用于肺鳞癌边缘检测的时间分辨荧光和漫反射。

IF 2.2 3区 医学 Q2 DERMATOLOGY
Sarah Costa MSc, Qiyin Fang PhD, Thomas Farrell PhD, Erica Dao PhD, Michael Farquharson PhD
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引用次数: 0

摘要

目的:非小细胞肺癌手术的一大挑战是出现肿瘤边缘阳性。这可能导致需要进行更多手术,并与患者预后不良有关。本研究旨在开发一种体内手术工具,可在边缘区分癌与非癌肺部组织:方法:使用时间分辨荧光和漫反射双模设备测量内源性荧光团的寿命、光谱和强度以及肺组织的光学特性。肿瘤和纤维组织数据各包含 36 个样本,均来自确诊为鳞状癌后接受手术切除肺组织但尚未接受任何其他治疗的患者。正常肺组织数据来自 9 个正常组织样本:结果:结果显示,癌组织与非癌组织之间存在显著的统计学差异。结果还显示,纤维化肺组织样本和正常肺组织样本在代谢相关光学特性方面存在差异:这项工作证明了一种能区分鳞状细胞癌患者癌变和非癌变肺组织的设备的可行性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Time-resolved fluorescence and diffuse reflectance for lung squamous carcinoma margin detection

Time-resolved fluorescence and diffuse reflectance for lung squamous carcinoma margin detection

Objectives

A major challenge in non-small cell lung cancer surgery is the occurrence of positive tumor margins. This may lead to the need for additional surgeries and has been linked to poor patient prognosis. This study aims to develop an in vivo surgical tool that can differentiate cancerous from noncancerous lung tissue at the margin.

Methods

A time-resolved fluorescence and diffuse reflectance bimodal device was used to measure the lifetime, spectra, and intensities of endogenous fluorophores as well as optical properties of lung tissue. The tumor and fibrotic tissue data, each containing 36 samples, was obtained from patients who underwent surgical removal of lung tissue after being diagnosed with squamous carcinoma but before any other treatment was administered. The normal lung tissue data were obtained from nine normal tissue samples.

Results

The results show a statistically significant difference between cancerous and noncancerous tissue. The results also show a difference in metabolic related optical properties between fibrotic and normal lung tissue samples.

Conclusions

This work demonstrates the feasibility of a device that can differentiate cancerous and noncancerous lung tissue for patients diagnosed with squamous cell carcinoma.

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来源期刊
CiteScore
5.40
自引率
12.50%
发文量
119
审稿时长
1 months
期刊介绍: Lasers in Surgery and Medicine publishes the highest quality research and clinical manuscripts in areas relating to the use of lasers in medicine and biology. The journal publishes basic and clinical studies on the therapeutic and diagnostic use of lasers in all the surgical and medical specialties. Contributions regarding clinical trials, new therapeutic techniques or instrumentation, laser biophysics and bioengineering, photobiology and photochemistry, outcomes research, cost-effectiveness, and other aspects of biomedicine are welcome. Using a process of rigorous yet rapid review of submitted manuscripts, findings of high scientific and medical interest are published with a minimum delay.
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