey PU, Wiseman SM. Novel techniques for intraoperative parathyroid gland identification: a comprehensive review. Expert Rev Endocrinol Metab 2020; 15:439-457. [PMID: 33074033 DOI: 10.1080/17446651.2020.1831913] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/03/2020] [Accepted: 09/30/2020] [Indexed: 02/06/2023]
Abstract
INTRODUCTION The parathyroid glands (PGs) are critical for calcium regulation and homeostasis. The preservation of PGs during neck surgery is crucial to avoid postoperative hypoparathyroidism. There are no existing guidelines for intraoperative PG identification, and the current approach relies heavily on the experience of the operating surgeon. A technique that accurately and rapidly identifies PGs would represent a useful intraoperative adjunct. AREAS COVERED This review aims to assess common dye and fluorescence-based PG imaging techniques and examine their utility for intraoperative PG identification. A literature search of published data on methylene blue (MB), indocyanine green (ICG) angiography, near-infrared autofluorescence (NIRAF), and the PGs between 1971 and 2020 was conducted on PubMed. EXPERT OPINION NIRAF and near-infrared (NIR) parathyroid angiography have emerged as promising and reliable techniques for intraoperative PG identification. NIRAF may aid with real-time identification of both normal and diseased PGs and reduce the risk of postoperative complications such as hypocalcemia. Further large prospective multicenter studies should be conducted in thyroid and parathyroid surgical patient populations to confirm the clinical efficacy of these intraoperative NIR-based PG detection techniques.
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Affiliation(s)
- Amanda Wong
- St. Paul's Hospital Department of Surgery, The University of British Columbia Department of Surgery , Vancouver, British Columbia, Canada
| | - Jovi C Y Wong
- St. Paul's Hospital Department of Surgery, The University of British Columbia Department of Surgery , Vancouver, British Columbia, Canada
| | - Prashant U Pandey
- Biomedical Engineering, University of British Columbia , Vancouver, British Columbia, Canada
| | - Sam M Wiseman
- St. Paul's Hospital Department of Surgery, The University of British Columbia Department of Surgery , Vancouver, British Columbia, Canada
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Laser induced autofluorescence lifetime to identify larynx squamous cell carcinoma: Short series ex vivo study. JOURNAL OF PHOTOCHEMISTRY AND PHOTOBIOLOGY B-BIOLOGY 2019; 202:111724. [PMID: 31785446 DOI: 10.1016/j.jphotobiol.2019.111724] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/10/2019] [Revised: 11/21/2019] [Accepted: 11/22/2019] [Indexed: 02/08/2023]
Abstract
Laser induced autofluorescence (LIAF) lifetime is useful to distinguish between normal laryngeal tissues and squamous cell carcinoma (SCC) based on variations of their biochemical composition and structure alterations. LIAF was collected from samples constituted by pairs of normal and malignant tissue, which were excised from three patients. Exclusion criteria for samples harvest were: (i) macroscopic changes of normal vocal cord observed during surgery; (ii) previous surgical intervention on vocal cord, (iii) patients treated only with chemotherapy or radiotherapy for carcinoma. Inclusion conditions: men, aged 57-68, non-smokers. A pulsed laser diode excited LIAF at 375 nm and 31 MHz repetition rate; beam full-time width at half-maximum was 87 ps at an average power of 0.49 mW. Mean LIAF lifetime for normal tissues was (3.75 ± 0.49) ns and for malignant (4.37 ± 0.85) ns: it is longer in malignant than in normal tissue. Variance analysis made with Fisher's test has shown no significant difference between patients for normal tissues; the same was true for malignant. Though, when malignant tissue was compared to normal for the same patients as well as between patients, a significant difference (significance level of 5%) was evidenced. Time-resolved LIAF may allow better differentiation between normal and malignant tissues in patients diagnosed with larynx SCC.
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Abstract
OBJECTIVE To explore the use of fluorescence lifetime imaging microscopy in thyroid tissues, and to investigate how different thyroid lesions affect fluorescence lifetime. METHOD Fluorescence lifetime measurements were taken of fresh frozen thyroid surgical specimens stained with fluorescein isothiocyanate tagged anti-thyroglobulin monoclonal antibodies. RESULTS The mean fluorescence lifetime measurements in 12 patients - 3 with multinodular goitre, 4 with follicular adenoma, 4 with papillary thyroid carcinoma and 1 with follicular carcinoma - were 3.16 ns (range, 2.66-3.52 ns), 3.75 ns (range, 2.99-4.57 ns), 2.97 ns (range, 2.57-3.21 ns) and 3.61 ns, respectively. The fluorescence lifetime of follicular adenoma patients was higher than that of papillary thyroid carcinoma patients by 26 per cent (p = 0.058). The fluorescence lifetime in the follicular carcinoma patient was similar to the follicular adenoma group, but higher than in the papillary thyroid carcinoma group by 22 per cent (p = 0.01). CONCLUSION Fluorescence lifetime measurements varied in different thyroid pathologies, possibly because of tissue-scale structural influences.
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Konugolu Venkata Sekar S, Farina A, Dalla Mora A, Lindner C, Pagliazzi M, Mora M, Aranda G, Dehghani H, Durduran T, Taroni P, Pifferi A. Broadband (550-1350 nm) diffuse optical characterization of thyroid chromophores. Sci Rep 2018; 8:10015. [PMID: 29968735 PMCID: PMC6030074 DOI: 10.1038/s41598-018-27684-8] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2018] [Accepted: 06/08/2018] [Indexed: 01/13/2023] Open
Abstract
Thyroid plays an important role in the endocrine system of the human body. Its characterization by diffuse optics can open new path ways in the non-invasive diagnosis of thyroid pathologies. Yet, the absorption spectra of tyrosine and thyroglobulin–key tissue constituents specific to the thyroid organ–in the visible to near infrared range are not fully available. Here, we present the optical characterization of tyrosine (powder), thyroglobulin (granular form) and iodine (aqueous solution) using a time domain broadband diffuse optical spectrometer in the 550–1350 nm range. Various systematic errors caused by physics of photo migration and sample inherent properties were effectively suppressed by means of advanced time domain diffuse optical methods. A brief comparison with various other known tissue constituents is presented, which reveals key spectral regions for the quantification of the thyroid absorbers in an in vivo scenario.
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Affiliation(s)
| | - Andrea Farina
- Consiglio Nazionale delle Ricerche, Istituto di Fotonica e Nanotecnologie, Milano, Italy
| | | | - Claus Lindner
- ICFO-Institut de Ciències Fotòniques, Barcelona, Spain
| | | | - Mireia Mora
- IDIBAPS, Fundació Clínic per la Recerca Biomèdica, 08036, Barcelona, Spain.,Hospital Clínic of Barcelona, Endocrinology and Nutrition Department, Barcelona, Spain
| | - Gloria Aranda
- IDIBAPS, Fundació Clínic per la Recerca Biomèdica, 08036, Barcelona, Spain.,Hospital Clínic of Barcelona, Endocrinology and Nutrition Department, Barcelona, Spain
| | - Hamid Dehghani
- University of Birmingham, School of Computer Science, Edgbaston, Birmingham, United Kingdom
| | - Turgut Durduran
- ICFO-Institut de Ciències Fotòniques, Barcelona, Spain.,Institució Catalana de Recerca i Estudis Avançats (ICREA), 08015, Barcelona, Spain
| | - Paola Taroni
- Politecnico di Milano, Dipartimento di Fisica, Milano, Italy.,Consiglio Nazionale delle Ricerche, Istituto di Fotonica e Nanotecnologie, Milano, Italy
| | - Antonio Pifferi
- Politecnico di Milano, Dipartimento di Fisica, Milano, Italy.,Consiglio Nazionale delle Ricerche, Istituto di Fotonica e Nanotecnologie, Milano, Italy
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Cosci A, Nogueira MS, Pratavieira S, Takahama A, Azevedo RDS, Kurachi C. Time-resolved fluorescence spectroscopy for clinical diagnosis of actinic cheilitis. BIOMEDICAL OPTICS EXPRESS 2016; 7:4210-4219. [PMID: 27867726 PMCID: PMC5102522 DOI: 10.1364/boe.7.004210] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/05/2016] [Revised: 09/12/2016] [Accepted: 09/13/2016] [Indexed: 05/28/2023]
Abstract
Actinic cheilitis is a potentially malignant disorder of the lips. Its first cause is believed to be UV sun radiation. The lesion is highly heterogeneous, making the choice of area to be biopsied difficult. This study exploits the capabilities of time-resolved fluorescence spectroscopy for the identification of the most representative area to be biopsied. A preliminary study was performed on fourteen patients. A classification algorithm was used on data acquired on nine different biopsies. The algorithm discriminated between absent, mild, and moderate dysplasia with a sensitivity of 92.9%, 90.0%, and 80.0%, respectively. The false positive rate for healthy tissue (specificity) was 88.8%.
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Affiliation(s)
- Alessandro Cosci
- Museo Storico della Fisica e Centro Studi e Ricerche Enrico Fermi, Piazza del Viminale 1, 00184 Rome, Italy; IFAC-CNR, Istituto di Fisica Applicata "Nello Carrara," Consiglio Nazionale delle Ricerche, Via Madonna del Piano 10, 50019 Sesto Fiorentino, Italy; São Carlos Institute of Physics, University of São Paulo, PO Box 369, 13560-970, São Carlos, SP Brazil;
| | - Marcelo Saito Nogueira
- São Carlos Institute of Physics, University of São Paulo, PO Box 369, 13560-970, São Carlos, SP Brazil;
| | - Sebastião Pratavieira
- São Carlos Institute of Physics, University of São Paulo, PO Box 369, 13560-970, São Carlos, SP Brazil
| | - Ademar Takahama
- Faculdade de Odontologia de Nova Friburgo, Universidade Federal Fluminense, RJ, Brazil
| | | | - Cristina Kurachi
- São Carlos Institute of Physics, University of São Paulo, PO Box 369, 13560-970, São Carlos, SP Brazil
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Brandao MP, Iwakura R, Honorato-Sobrinho AA, Haleplian K, Ito AS, de Freitas LCC, Bachmann L. Optical Characterization of Parathyroid Tissues. APPLIED SPECTROSCOPY 2016; 70:1709-1716. [PMID: 27381351 DOI: 10.1177/0003702816641120] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/16/2015] [Accepted: 01/17/2016] [Indexed: 06/06/2023]
Abstract
The parathyroid glands are small and often similar to lymph nodes, fat, and thyroid tissue. These glands are difficult to identify during surgery and a biopsy of the parathyroid for identification can lead to damage of the gland. The use of static and time-resolved fluorescence techniques to detect biochemical composition and tissue structure alterations could help to develop a portable, minimally invasive, and nondestructive method to assist medical evaluation of parathyroid tissues. In this study, we investigated 10 human parathyroid samples by absorbance, fluorescence, excitation, and time-resolved fluorescence measurements. Moreover, we compared the results of time-resolved fluorescence measurements with 59 samples of thyroid tissues. The fluorescence lifetimes with emission at 340 nm were 1.09 ± 0.10 and 4.46 ± 0.06 ns for healthy tissue, 1.01 ± 0.25 and 4.39 ± 0.36 ns for benign lesions, and 0.67 ± 0.36 and 3.92 ± 0.72 ns for malignant lesions. The lifetimes for benign and malignant lesions were significantly different, as attested by the analysis of variance with confidence levels higher than 87%. For each class of samples (healthy, benign, and malignant) we perceived statistical differences between the thyroid and parathyroid tissue, independently. After further investigations, fluorescence methods could become a tool to identify normal and pathological parathyroid tissues and distinguish thyroid from parathyroid tissues.
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Affiliation(s)
- M P Brandao
- Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Universidade de São Paulo, Departamento de Física, São Paulo, Brazil
| | - R Iwakura
- Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Departamento de Oftalmo, Otorrino e Cirurgia de Cabeça e Pescoço, São Paulo, Brazil
| | - A A Honorato-Sobrinho
- Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Departamento de Oftalmo, Otorrino e Cirurgia de Cabeça e Pescoço, São Paulo, Brazil
| | - K Haleplian
- Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Universidade de São Paulo, Departamento de Física, São Paulo, Brazil
| | - A S Ito
- Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Departamento de Oftalmo, Otorrino e Cirurgia de Cabeça e Pescoço, São Paulo, Brazil
| | - L C Conti de Freitas
- Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Departamento de Oftalmo, Otorrino e Cirurgia de Cabeça e Pescoço, São Paulo, Brazil
| | - L Bachmann
- Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto, Universidade de São Paulo, Departamento de Física, São Paulo, Brazil
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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.
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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
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