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Gautheron A, Bernstock JD, Picart T, Guyotat J, Valdés PA, Montcel B. 5-ALA induced PpIX fluorescence spectroscopy in neurosurgery: a review. Front Neurosci 2024; 18:1310282. [PMID: 38348134 PMCID: PMC10859467 DOI: 10.3389/fnins.2024.1310282] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Accepted: 01/02/2024] [Indexed: 02/15/2024] Open
Abstract
The review begins with an overview of the fundamental principles/physics underlying light, fluorescence, and other light-matter interactions in biological tissues. It then focuses on 5-aminolevulinic acid (5-ALA)-induced protoporphyrin IX (PpIX) fluorescence spectroscopy methods used in neurosurgery (e.g., intensity, time-resolved) and in so doing, describe their specific features (e.g., hardware requirements, main processing methods) as well as their strengths and limitations. Finally, we review current clinical applications and future directions of 5-ALA-induced protoporphyrin IX (PpIX) fluorescence spectroscopy in neurosurgery.
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Affiliation(s)
- A. Gautheron
- Université Jean Monnet Saint-Etienne, CNRS, Institut d Optique Graduate School, Laboratoire Hubert Curien UMR 5516, Saint-Étienne, France
- Univ Lyon, INSA-Lyon, Université Claude Bernard Lyon 1, UJM-Saint Etienne, CNRS, Inserm, CREATIS UMR 5220, U1294, Lyon, France
| | - J. D. Bernstock
- Department of Neurosurgery, Brigham and Women’s Hospital and Harvard Medical School, Boston, MA, United States
- David H. Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA, United States
| | - T. Picart
- Department of Neurosurgical Oncology and Vascular Neurosurgery, Pierre Wertheimer Neurological and Neurosurgical Hospital, Hospices Civils de Lyon, Lyon, France
- Université Lyon 1, INSERM 1052, CNRS 5286, Lyon, France
| | - J. Guyotat
- Department of Neurosurgical Oncology and Vascular Neurosurgery, Pierre Wertheimer Neurological and Neurosurgical Hospital, Hospices Civils de Lyon, Lyon, France
| | - P. A. Valdés
- Department of Neurosurgery, University of Texas Medical Branch, Galveston, TX, United States
- Department of Neurobiology, University of Texas Medical Branch, Galveston, TX, United States
- Department of Electrical and Computer Engineering, Rice University, Houston, TX, United States
| | - B. Montcel
- Univ Lyon, INSA-Lyon, Université Claude Bernard Lyon 1, UJM-Saint Etienne, CNRS, Inserm, CREATIS UMR 5220, U1294, Lyon, France
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2
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Fürtjes G, Reinecke D, von Spreckelsen N, Meißner AK, Rueß D, Timmer M, Freudiger C, Ion-Margineanu A, Khalid F, Watrinet K, Mawrin C, Chmyrov A, Goldbrunner R, Bruns O, Neuschmelting V. Intraoperative microscopic autofluorescence detection and characterization in brain tumors using stimulated Raman histology and two-photon fluorescence. Front Oncol 2023; 13:1146031. [PMID: 37234975 PMCID: PMC10207900 DOI: 10.3389/fonc.2023.1146031] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Accepted: 04/21/2023] [Indexed: 05/28/2023] Open
Abstract
Introduction The intrinsic autofluorescence of biological tissues interferes with the detection of fluorophores administered for fluorescence guidance, an emerging auxiliary technique in oncological surgery. Yet, autofluorescence of the human brain and its neoplasia is sparsely examined. This study aims to assess autofluorescence of the brain and its neoplasia on a microscopic level by stimulated Raman histology (SRH) combined with two-photon fluorescence. Methods With this experimentally established label-free microscopy technique unprocessed tissue can be imaged and analyzed within minutes and the process is easily incorporated in the surgical workflow. In a prospective observational study, we analyzed 397 SRH and corresponding autofluorescence images of 162 samples from 81 consecutive patients that underwent brain tumor surgery. Small tissue samples were squashed on a slide for imaging. SRH and fluorescence images were acquired with a dual wavelength laser (790 nm and 1020 nm) for excitation. In these images tumor and non-tumor regions were identified by a convolutional neural network that reliably differentiates between tumor, healthy brain tissue and low quality SRH images. The identified areas were used to define regions.of- interests (ROIs) and the mean fluorescence intensity was measured. Results In healthy brain tissue, we found an increased mean autofluorescence signal in the gray (11.86, SD 2.61, n=29) compared to the white matter (5.99, SD 5.14, n=11, p<0.01) and in the cerebrum (11.83, SD 3.29, n=33) versus the cerebellum (2.82, SD 0.93, n=7, p<0.001), respectively. The signal of carcinoma metastases, meningiomas, gliomas and pituitary adenomas was significantly lower (each p<0.05) compared to the autofluorescence in the cerebrum and dura, and significantly higher (each p<0.05) compared to the cerebellum. Melanoma metastases were found to have a higher fluorescent signal (p<0.01) compared to cerebrum and cerebellum. Discussion In conclusion we found that autofluorescence in the brain varies depending on the tissue type and localization and differs significantly among various brain tumors. This needs to be considered for interpreting photon signal during fluorescence-guided brain tumor surgery.
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Affiliation(s)
- Gina Fürtjes
- Department of General Neurosurgery, Center of Neurosurgery, University Hospital Cologne, Cologne, Germany
- Helmholtz Zentrum München, Neuherberg, Germany
- National Center for Tumor Diseases (NCT/UCC), Dresden, Germany: German Cancer Research Center (DKFZ), Heidelberg, Germany; Medizinische Fakultät and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany; Helmholtz-Zentrum Dresden-Rossendorf (HZDR), Dresden, Germany
| | - David Reinecke
- Department of General Neurosurgery, Center of Neurosurgery, University Hospital Cologne, Cologne, Germany
| | - Niklas von Spreckelsen
- Department of General Neurosurgery, Center of Neurosurgery, University Hospital Cologne, Cologne, Germany
| | - Anna-Katharina Meißner
- Department of General Neurosurgery, Center of Neurosurgery, University Hospital Cologne, Cologne, Germany
| | - Daniel Rueß
- Department of Stereotaxy and Functional Neurosurgery, Center of Neurosurgery, University Hospital Cologne, Cologne, Germany
| | - Marco Timmer
- Department of General Neurosurgery, Center of Neurosurgery, University Hospital Cologne, Cologne, Germany
| | | | | | | | | | - Christian Mawrin
- University Hospital Magdeburg, Institute of Neuropathology, Magdeburg, Germany
| | - Andriy Chmyrov
- Helmholtz Zentrum München, Neuherberg, Germany
- National Center for Tumor Diseases (NCT/UCC), Dresden, Germany: German Cancer Research Center (DKFZ), Heidelberg, Germany; Medizinische Fakultät and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany; Helmholtz-Zentrum Dresden-Rossendorf (HZDR), Dresden, Germany
| | - Roland Goldbrunner
- Department of General Neurosurgery, Center of Neurosurgery, University Hospital Cologne, Cologne, Germany
| | - Oliver Bruns
- Helmholtz Zentrum München, Neuherberg, Germany
- National Center for Tumor Diseases (NCT/UCC), Dresden, Germany: German Cancer Research Center (DKFZ), Heidelberg, Germany; Medizinische Fakultät and University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany; Helmholtz-Zentrum Dresden-Rossendorf (HZDR), Dresden, Germany
| | - Volker Neuschmelting
- Department of General Neurosurgery, Center of Neurosurgery, University Hospital Cologne, Cologne, Germany
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Mehidine H, Devaux B, Varlet P, Abi Haidar D. Comparative Study Between a Customized Bimodal Endoscope and a Benchtop Microscope for Quantitative Tissue Diagnosis. Front Oncol 2022; 12:881331. [PMID: 35686105 PMCID: PMC9171499 DOI: 10.3389/fonc.2022.881331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Accepted: 03/31/2022] [Indexed: 12/24/2022] Open
Abstract
Nowadays, surgical removal remains the standard method to treat brain tumors. During surgery, the neurosurgeon may encounter difficulties to delimitate tumor boundaries and the infiltrating areas as they have a similar visual appearance to adjacent healthy zones. These infiltrating residuals increase the tumor recurrence risk, which decreases the patient’s post-operation survival time. To help neurosurgeons improve the surgical act by accurately delimitating healthy from cancerous areas, our team is developing an intraoperative multimodal imaging tool. It consists of a two-photon fluorescence fibered endomicroscope that is intended to provide a fast, real-time, and reliable diagnosis information. In parallel to the instrumental development, a large optical database is currently under construction in order to characterize healthy and tumor brain tissues with their specific optical signature using multimodal analysis of the endogenous fluorescence. Our previous works show that this multimodal analysis could provide a reliable discrimination response between different tissue types based on several optical indicators. Here, our goal is to show that the two-photon fibered endomicroscope is able to provide, based on the same approved indicators in the tissue database, the same reliable response that could be used intraoperatively. We compared the spectrally resolved and time-resolved fluorescence signal, generated by our two-photon bimodal endoscope from 46 fresh brain tissue samples, with a similar signal provided by a standard reference benchtop multiphoton microscope that has been validated for tissue diagnosis. The higher excitation efficiency and collection ability of an endogenous fluorescence signal were shown for the endoscope setup. Similar molecular ratios and fluorescence lifetime distributions were extracted from the two compared setups. Spectral discrimination ability of the bimodal endoscope was validated. As a preliminary step before tackling multimodality, the ability of the developed bimodal fibered endoscope to excite and to collect efficiently as well as to provide a fast exploitable high-quality signal that is reliable to discriminate different types of human brain tissues was validated.
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Affiliation(s)
| | - Bertrand Devaux
- Université Paris Cité - Faculté de Médecine Paris Descartes, Paris, France.,Service de Neurochirurgie, Hôpital Lariboisière, Paris, France.,Department of Neurosurgery, GHU Paris Psychiatrie et Neuroscience, Paris, France
| | - Pascale Varlet
- Université Paris Cité - Faculté de Médecine Paris Descartes, Paris, France.,Department of Neuropathology, GHU Paris-Psychiatrie et Neurosciences, Sainte-Anne Hospital, Paris, France.,IMA BRAIN, INSERM UMR S1266, Centre de Psychiatrie et de Neurosciences, Paris, France
| | - Darine Abi Haidar
- Université Paris-Saclay, CNRS/IN2P3, IJCLab, Orsay, France.,Université Paris Cité, IJCLab, Orsay, France
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Zhang WQ, Sorvina A, Morrison JL, Darby JRT, Brooks DA, Plush SE, Afshar Vahid S. Development of an optical fiber-based redox monitoring system for tissue metabolism. JOURNAL OF BIOPHOTONICS 2022; 15:e202100304. [PMID: 35038239 DOI: 10.1002/jbio.202100304] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Revised: 01/11/2022] [Accepted: 01/12/2022] [Indexed: 06/14/2023]
Abstract
An optical redox ratio can potentially be used to report on the dynamics of cell and tissue metabolism and define altered metabolic conditions for different pathologies. While there are methods to measure the optical redox ratio, they are not particularly suited to real-time in situ or in vivo analysis. Here, we have developed a fiber-optic system to measure redox ratios in cells and tissues and two mathematical models to enable real-time, in vivo redox measurements. The optical redox ratios in tissue explants are correlated directly with endogenous NADH/FAD fluorescence emissions. We apply the mathematical models to the two-photon microscopy data and show consistent results. We also used our fiber-optic system to measure redox in different tissues and show consistent results between the two models, hence demonstrating proof-of-principle. This innovative redox monitoring system will have practical applications for defining different metabolic disease states.
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Affiliation(s)
- Wen Qi Zhang
- Laser Physics and Photonic Devices Laboratories, School of Engineering, University of South Australia, Adelaide, South Australia, Australia
| | - Alexandra Sorvina
- Clinical and Health Sciences, Sansom Institute for Health Research, University of South Australia, Adelaide, South Australia, Australia
| | - Janna L Morrison
- Early Origins of Adult Health Research Group, Health and Biomedical Innovation, UniSA: Clinical and Health Sciences, University of South Australia, Adelaide, South Australia, Australia
| | - Jack R T Darby
- Early Origins of Adult Health Research Group, Health and Biomedical Innovation, UniSA: Clinical and Health Sciences, University of South Australia, Adelaide, South Australia, Australia
| | - Doug A Brooks
- Clinical and Health Sciences, Sansom Institute for Health Research, University of South Australia, Adelaide, South Australia, Australia
| | - Sally E Plush
- Clinical and Health Sciences, Sansom Institute for Health Research, University of South Australia, Adelaide, South Australia, Australia
| | - Shahraam Afshar Vahid
- Laser Physics and Photonic Devices Laboratories, School of Engineering, University of South Australia, Adelaide, South Australia, Australia
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5
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Abstract
In this work, a new approach was tested to assess the cellular composition of tissues by time-resolved methods of fluorescence analysis of exogenous and endogenous fluorophores. First of all, the differences in fluorescence kinetics of endogenous fluorophores (coenzymes NADH and FAD) in tumour and immunocompetent cells were determined. After that, differences in fluorescence kinetics of photosensitizer 5 ALA-induced protoporphyrin IX were established due to its different metabolism in cells of different phenotypes. Kinetics of photoluminescence of NADH and FAD coenzymes as well as photosensitizer were studied by means of two different methods: time-resolved spectroscopy based on a streak-camera and fibre optic neuroscopy, which served to perform process monitoring and regular fluorescence diagnosis of the probed region. Time-resolved fluorescence microscopy (FLIM) was used as a control technique. Time-resolved spectroscopic fluorescence lifetime analysis was performed on sexually mature female rats induced with glioma C6 brain tumour under in vivo conditions; thus, under conditions where the immune system actively intervenes in the process of oncogenesis. In this regard, the aim of the study was to recognize the cellular composition of the brain tumour tissue, namely the ratio of cancer and immunocompetent cells and their mutual localization. Understanding the role of the immune system thus provides new ways and approaches for further diagnosis and therapy, making tumour-associated immune cells a prime target for modern therapies.
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Lukina M, Yashin K, Kiseleva EE, Alekseeva A, Dudenkova V, Zagaynova EV, Bederina E, Medyanic I, Becker W, Mishra D, Berezin M, Shcheslavskiy VI, Shirmanova M. Label-Free Macroscopic Fluorescence Lifetime Imaging of Brain Tumors. Front Oncol 2021; 11:666059. [PMID: 34109119 PMCID: PMC8181388 DOI: 10.3389/fonc.2021.666059] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2021] [Accepted: 04/27/2021] [Indexed: 01/20/2023] Open
Abstract
Advanced stage glioma is the most aggressive form of malignant brain tumors with a short survival time. Real-time pathology assisted, or image guided surgical procedures that eliminate tumors promise to improve the clinical outcome and prolong the lives of patients. Our work is focused on the development of a rapid and sensitive assay for intraoperative diagnostics of glioma and identification of optical markers essential for differentiation between tumors and healthy brain tissues. We utilized fluorescence lifetime imaging (FLIM) of endogenous fluorophores related to metabolism of the glioma from freshly excised brains tissues. Macroscopic time-resolved fluorescence images of three intracranial animal glioma models and surgical samples of patients' glioblastoma together with the white matter have been collected. Several established and new algorithms were applied to identify the imaging markers of the tumors. We found that fluorescence lifetime parameters characteristic of the glioma provided background for differentiation between the tumors and intact brain tissues. All three rat tumor models demonstrated substantial differences between the malignant and normal tissue. Similarly, tumors from patients demonstrated statistically significant differences from the peritumoral white matter without infiltration. While the data and the analysis presented in this paper are preliminary and further investigation with a larger number of samples is required, the proposed approach based on the macroscopic FLIM has a high potential for diagnostics of glioma and evaluation of the surgical margins of gliomas.
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Affiliation(s)
- Maria Lukina
- Institute of Experimental Oncology and Biomedical Technologies, Privolzhsky Research Medical University, Nizhny Novgorod, Russia
| | - Konstantin Yashin
- Institute of Experimental Oncology and Biomedical Technologies, Privolzhsky Research Medical University, Nizhny Novgorod, Russia
| | - Elena E. Kiseleva
- Institute of Experimental Oncology and Biomedical Technologies, Privolzhsky Research Medical University, Nizhny Novgorod, Russia
| | - Anna Alekseeva
- Department of Neuromorphology, Research Institute of Human Morphology, Moscow, Russia
| | - Varvara Dudenkova
- Institute of Experimental Oncology and Biomedical Technologies, Privolzhsky Research Medical University, Nizhny Novgorod, Russia
| | - Elena V. Zagaynova
- Institute of Experimental Oncology and Biomedical Technologies, Privolzhsky Research Medical University, Nizhny Novgorod, Russia
- Lobachevsky State University of Nizhny Novgorod, Nizhny Novgorod, Russia
| | - Evgenia Bederina
- Institute of Experimental Oncology and Biomedical Technologies, Privolzhsky Research Medical University, Nizhny Novgorod, Russia
| | - Igor Medyanic
- Institute of Experimental Oncology and Biomedical Technologies, Privolzhsky Research Medical University, Nizhny Novgorod, Russia
| | | | - Deependra Mishra
- Department of Radiology, Washington University School of Medicine, St Louis, MO, United States
| | - Mikhail Berezin
- Department of Radiology, Washington University School of Medicine, St Louis, MO, United States
| | - Vladislav I. Shcheslavskiy
- Institute of Experimental Oncology and Biomedical Technologies, Privolzhsky Research Medical University, Nizhny Novgorod, Russia
- Becker&Hickl GmbH, Berlin, Germany
| | - Marina Shirmanova
- Institute of Experimental Oncology and Biomedical Technologies, Privolzhsky Research Medical University, Nizhny Novgorod, Russia
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7
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Mehidine H, Refregiers M, Jamme F, Varlet P, Juchaux M, Devaux B, Abi Haidar D. Molecular changes tracking through multiscale fluorescence microscopy differentiate Meningioma grades and non-tumoral brain tissues. Sci Rep 2021; 11:3816. [PMID: 33589651 PMCID: PMC7884789 DOI: 10.1038/s41598-020-78678-4] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Accepted: 11/19/2020] [Indexed: 11/08/2022] Open
Abstract
Meningioma is the most common primary intracranial extra-axial tumor. Total surgical removal is the standard therapeutic method to treat this type of brain tumors. However, the risk of recurrence depends on the tumor grade and the extent of the resection including the infiltrated dura mater and, if necessary, the infiltrated bone. Therefore, proper resection of all invasive tumor borders without touching eloquent areas is of primordial in order to decrease the risk of recurrence. Nowadays, none of the intraoperative used tools is able to provide a precise real-time histopathological information on the tumor surrounding areas to help the surgeon to achieve a gross total removal. To respond to this problem, our team is developing a multimodal two-photon fluorescence endomicroscope, compatible with the surgeon tool, to better delimitate tumor boundaries, relying on the endogenous fluorescence of brain tissues. In this context, we are building a tissue database in order to specify each brain tissue, whether healthy or tumoral, with its specific optical signature. In this study, we present a multimodal and multiscale optical measurements on non-tumoral control brain tissue obtained in epilepsy surgery patients and several meningioma grades. We investigated tissue auto-fluorescence to track the molecular changes associated with the tumor grade from deep ultra-violet (DUV) to near infrared (NIR) excitation. Micro-spectroscopy, fluorescence lifetime imaging, two-photon fluorescence imaging and Second Harmonic Generation (SHG) imaging were performed. Several optically derived parameters such as collagen crosslinks fluorescence in DUV, SHG emission in NIR and long lifetime intensity fraction of Nicotinamide Adenine Dinucleotide and Flavins were correlated to discriminate cancerous tissue from control one. While collagen response managed to discriminate meningioma grades from control samples with a 100% sensitivity and 90% specificity through a 3D discriminative algorithm.
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Affiliation(s)
- Hussein Mehidine
- Université Paris-Saclay, CNRS/IN2P3, IJCLab, 91405, Orsay, France
- Université de Paris, IJCLab, 91405, Orsay, France
| | | | - Frédéric Jamme
- DISCO Beamline, Synchrotron SOLEIL, 91192, Gif-sur-Yvette, France
| | - Pascale Varlet
- GHU Psychiatrie et Neurosciences, site Sainte-Anne, service de neuropathologie, 75014, Paris, France
- IMA BRAIN, INSERM U894, Centre de Psychiatrie Et de Neurosciences, 75014, Paris, France
- Université de Paris, 75006, Paris, France
| | - Marjorie Juchaux
- Université Paris-Saclay, CNRS/IN2P3, IJCLab, 91405, Orsay, France
| | - Bertrand Devaux
- GHU Psychiatrie et Neurosciences, site Sainte-Anne, service de neuropathologie, 75014, Paris, France
- Université de Paris, 75006, Paris, France
| | - Darine Abi Haidar
- Université Paris-Saclay, CNRS/IN2P3, IJCLab, 91405, Orsay, France.
- Université de Paris, IJCLab, 91405, Orsay, France.
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8
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Optical Signatures Derived From Deep UV to NIR Excitation Discriminates Healthy Samples From Low and High Grades Glioma. Sci Rep 2019; 9:8786. [PMID: 31217542 PMCID: PMC6584506 DOI: 10.1038/s41598-019-45181-4] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2019] [Accepted: 05/29/2019] [Indexed: 12/28/2022] Open
Abstract
Among all the tumors of the central nervous system (CNS), glioma are the most deadly and the most malignant. Surgical resection is the standard therapeutic method to treat this type of brain cancer. But the diffusive character of these tumors create many problems for surgeons during the operation. In fact, these tumors migrate outside the tumor solid zone and invade the surrounding healthy tissues. These infiltrative tissues have the same visual appearance as healthy tissues, making it very difficult for surgeons to distinguish the healthy ones from the diffused ones. The surgeon, therefore, cannot properly remove the tumor margins increasing the recurrence risk of the tumor. To resolve this problem, our team has developed a multimodal two-photon fibered endomicroscope, compatible with the surgeon trocar, to better delimitate tumor boundaries by relying on the endogenous fluorescence of brain tissues. In this context, and in order to characterize the optical signature of glioma tumors, this study offers multimodal and multi-scaled optical measurements from healthy tissues to high grade glioma. We can interrogate tissue from deep ultra-violet to near infrared excitation by working with spectroscopy, fluorescence lifetime imaging, two-photon fluorescene imaging and Second Harmonic Generation (SHG) imaging. Optically derived ratios such as the Tryptophan/Collagen ratio, the optical redox ratio and the long lifetime intensity fraction, discriminated diseased tissue from its normal counterparts when fitted by Gaussian ellipsoids and choosing a threshold for each. Additionally two-photon fluorescence and SHG images were shown to display similar histological features as Hematoxylin-Eosin stained images.
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9
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Alston L, Mahieu-Williame L, Hebert M, Kantapareddy P, Meyronet D, Rousseau D, Guyotat J, Montcel B. Spectral complexity of 5-ALA induced PpIX fluorescence in guided surgery: a clinical study towards the discrimination of healthy tissue and margin boundaries in high and low grade gliomas. BIOMEDICAL OPTICS EXPRESS 2019; 10:2478-2492. [PMID: 31149380 PMCID: PMC6524587 DOI: 10.1364/boe.10.002478] [Citation(s) in RCA: 17] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/17/2018] [Revised: 02/09/2019] [Accepted: 03/21/2019] [Indexed: 05/06/2023]
Abstract
Gliomas are diffuse and hard to cure brain tumors. A major reason for their aggressive behavior is their property to infiltrate the brain. The gross appearance of the infiltrative component is comparable to normal brain, constituting an obstacle to extended surgical resection. 5-ALA induced PpIX fluorescence measurements enable gains in sensitivity to detect infiltrated cells, but still lack sensitivity to get accurate discrimination between the tumor margin and healthy tissue. In this fluorescence spectroscopic study, we assume that two states of PpIX contribute to total fluorescence to get better discrimination of healthy tissues against tumor margins. We reveal that fluorescence in low-density margins of high-grade gliomas or in low-grade gliomas is mainly influenced by the second state of PpIX centered at 620 nm. We thus conclude that consideration of the contributions of both states to total fluorescence can help to improve fluorescence-guided resection of gliomas by discriminating healthy tissues from tumor margins.
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Affiliation(s)
- L. Alston
- Univ Lyon, INSA‐Lyon, Université Lyon 1, UJM-Saint Etienne, CNRS, Inserm, CREATIS UMR5220, U1206, F-69616, Lyon, France
| | - L. Mahieu-Williame
- Univ Lyon, INSA‐Lyon, Université Lyon 1, UJM-Saint Etienne, CNRS, Inserm, CREATIS UMR5220, U1206, F-69616, Lyon, France
| | - M. Hebert
- Univ Lyon, UJM-Saint-Etienne, CNRS, Institut d Optique Graduate School, Lab. Hubert Curien UMR5516, F-42023, St Etienne, France
| | - P. Kantapareddy
- Hospices Civils de Lyon, Groupe Hospitalier Est, Service d’anatomopathologie, 59 Bvd Pinel, 69394, Lyon, Cedex, France
| | - D. Meyronet
- Hospices Civils de Lyon, Groupe Hospitalier Est, Service d’anatomopathologie, 59 Bvd Pinel, 69394, Lyon, Cedex, France
- Department of Cancer Cell Plasticity, Cancer Research Centre of Lyon, INSERM U1052, CNRS UMR5286, Lyon, France, Université Claude Bernard Lyon 1, Lyon, France
| | - D. Rousseau
- Univ Lyon, INSA‐Lyon, Université Lyon 1, UJM-Saint Etienne, CNRS, Inserm, CREATIS UMR5220, U1206, F-69616, Lyon, France
| | - J. Guyotat
- Hospices Civils de Lyon, Groupe Hospitalier Est, Service d’anatomopathologie, 59 Bvd Pinel, 69394, Lyon, Cedex, France
| | - B. Montcel
- Univ Lyon, INSA‐Lyon, Université Lyon 1, UJM-Saint Etienne, CNRS, Inserm, CREATIS UMR5220, U1206, F-69616, Lyon, France
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10
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Mehidine H, Sibai M, Poulon F, Pallud J, Varlet P, Zanello M, Devaux B, Abi Haidar D. Multimodal imaging to explore endogenous fluorescence of fresh and fixed human healthy and tumor brain tissues. JOURNAL OF BIOPHOTONICS 2019; 12:e201800178. [PMID: 30203459 DOI: 10.1002/jbio.201800178] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2018] [Accepted: 09/07/2018] [Indexed: 06/08/2023]
Abstract
To complement a project toward label-free optical biopsy and enhanced resection which the overall goal is to develop a multimodal nonlinear endomicroscope, this multimodal approach aims to enhance the accuracy in classifying brain tissue into solid tumor, infiltration and normal tissue intraoperatively. Multiple optical measurements based on one- and two-photon spectral and lifetime autofluorescence, including second harmonic generation imaging, were acquired. As a prerequisite, studying the effect of the time of measurement postexcision on tissue's spectral/lifetime fluorescence properties was warranted, so spectral and lifetime fluorescences of fresh brain tissues were measured using a point-based linear endoscope. Additionally, a comparative study on tissue's optical properties obtained by multimodal nonlinear optical imaging microscope from fresh and fixed tissue was necessary to test whether clinical validation of the nonlinear endomicroscope is feasible by extracting optical signatures from fixed tissue rather than from freshly excised samples. The former is generally chosen for convenience. Results of this study suggest that an hour is necessary postexcision to have consistent fluorescence intensities\lifetimes. The fresh (a,b,c) vs fixed (d,e,f) tissue study indicates that while all optical signals differ after fixation. The characteristic features extracted from one- and two-photon excitation still discriminate normal brain (a,d) cortical tissue, glioblastoma (GBM) (b,e) and metastases (c,f).
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Affiliation(s)
- Hussein Mehidine
- IMNC Laboratory, UMR 8165-CNRS/ IN2P3, Paris-Saclay University, Orsay, France
- Paris Diderot University, Sorbonne Paris Cité, F-75013, Paris, France
| | - Mira Sibai
- IMNC Laboratory, UMR 8165-CNRS/ IN2P3, Paris-Saclay University, Orsay, France
| | - Fanny Poulon
- IMNC Laboratory, UMR 8165-CNRS/ IN2P3, Paris-Saclay University, Orsay, France
| | - Johan Pallud
- Neurosurgery Department, Sainte-Anne Hospital, Paris, France
- IMA BRAIN, INSERMU894, Centre de Psychiatrie et de Neurosciences, Paris, France
- Paris Descartes University, Paris, France
| | - Pascale Varlet
- IMA BRAIN, INSERMU894, Centre de Psychiatrie et de Neurosciences, Paris, France
- Paris Descartes University, Paris, France
- Neuropathology Department, Sainte-Anne Hospital, Paris, France
| | - Marc Zanello
- Neurosurgery Department, Sainte-Anne Hospital, Paris, France
- Paris Descartes University, Paris, France
| | - Bertrand Devaux
- Neurosurgery Department, Sainte-Anne Hospital, Paris, France
- Paris Descartes University, Paris, France
| | - Darine Abi Haidar
- IMNC Laboratory, UMR 8165-CNRS/ IN2P3, Paris-Saclay University, Orsay, France
- Paris Diderot University, Sorbonne Paris Cité, F-75013, Paris, France
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11
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In Vivo Real-Time Discrimination Among Glioma, Infiltration Zone, and Normal Brain Tissue via Autofluorescence Technology. World Neurosurg 2018; 122:e773-e782. [PMID: 30391621 DOI: 10.1016/j.wneu.2018.10.144] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2018] [Revised: 10/19/2018] [Accepted: 10/22/2018] [Indexed: 01/01/2023]
Abstract
BACKGROUND Surgery is the first-line therapy for glioblastoma. There is evidence that extent of resection is significantly associated with patient survival. Unfortunately, optimal surgical resection is usually limited because of the difficulty in discriminating tumor-infiltrated region and normal brain tissue. This study aimed to develop a tool to distinguish between infiltration zone and normal tissue in real time during glioma surgery. METHODS In an in vivo study, C6 glioma cells were implanted into the left cerebral hemispheres of 6 rats to mimic tumorigenesis. A newly designed optical fiber-embedded needle probe was used to measure the autofluorescence of both cerebral hemispheres at various depths 5 days after the implantation. These rats were then sacrificed, and both cerebral hemispheres were removed for histopathologic analysis. RESULTS Comparative analyses of corresponding areas by histopathology and autofluorescence revealed highly significant (P < 0.001) differences among the normal tissue, infiltration zone, tumors, and the contralateral cerebral hemispheres. The area of the receiver operating characteristic curve was 0.978, and the sensitivity and specificity of tumor delineation were 93.9% and 94.4%, respectively. CONCLUSIONS The newly designed in vivo fiber-optic probe can distinguish tumor-infiltration zones from normal brain tissue in this in vivo study. Therefore, it may help neurosurgeons to increase extent of resection without damaging normal brain tissue and thus potentially improve the patients' survival and quality of life.
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12
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Pradère B, Poulon F, Compérat E, Lucas IT, Bazin D, Doizi S, Cussenot O, Traxer O, Abi Haidar D. Two-photon optical imaging, spectral and fluorescence lifetime analysis to discriminate urothelial carcinoma grades. JOURNAL OF BIOPHOTONICS 2018; 11:e201800065. [PMID: 29806125 DOI: 10.1002/jbio.201800065] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/27/2018] [Accepted: 05/25/2018] [Indexed: 05/22/2023]
Abstract
In the framework of urologic oncology, mini-invasive procedures have increased in the last few decades particularly for urothelial carcinoma. One of the essential elements in the management of this disease is still the diagnosis, which strongly influences the choice of treatment. The histopathologic evaluation of the tumor grade is a keystone of diagnosis, and tumor characterization is not possible with just a macroscopic evaluation. Even today intraoperative evaluation remains difficult despite the emergence of new technologies which use exogenous fluorophore. This study assessed an optical multimodal technique based on endogenous fluorescence, combining qualitative and quantitative analysis, for the diagnostic of urothelial carcinoma. It was found that the combination of two-photon fluorescence, second harmonic generation microscopy, spectral analysis and fluorescence lifetime imaging were all able to discriminate tumor from healthy tissue, and to determine the grade of tumors. Spectral analysis of fluorescence intensity and the redox ratio used as quantitative evaluations showed statistical differences between low-grade and high-grade tumors. These results showed that multimodal optical analysis is a promising technology for the development of an optical fiber setup designed for an intraoperative diagnosis of urothelial carcinoma in the area of endo-urology.
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Affiliation(s)
- Benjamin Pradère
- Sorbonne Université, GRC n°20 LITHIASE RENALE, AP-HP, Hôpital Tenon, F-75020, Paris, France
| | - Fanny Poulon
- IMNC Laboratory, UMR 8165-CNRS/IN2P3, Paris-Saclay University, Orsay, France
| | - Eva Compérat
- Department of Pathology, Hôpital Tenon, HUEP, AP-HP, Sorbonne University, Paris, France
| | - Ivan T Lucas
- Laboratoire Interfaces et Systèmes Electrochimiques, UMR 8235-CNRS, Sorbonne Université, F-75005 Paris, France
| | - Dominique Bazin
- Laboratoire de Physique des Solides, CNRS UMR 8502, Université Paris Sud XI, Orsay, France; CNRS, Laboratoire de Chimie de la Matière Condensée de Paris, UPMC, Collège de France, Paris, France
| | - Steeve Doizi
- Sorbonne Université, GRC n°20 LITHIASE RENALE, AP-HP, Hôpital Tenon, F-75020, Paris, France
| | - Olivier Cussenot
- Sorbonne Université, GRC n°20 LITHIASE RENALE, AP-HP, Hôpital Tenon, F-75020, Paris, France
| | - Olivier Traxer
- Sorbonne Université, GRC n°20 LITHIASE RENALE, AP-HP, Hôpital Tenon, F-75020, Paris, France
| | - Darine Abi Haidar
- IMNC Laboratory, UMR 8165-CNRS/IN2P3, Paris-Saclay University, Orsay, France
- Paris Diderot University, Sorbonne Paris Cité, F-75013, Paris, France
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13
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Poulon F, Pallud J, Varlet P, Zanello M, Chretien F, Dezamis E, Abi-Lahoud G, Nataf F, Turak B, Devaux B, Abi Haidar D. Real-time Brain Tumor imaging with endogenous fluorophores: a diagnosis proof-of-concept study on fresh human samples. Sci Rep 2018; 8:14888. [PMID: 30291269 PMCID: PMC6173695 DOI: 10.1038/s41598-018-33134-2] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2018] [Accepted: 09/20/2018] [Indexed: 01/18/2023] Open
Abstract
The primary line of therapy for high-grade brain tumor is surgical resection, however, identifying tumor margins in vivo remains a major challenge. Despite the progress in computer-assisted imaging techniques, biopsy analysis remains the standard diagnostic tool when it comes to delineating tumor margins. Our group aims to answer this challenge by exploiting optical imaging of endogenous fluorescence in order to provide a reliable and reproducible diagnosis close to neuropathology. In this study, we first establish the ability of two-photon microscopy (TPM) to discriminate normal brain tissue from glioblastomas and brain metastasis using the endogenous fluorescence response of fresh human brain sample. Two-photon fluorescence images were compared to gold standard neuropathology. "Blind" diagnosis realized by a neuropathologist on a group of TPM images show a good sensitivity, 100%, and specificity, 50% to discriminate non tumoral brain tissue versus glioblastoma or brain metastasis. Quantitative analysis on spectral and fluorescence lifetime measurements resulted in building a scoring system to discriminate brain tissue samples.
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Affiliation(s)
- Fanny Poulon
- IMNC Laboratory, UMR 8165-CNRS/IN2P3, Paris-Saclay university, 91405, Orsay, France
| | - Johan Pallud
- Neurosurgery Department, Sainte-Anne Hospital, Paris, France.,IMA BRAIN, INSERMU894, Centre de Psychiatrie et de Neurosciences, Paris, France.,Paris Descartes University, Paris, France
| | - Pascale Varlet
- Neuropathology Department, Sainte-Anne Hospital, Paris, France.,IMA BRAIN, INSERMU894, Centre de Psychiatrie et de Neurosciences, Paris, France.,Paris Descartes University, Paris, France
| | - Marc Zanello
- IMNC Laboratory, UMR 8165-CNRS/IN2P3, Paris-Saclay university, 91405, Orsay, France.,Neurosurgery Department, Sainte-Anne Hospital, Paris, France.,Paris Descartes University, Paris, France
| | - Fabrice Chretien
- Neuropathology Department, Sainte-Anne Hospital, Paris, France.,Paris Descartes University, Paris, France
| | - Edouard Dezamis
- Neurosurgery Department, Sainte-Anne Hospital, Paris, France.,Paris Descartes University, Paris, France
| | - Georges Abi-Lahoud
- Neurosurgery Department, Sainte-Anne Hospital, Paris, France.,Paris Descartes University, Paris, France
| | - François Nataf
- Neurosurgery Department, Sainte-Anne Hospital, Paris, France.,Paris Descartes University, Paris, France
| | - Baris Turak
- Neurosurgery Department, Sainte-Anne Hospital, Paris, France.,Paris Descartes University, Paris, France
| | - Bertrand Devaux
- Neurosurgery Department, Sainte-Anne Hospital, Paris, France.,Paris Descartes University, Paris, France
| | - Darine Abi Haidar
- IMNC Laboratory, UMR 8165-CNRS/IN2P3, Paris-Saclay university, 91405, Orsay, France. .,Paris Diderot University, Sorbonne Paris Cité, F-75013, Paris, France.
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14
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The Impact of Compressed Femtosecond Laser Pulse Durations on Neuronal Tissue Used for Two-Photon Excitation Through an Endoscope. Sci Rep 2018; 8:11124. [PMID: 30042504 PMCID: PMC6057889 DOI: 10.1038/s41598-018-29404-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2018] [Accepted: 07/11/2018] [Indexed: 11/09/2022] Open
Abstract
Accurate intraoperative tumour margin assessment is a major challenge in neurooncology, where sparse tumours beyond the bulk tumour are left undetected under conventional resection. Non-linear optical imaging can diagnose tissue at the sub-micron level and provide functional label-free histopathology in vivo. For this reason, a non-linear endomicroscope is being developed to characterize brain tissue intraoperatively based on multiple endogenous optical contrasts such as spectrally- and temporally-resolved fluorescence. To produce highly sensitive optical signatures that are specific to a given tissue type, short femtosecond pulsed lasers are required for efficient two-photon excitation. Yet, the potential of causing bio-damage has not been studied on neuronal tissue. Therefore, as a prerequisite to clinically testing the non-linear endomicroscope in vivo, the effect of short laser pulse durations (40-340 fs) on ex vivo brain tissue was investigated by monitoring the intensity, the spectral, and the lifetime properties of endogenous fluorophores under 800 and 890 nm two-photon excitation using a bi-modal non-linear endoscope. These properties were also validated by imaging samples on a benchtop multiphoton microscope. Our results show that under a constant mean laser power, excitation pulses as short as 40 fs do not negatively alter the biochemical/ biophysical properties of tissue even for prolonged irradiation.
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15
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Nazeer SS, Saraswathy A, Shenoy SJ, Jayasree RS. Fluorescence spectroscopy as an efficient tool for staging the degree of liver fibrosis: an in vivo comparison with MRI. Sci Rep 2018; 8:10967. [PMID: 30030510 PMCID: PMC6054616 DOI: 10.1038/s41598-018-29370-1] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2017] [Accepted: 07/06/2018] [Indexed: 12/20/2022] Open
Abstract
The study utilizes autofluorescence spectroscopy (AFS) along with multivariate spectral analysis for differentiating various stages of hepatic fibrosis. AFS has recently emerged as an efficient tool for evaluating the variations in different endogenous flurophores. In this study, the potential of AFS for differentiating the stages of liver fibrosis is assessed and compared with the results of enzyme evaluation, histopathology and the most advanced diagnostic tool, MRI. Using a fiber optic probe, the emission profile of the flurophores such as flavin adenine dinucleotide (FAD), lipofuscin-like lipopigments (lipopigments), porphyrins and the variation in the total hemoglobin concentration are evaluated in vivo on liver fibrosis induced animal models adopting a minimally invasive technique. Significant difference (p < 0.05) in the level of these biomarkers was observed between different stages of liver fibrosis. Normal hepatic tissue could be distinguished from mild and moderate hepatic fibrosis with a sensitivity of 95 to 100% and specificity of 90 to 100% using multivariate spectral analysis. The results are favourable to consider this technique as a potential tool for diagnosing liver fibrosis at an early stage, which is monumental as it otherwise can lead to cirrhosis and liver failure.
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Affiliation(s)
- Shaiju S Nazeer
- Division of Biophotonics and Imaging, Biomedical Technology Wing Sree Chitra Tirunal Institute for Medical Sciences & Technology, Poojappura, Thiruvananthapuram, 695 012, Kerala, India.,Department of Pathology, University of Illinois at Chicago, Chicago, Illinois, USA
| | - Ariya Saraswathy
- Division of Biophotonics and Imaging, Biomedical Technology Wing Sree Chitra Tirunal Institute for Medical Sciences & Technology, Poojappura, Thiruvananthapuram, 695 012, Kerala, India.,Department of Physics, NSS College, Pandalam, Kerala, India
| | - Sachin J Shenoy
- Division of In Vivo Models and Testing, Biomedical Technology Wing Sree Chitra Tirunal Institute for Medical Sciences & Technology, Poojappura, Thiruvananthapuram, 695 012, Kerala, India
| | - Ramapurath S Jayasree
- Division of Biophotonics and Imaging, Biomedical Technology Wing Sree Chitra Tirunal Institute for Medical Sciences & Technology, Poojappura, Thiruvananthapuram, 695 012, Kerala, India.
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16
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Alphandéry E, Abi Haidar D, Seksek O, Thoreau M, Trautmann A, Bercovici N, Gazeau F, Guyot F, Chebbi I. Nanoprobe Synthesized by Magnetotactic Bacteria, Detecting Fluorescence Variations under Dissociation of Rhodamine B from Magnetosomes following Temperature, pH Changes, or the Application of Radiation. ACS APPLIED MATERIALS & INTERFACES 2017; 9:36561-36572. [PMID: 29035036 DOI: 10.1021/acsami.7b09720] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/24/2023]
Abstract
We report a method of fabrication of fluorescent magnetosomes, designated as MCR400, in which 400 μM of rhodamine B are introduced in the growth medium of AMB-1 magnetotactic bacteria and fluorescent magnetosomes are then extracted from these bacteria. These fluorescent magnetosomes behave differently from most fluorescent nanoprobes, which often lead to fluorescence losses over time due to photobleaching. Indeed, when MCR400 are heated to 30-90 °C, brought to an acidic pH, or exposed to radiations, we observed that their fluorescence intensity increased. We attributed this behavior to the dissociation of rhodamine B from the magnetosomes. Interestingly, enhanced fluorescence was also observed in vitro when MCR400 were mixed with either primary macrophages or tumor cells (TC1-GFP or RG2-Cells) or in vivo when MCR400 were introduced in rat glioblastoma. We showed that MCR400 internalize in tumor and immune cells (macrophages) leading to enhanced fluorescence, suggesting that fluorescent magnetosomes could be used during cancer treatments such as magnetic hyperthermia to image cells of interest such as immune or tumor cells.
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Affiliation(s)
- Edouard Alphandéry
- Institut de Minéralogie, de Physique des Matériaux et de Cosmochimie, UMR 7590 CNRS, Sorbonne Universités, UPMC, University Paris 06, Muséum National d'Histoire Naturelle , 4 Place Jussieu, 75005 Paris, France
- Nanobacterie SARL , 36 Boulevard Flandrin, 75116 Paris, France
| | - Darine Abi Haidar
- CNRS UMR 8165, Imagerie et Modelisation en Neurobiologie, et Cancerologie, Paris-Saclay University , Campus d'Orsay, Bêt 440, 91405 Orsay, France
- Paris Diderot University , F-75013, Paris, France
| | - Olivier Seksek
- CNRS UMR 8165, Imagerie et Modelisation en Neurobiologie, et Cancerologie, Paris-Saclay University , Campus d'Orsay, Bêt 440, 91405 Orsay, France
| | | | | | | | - Florence Gazeau
- Laboratoire de Matière et Systèmes Complexes, MSC, Université Paris Diderot , Bâtiment Condorcet, Case 7056, 75205 Paris Cedex 13, France
| | - François Guyot
- Institut de Minéralogie, de Physique des Matériaux et de Cosmochimie, UMR 7590 CNRS, Sorbonne Universités, UPMC, University Paris 06, Muséum National d'Histoire Naturelle , 4 Place Jussieu, 75005 Paris, France
| | - Imène Chebbi
- Nanobacterie SARL , 36 Boulevard Flandrin, 75116 Paris, France
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17
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Poulon F, Mehidine H, Juchaux M, Varlet P, Devaux B, Pallud J, Abi Haidar D. Optical properties, spectral, and lifetime measurements of central nervous system tumors in humans. Sci Rep 2017; 7:13995. [PMID: 29070870 PMCID: PMC5656602 DOI: 10.1038/s41598-017-14381-1] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2017] [Accepted: 10/09/2017] [Indexed: 02/04/2023] Open
Abstract
A key challenge of central nervous system tumor surgery is to discriminate between brain regions infiltrated by tumor cells and surrounding healthy tissue. Although monitoring of autofluorescence could potentially be an efficient way to provide reliable information for these regions, we found little information on this subject, and thus we conducted studies of brain tissue optical properties. This particular study focuses on the different optical quantitative responses of human central nervous system tumors and their corresponding controls. Measurements were performed on different fixed human tumoral and healthy brain samples. Four groups of central nervous system tumors (glioblastoma, diffuse glioma, meningioma and metastasis) were discriminated from healthy brain and meninx control tissues. A threshold value was found for the scattering and absorption coefficient between tumoral and healthy groups. Emission Spectra of healthy tissue had a significant higher intensity than tumoral groups. The redox and optical index ratio were thenn calculated and these also showed significant discrimination. Two fluorescent molecules, NADH and porphyrins, showed distinct lifetim values among the different groups of samples. This study defines several optical indexes that can act as combinated indicators to discriminate healthy from tumoral tissues.
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Affiliation(s)
- F Poulon
- IMNC Laboratory UMR 8165-CNRS/IN2P3, Paris-Saclay University, Orsay, 91405, France
| | - H Mehidine
- IMNC Laboratory UMR 8165-CNRS/IN2P3, Paris-Saclay University, Orsay, 91405, France
| | - M Juchaux
- IMNC Laboratory UMR 8165-CNRS/IN2P3, Paris-Saclay University, Orsay, 91405, France
| | - P Varlet
- Neuropathology Department, Sainte-Anne Hospital, Paris, 75014, France
- IMA BRAIN, INSERMU894, Centre de Psychiatrie et de Neurosciences, Paris, France
| | - B Devaux
- Neurosurgery Department, Sainte-Anne Hospital, 75014, Paris, France
- Paris Descates University, Paris, France
| | - J Pallud
- IMA BRAIN, INSERMU894, Centre de Psychiatrie et de Neurosciences, Paris, France
- Neurosurgery Department, Sainte-Anne Hospital, 75014, Paris, France
- Paris Descates University, Paris, France
| | - D Abi Haidar
- IMNC Laboratory UMR 8165-CNRS/IN2P3, Paris-Saclay University, Orsay, 91405, France.
- Université Paris Diderot, Sorbonne Paris Cité, F-75013, Paris, France.
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18
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Zanello M, Roux A, Pallud J. Letter: Intraoperative Near-Infrared Optical Imaging Can Localize Gadolinium-Enhancing Gliomas During Surgery. Neurosurgery 2017; 81:E44. [PMID: 28575296 DOI: 10.1093/neuros/nyx296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Affiliation(s)
- Marc Zanello
- Department of Neurosurgery Sainte-Anne Hospital Paris, France.,Paris Descartes University Paris, France
| | - Alexandre Roux
- Department of Neurosurgery Sainte-Anne Hospital Paris, France.,Paris Descartes University Paris, France
| | - Johan Pallud
- Department of Neurosurgery Sainte-Anne Hospital Paris, France.,Paris Descartes University Paris, France.,IMA-BRAIN, Inserm, U894 Centre de Psychiatrie et Neurosciences Paris, France
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19
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Zanello M, Poulon F, Pallud J, Varlet P, Hamzeh H, Abi Lahoud G, Andreiuolo F, Ibrahim A, Pages M, Chretien F, Di Rocco F, Dezamis E, Nataf F, Turak B, Devaux B, Abi Haidar D. Multimodal optical analysis discriminates freshly extracted human sample of gliomas, metastases and meningiomas from their appropriate controls. Sci Rep 2017; 7:41724. [PMID: 28150726 PMCID: PMC5288720 DOI: 10.1038/srep41724] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2016] [Accepted: 12/23/2016] [Indexed: 01/20/2023] Open
Abstract
Delineating tumor margins as accurately as possible is of primordial importance in surgical oncology: extent of resection is associated with survival but respect of healthy surrounding tissue is necessary for preserved quality of life. The real-time analysis of the endogeneous fluorescence signal of brain tissues is a promising tool for defining margins of brain tumors. The present study aims to demonstrate the feasibility of multimodal optical analysis to discriminate fresh samples of gliomas, metastases and meningiomas from their appropriate controls. Tumor samples were studied on an optical fibered endoscope using spectral and fluorescence lifetime analysis and then on a multimodal set-up for acquiring spectral, one and two-photon fluorescence images, second harmonic generation signals and two-photon fluorescence lifetime datasets. The obtained data allowed us to differentiate healthy samples from tumor samples. These results confirmed the possible clinical relevance of this real-time multimodal optical analysis. This technique can be easily applied to neurosurgical procedures for a better delineation of surgical margins.
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Affiliation(s)
- Marc Zanello
- IMNC Laboratory, UMR 8165-CNRS/IN2P3, Paris-Saclay university, 91405 Orsay, France.,Neurosurgery Department, Sainte-Anne Hospital, France.,Paris Descartes University, Paris, France
| | - Fanny Poulon
- IMNC Laboratory, UMR 8165-CNRS/IN2P3, Paris-Saclay university, 91405 Orsay, France
| | - Johan Pallud
- Neurosurgery Department, Sainte-Anne Hospital, France.,Paris Descartes University, Paris, France
| | - Pascale Varlet
- Paris Descartes University, Paris, France.,Neuropathology Department, Sainte-Anne Hospital, France
| | - H Hamzeh
- Center of Advanced European Studies and Research (caesar), 53175 Bonn, Germany
| | - Georges Abi Lahoud
- Neurosurgery Department, Sainte-Anne Hospital, France.,Paris Descartes University, Paris, France
| | - Felipe Andreiuolo
- Paris Descartes University, Paris, France.,Neuropathology Department, Sainte-Anne Hospital, France
| | - Ali Ibrahim
- IMNC Laboratory, UMR 8165-CNRS/IN2P3, Paris-Saclay university, 91405 Orsay, France
| | - Mélanie Pages
- Paris Descartes University, Paris, France.,Neuropathology Department, Sainte-Anne Hospital, France
| | - Fabrice Chretien
- Paris Descartes University, Paris, France.,Neuropathology Department, Sainte-Anne Hospital, France
| | | | - Edouard Dezamis
- Neurosurgery Department, Sainte-Anne Hospital, France.,Paris Descartes University, Paris, France
| | - François Nataf
- Neurosurgery Department, Sainte-Anne Hospital, France.,Paris Descartes University, Paris, France
| | - Baris Turak
- Neurosurgery Department, Sainte-Anne Hospital, France.,Paris Descartes University, Paris, France
| | - Bertrand Devaux
- Neurosurgery Department, Sainte-Anne Hospital, France.,Paris Descartes University, Paris, France
| | - Darine Abi Haidar
- IMNC Laboratory, UMR 8165-CNRS/IN2P3, Paris-Saclay university, 91405 Orsay, France.,Paris Diderot University, Sorbonne Paris Cité, F-75013, Paris, France
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20
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Zanello M, Poulon F, Varlet P, Chretien F, Andreiuolo F, Pages M, Ibrahim A, Pallud J, Dezamis E, Abi-Lahoud G, Nataf F, Turak B, Devaux B, Abi Haidar D. Multimodal optical analysis of meningioma and comparison with histopathology. JOURNAL OF BIOPHOTONICS 2017; 10:253-263. [PMID: 26871683 DOI: 10.1002/jbio.201500251] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/21/2015] [Revised: 12/17/2015] [Accepted: 01/11/2016] [Indexed: 06/05/2023]
Abstract
Meningioma is the most frequent primary central nervous system tumor. The risk of recurrence and the prognosis are correlated with the extent of the resection that ideally encompasses the infiltrated dura mater and, if required, the infiltrated bone. No device can deliver real-time intraoperative histopathological information on the tumor environment to help the neurosurgeon to achieve a gross total removal. This study assessed the abilities of nonlinear microscopy to provide relevant and real-time data to help resection of meningiomas. Nine human meningioma samples (four World Health Organization Grade I, five Grade II) were analyzed using different optical modalities: spectral analysis and imaging, lifetime measurements, fluorescence lifetime imaging microscopy, fluorescence emitted under one- and two-photon excitation and the second-harmonic generation signal imaging using a multimodal setup. Nonlinear microscopy produced images close to histopathology as a gold standard. The second-harmonic generation signal delineated the collagen background and two-photon fluorescence underlined cell cytoplasm. The matching between fluorescence images and Hematoxylin and Eosin staining was possible in all cases. Grade I meningioma emitted less autofluorescence than Grade II meningioma and Grade II meningioma exhibited a distinct lifetime value. Autofluorescence was correlated with the proliferation rates and seemed to explain the observed differences between Grade I and II meningiomas. This preliminary multimodal study focused on human meningioma samples confirms the potential of tissue autofluorescence analysis and nonlinear microscopy in helping intraoperatively neurosurgeons to reach the actual boundaries of the tumor infiltration. Correspondence between H&E staining (top pictures) and the two-photon fluorescence imaging (bottom pictures).
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Affiliation(s)
| | | | - Pascale Varlet
- Neuropathology Department, Sainte-Anne Hospital, France
- Paris Descartes University, Paris, France
| | - Fabrice Chretien
- Neuropathology Department, Sainte-Anne Hospital, France
- Paris Descartes University, Paris, France
| | - Felipe Andreiuolo
- Neuropathology Department, Sainte-Anne Hospital, France
- Paris Descartes University, Paris, France
| | - Mélanie Pages
- Neuropathology Department, Sainte-Anne Hospital, France
- Paris Descartes University, Paris, France
| | - Ali Ibrahim
- IMNC Laboratory, UMR8165-CNRS, Orsay, France
| | - Johan Pallud
- Neurosurgery Department, Sainte-Anne Hospital, France
- Paris Descartes University, Paris, France
| | - Edouard Dezamis
- Neurosurgery Department, Sainte-Anne Hospital, France
- Paris Descartes University, Paris, France
| | - Georges Abi-Lahoud
- Neurosurgery Department, Sainte-Anne Hospital, France
- Paris Descartes University, Paris, France
| | - François Nataf
- Neurosurgery Department, Sainte-Anne Hospital, France
- Paris Descartes University, Paris, France
| | - Baris Turak
- Neurosurgery Department, Sainte-Anne Hospital, France
- Paris Descartes University, Paris, France
| | - Bertrand Devaux
- Neurosurgery Department, Sainte-Anne Hospital, France
- Paris Descartes University, Paris, France
| | - Darine Abi Haidar
- IMNC Laboratory, UMR8165-CNRS, Orsay, France
- University Paris 7-Paris DIDEROT, F-75012, Paris, France
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21
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Ibrahim A, Poulon F, Melouki F, Zanello M, Varlet P, Habert R, Devaux B, Kudlinski A, Abi Haidar D. Spectral and fluorescence lifetime endoscopic system using a double-clad photonic crystal fiber. OPTICS LETTERS 2016; 41:5214-5217. [PMID: 27842096 DOI: 10.1364/ol.41.005214] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
We present a customized small-core double-clad photonic crystal fiber for spectral and fluorescence lifetime measurements of human samples. In this Letter, the new fiber has been characterized on different fluorophores and samples of human brain tumor; a comparison to a bi-fiber homemade system and a commercial fiber probe was made.
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22
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Forbes MDE. What We Talk About When We Talk About Light. ACS CENTRAL SCIENCE 2015; 1:354-63. [PMID: 27162995 PMCID: PMC4827676 DOI: 10.1021/acscentsci.5b00261] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/20/2015] [Indexed: 06/05/2023]
Abstract
UNESCO (the United Nations Educational, Scientific, and Cultural Organization) has declared 2015 the "International Year of Light and Light-Based Technologies". In celebration of this proclamation, this Outlook provides a general history of light and its applications, from the earliest moments of the Big Bang through its present impact on all forms of life on the planet. Special emphasis is placed on fundamental advances in the generation and use of artificial light, as well as the harvesting and use of light from the Sun and other natural sources. During the past century, the role of light in the fields of physics, chemistry, and biology has expanded to include emerging fields such as environmental engineering, agriculture, materials science, and biomedicine. In this regard, future research challenges and new potential applications in these areas, in the context of "the central science", are presented and discussed.
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Affiliation(s)
- Malcolm D. E. Forbes
- Center for Photochemical
Sciences, Department of Chemistry, Bowling
Green State University, Bowling
Green, Ohio 43403, United States
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