Dual-modality probe intended for prostate cancer detection combining Raman spectroscopy and tactile resonance technology--discrimination of normal human prostate tissues ex vivo

A tactile resonance sensor for prostate cancer detection - evaluation on human prostate tissue

Prostate cancer surgery risks erectile problems and incontinence for the patient. An instrument for guiding surgeons to avoid nerve bundle damage and ensure complete cancer removal is desirable. We present a tactile resonance sensor made of PZT ceramics, mounted in a 3D motorized translation stage for scanning and measuring tissue stiffness for detecting cancer in human prostate. The sensor may be used during surgery for guidance, scanning the prostate surface for the presence of cancer, indicating migration of cancer cells into surrounding tissue. Ten fresh prostates, obtained from patients undergoing prostate cancer surgery, were cut into 0.5 cm thick slices. Each slice was measured for tissue stiffness at about 25 different sites and compared to histology for validation cancer prediction by stiffness. The statistical analysis was based on a total of 148 sites with non-cancer and 40 sites with cancer. Using a generalized linear mixed model (GLMM), the stiffness data predicted cancer with an area under the curve of 0.74, after correcting for overfitting using bootstrap validation. Mean prostate stiffness on the logarithmic scale (p = 0.015) and standardized Z-scores (p = 0.025) were both significant predictors of cancer. This study concludes that stiffness measured by the tactile resonance sensor is a significant predictor of prostate cancer with potential for future development towards a clinical instrument for surgical guidance.

Design and analysis of an ultrasonic tactile sensor using electro-mechanical analogy

This paper proposed a hybrid design approach of a vibro-concentrator, a vital component of an ultrasonic tactile sensor, by using electro-mechanical analogy. Lab experiments on soft materials with elastic modulus from 14 kPa to 150 kPa were conducted using the tactile sensor installed with the vibro-concentrator to verify the performance of the design. Various mechanical and electrical parameters, such as resonance frequency shift and equivalent conductance, were discussed, focusing on their feasibility as new stiffness indicators. As a variant of tactile sensors, ultrasonic tactile sensors have the advantage of high sensitivity and minimal contact with the object over traditional tactile sensors based on force-displacement principle. They detect the changes in mechanical vibration characteristics, mostly resonance frequency shift of the sensor, as an indicator of the mechanical properties of the object. A vibro-concentrator has been frequently adopted to improve the performance an ultrasonic tactile sensor, but its design has yet been systematically considered. We propose a hybrid design approach based on electro-mechanical analogy for both mechanical and electrical analyses. Mechanically, impedance analogy was adopted to design an ultrasonic vibration concentrator for the sensor to localize the contact and reinforce the vibration behavior at ~40 kHz. Electrically, we used mobility analogy to derive electrical parameters from the tactile sensing tests in lab environment. The competence of the design was demonstrated by mechanical and electrical characteristic tests. By investigating various electrical parameters from tactile sensing tests, the equivalent conductance determined by the electro-mechanical analysis was found to have almost perfectly linear relationship (R² = 0.9998) with the samples' elastic modulus ranging from 10 kPa to 70 kPa, and showed its potential as a new stiffness indicator for soft materials. Further analyses suggested that the electrically determined series resonance frequency shift, parallel resonance frequency shift, and maximum phase angle frequency shift also had excellent linearities (R² = 0.9947, 0.9842, and 0.9935, respectively) with sample's modulus and can be considered as indicator candidates.

Applications of Raman spectroscopy in cancer diagnosis

Novel approaches toward understanding the evolution of disease can lead to the discovery of biomarkers that will enable better management of disease progression and improve prognostic evaluation. Raman spectroscopy is a promising investigative and diagnostic tool that can assist in uncovering the molecular basis of disease and provide objective, quantifiable molecular information for diagnosis and treatment evaluation. This technique probes molecular vibrations/rotations associated with chemical bonds in a sample to obtain information on molecular structure, composition, and intermolecular interactions. Raman scattering occurs when light interacts with a molecular vibration/rotation and a change in polarizability takes place during molecular motion. This results in light being scattered at an optical frequency shifted (up or down) from the incident light. By monitoring the intensity profile of the inelastically scattered light as a function of frequency, the unique spectroscopic fingerprint of a tissue sample is obtained. Since each sample has a unique composition, the spectroscopic profile arising from Raman-active functional groups of nucleic acids, proteins, lipids, and carbohydrates allows for the evaluation, characterization, and discrimination of tissue type. This review provides an overview of the theory of Raman spectroscopy, instrumentation used for measurement, and variation of Raman spectroscopic techniques for clinical applications in cancer, including detection of brain, ovarian, breast, prostate, and pancreatic cancers and circulating tumor cells.

Prostate Cancer Detection with a Tactile Resonance Sensor-Measurement Considerations and Clinical Setup

Tumors in the human prostate are usually stiffer compared to surrounding non-malignant glandular tissue, and tactile resonance sensors measuring stiffness can be used to detect prostate cancer. To explore this further, we used a tactile resonance sensor system combined with a rotatable sample holder where whole surgically removed prostates could be attached to detect tumors on, and beneath, the surface ex vivo. Model studies on tissue phantoms made of silicone and porcine tissue were performed. Finally, two resected human prostate glands were studied. Embedded stiff silicone inclusions placed 4 mm under the surface could be detected in both the silicone and biological tissue models, with a sensor indentation of 0.6 mm. Areas with different amounts of prostate cancer (PCa) could be distinguished from normal tissue (p < 0.05), when the tumor was located in the anterior part, whereas small tumors located in the dorsal aspect were undetected. The study indicates that PCa may be detected in a whole resected prostate with an uneven surface and through its capsule. This is promising for the development of a clinically useful instrument to detect prostate cancer during surgery.

Developing fibre optic Raman probes for applications in clinical spectroscopy

Raman spectroscopy has been shown by various groups over the last two decades to have significant capability in discriminating disease states in bodily fluids, cells and tissues. Recent development in instrumentation, optics and manufacturing approaches has facilitated the design and demonstration of various novel in vivo probes, which have applicability for myriad of applications. This review focusses on key considerations and recommendations for application specific clinical Raman probe design and construction. Raman probes can be utilised as clinical tools able to provide rapid, non-invasive, real-time molecular analysis of disease specific changes in tissues. Clearly the target tissue location, the significance of spectral changes with disease and the possible access routes to the region of interest will vary for each clinical application considered. This review provides insight into design and construction considerations, including suitable probe designs and manufacturing materials compatible with Raman spectroscopy.