Pteridines and its derivatives are considered as important cofactors participating in cellular metabolism. Studies reported that, the distribution of pteridines and its derivatives may change when monocytes and macrophages are activated under interferon- γ stimulus by cancer. Also, there is a significant variation in the concentration and conformation of pteridines under different pathological conditions. It has been reported that during the transformation of normal cells into neoplasm, the metabolic end products of the cancer cells are released into the blood, thereby changing the components and contents of the biological molecules and their local environment. In this regard, the present study is aimed to characterize pteridines and its derivatives in the blood plasma of normal subjects and patients with confirmed oral cancer using fluorescence and Raman spectroscopy. Observed Fluorescence & Raman spectral characteristics of samples and subsequent discriminant analysis predicts that 75 % of the original and cross validated groups are correctly classified.
Urine is one of the diagnostically important bio fluids, as it has many metabolites and some of them are native fluorophores. Riboflavin and its cofactors FMN and FAD which act as electron carriers participates in a diversity of redox reactions central to human metabolism. It has been reported that riboflavin plays a prominent role in progression of various cancers. It is well documented that, the fluorophore flavins that is not bound to proteins in the plasma is filtered by glomerulus and excreted in urine. Fluorescence spectroscopy has been considered as a promising tool to characterize the riboflavin present in the urine. The overall spectral data at 450 nm excitation were subjected to principal components based linear discriminant analysis. As a result, 100 % of the normal subjects and 90% of the cervical cancer subjects were correctly classified which shows that there exists significant difference between them.
Urinary tract infections (UTI) are one of the frequently encountered infections in clinical practice. As there are different strains of bacteria responsible for UTI, the identification of types of bacterial is necessary to administer a proper antibiotic. Conventional staining and biochemical methods for the identification of bacteria are time-consuming and it usually leads to administer patients with broad-spectrum antibiotics which are less effective and expensive. In this regard, Multiphoton fluorescence imaging based on the distribution of NADH and FAD in several bacterial species isolated from UTI is carried out. Metabolic imaging based on fluorescence enables to analyze both biochemical distribution and their conformation. Spectral deconvolution method is used to isolate fluorescence emission from the coenzymes NADH and FAD to generate redox imaging. Further, redox imaging of bacteria was analyzed using different machine learning algorithms to improve the accuracy of classification. The results of this study revealed that the proposed technique of redox imaging was found to discriminate bacterial species. As the proposed method is both effective and less time consuming, the proposed method may be considered for real-time classification of bacterial species in the clinical setup.
Oral cancer has a poor five-year survival rate and has not improved much in the past two decades which is due to late diagnosis. In current clinical practice analysis of Haematoxylin Eosin stained tissue biopsy is considered as a golden standard which is rather painful and routine check is not possible. In this regard, native fluorescence spectroscopy has been considered to discriminate cancer tissue based on relative alterations in the level of tryptophan. To estimate relative variations of tryptophan at different layers of tissue fluorescence polarization gating technique has been adopted which is based on the principle that the light from the superficial layer of tissue partially retain the polarization plane of incident light as they are less scattered while light from the deeper layer is completely depolarized due to multiple scattering. Integrated intensity of tryptophan was quantified, and subsequent statistical analysis has been carried out to evaluate the diagnostic potentiality of the proposed technique. It was found that the fractional variation of tryptophan in the superficial layer to the deeper layer was found to be statistically more significant in discriminating oral cancer than cumulative tryptophan in both layers.
Fluorescence labelling is one of the significant properties for optical bioimaging and biosensing applications. The development in the field of nanotechnology has created enormous conveniences in biomedical research. The fluorescence enhancement of mammalian cell in presence of zinc nitride colloidal nanoparticle was imaged using multiphoton confocal microscope. The statistical significance in the presence and absence of nanoparticle evidenced the fluorescence intensity enhancement in the cells. In order to suppress the background signal and increase the penetration depth, the multiphoton technique is utilized by 740 nm excitation to examine the enhancement potential of Zn3N2 colloidal nanoparticles towards cell structures. Hence, we suggest that, the unique feature of inorganic nanomaterial is a promising material for probing cells for future diagnostic applications.
In vivo Native Fluorescence spectroscopic characterization of oral tissue and saliva of same group of normal, and patients with oral squamous cell carcinoma conditions were studied at 350 nm excitation. The measured fluorescence emission spectra exhibit broad emission with peaks due to NADH, FAD and Porphyrin. To resolve the emission from individual fluorophores, the measured fluorescence spectra were subjected to spectral deconvolution. Further, the variations in relative distribution, peak shifts and spectral broadening were analyzed with respect to the fluorophores, NADH, FAD, and porphyrin. The changes in the above photophysical characteristics of various native fluorophores between normal and cancer group in both tissue and saliva confirms that there is a significant molecular level changes during the transformation of normal into cancer. The extracted spectral signatures of tissues and saliva were also subjected to linear discriminant analysis and the diagnostic accuracy between tissue and saliva were compared.
Metabolic imaging of live cell may allow in understanding the molecular level changes in cells under various diseased state, including cancer. The intrinsic fluorophores, Nicotinamide adenine dinucleotide (NADH) and flavin adenine dinucleotide (FAD) are crucial for electron transfer in the oxidation-reduction reactions in the cell. Metabolic imaging based on fluorescence polarization enables to analyze both biochemical distribution and their conformation. In this study, multiphoton fluorescence polarization imaging of NADH and FAD from cancer and normal cell lines of epithelial origin were carried out. Spectral deconvolution method was adopted to isolate fluorescence emission from different coenzymes NADH and FAD. The observed heterogeneity of the multiphoton autofluorescence in live cells was used in intensity-toconcentration image conversion. The multiphoton autofluorescence exhibits anisotropy features at the cellular level, that directly indicate the presence of NADH and FAD in two differing conformation states viz; free and protein-bound. Mapping of anisotropy of cellular autofluorescence enables to probe the distribution of population fractions of free and bound forms of NADH and FAD. Further, the redox ratio between normal and cancer cell lines confirms the changes in the metabolic activities between them. These molecular-level studies demonstrate the potential of probing cellular metabolism associated with cancer, without the need for cell destruction as in the case of conventional biochemical assays.
Optical spectroscopic techniques based on tissues, cell lines and biofluids for the detection of cancer and various disorders are being extensively opted due to their high sensitivity, ease of procedure and sample preparation. Though the use of fluorescence in the field of oncology started as early as 1924 by Policard et al, the use of Native Fluorescence Spectroscopy (NFS) as a tool for cancer diagnosis and treatment monitoring, has shown significant progress only in the recent years, due to the advancements in the detection system and software. Even though an array of chemotherapeutic agents and sophisticated Radiotherapy techniques have evolved in the management of cancers, surgery is mostly opted as the first line of treatment in most of the breast cancer cases, in an approach to remove the bulk of tumour from the body. The goal of this study is to assess the efficacy of various treatment modalities, in this case surgery (modified radical mastectomy) and chemotherapy by comparing the NF spectra of breast cancer patients, post-surgery with those on completion of chemotherapy and normal subjects. In this pilot work, NF spectroscopy of blood plasma of clinically confirmed 43 breast cancer patients were measured under pre-treatment, post-surgical, post chemotherapy and also during yearly follow-up (after completion of the entire treatment) conditions. The NFS spectra of 60 normal subjects were also recorded for comparison. The results indicate that there is a statistical significance in the spectral variations in the region of collagen, elastin and NADH between the normal and cancer patient’s blood plasma as well as between pre and post treated cases as well as those patients on yearly follow-up after completion of the entire treatment.
In this study, we aim to characterize the tissue transformation in dimethylbenz(a)anthracene (DMBA) treated mouse skin tumor model using stokes shift spectroscopy (SSS) technique for early detection of the neoplastic changes. Stokes shift (SS) spectra measured by scanning both excitation and emission wavelength simultaneously with a fixed wavelength of interval (Δλ=20 nm) in vivo from 33 DMBA treated animals and 6 control animals. The SS spectra of normal (n=6), hyperplasia (n=10), dysplasia (n=10), and WDSCC (n=13) of mice skin shows the distinct peaks around 300, 350, and 386 nm may be attributed to tryptophan, collagen, and NADH respectively. From the observed spectral differences and the ratio variables that resulted in better classification between groups, it is concluded that tryptophan, collagen, and NADH are the key fluorophores that undergo changes during tissue transformation process and hence they can be targeted as tumor markers for early neoplastic changes.
In India oral cancer ranks the top due to the habitual usage of tobacco in its various forms and remains the major burden. Hence priority is given for early diagnosis as it is the better solution for cure or to improve the survival rate. For the past three decades, optical spectroscopic techniques have shown its capacity in the discrimination of normal and malignant samples. Many research works have conventional Raman in the effective detection of cancer using the variations in bond vibrations of the molecules. However in addition polarized Raman provides the orientation and symmetry of biomolecules. If so can polarized Raman be the better choice than the conventional Raman in the detection of cancer? The present study aimed to found the answer for the above query. The conventional and polarized Raman spectra were acquired for the same set of blood plasma samples of normal subjects and oral malignant (OSCC) patients. Thus, obtained Raman spectral data were compared using linear discriminant analysis coupled with artificial neural network (LDA-ANN). The depolarization ratio of biomolecules such as antioxidant, amino acid, protein and nucleic acid bases present in blood plasma was proven to be the best attributes in the categorization of the groups. The polarized Raman results were promising in discriminating oral cancer blood plasma from that of normal blood plasma with improved efficiency. The results will be discussed in detail.
Fluorescence of Protein has been widely used in diagnostic oncology for characterizing cellular metabolism. However, the intensity of fluorescence emission is affected due to the absorbers and scatterers in tissue, which may lead to error in estimating exact protein content in tissue. Extraction of intrinsic fluorescence from measured fluorescence has been achieved by different methods. Among them, Monte Carlo based method yields the highest accuracy for extracting intrinsic fluorescence. In this work, we have attempted to generate a lookup table for Monte Carlo simulation of fluorescence emission by protein. Furthermore, we fitted the generated lookup table using an empirical relation. The empirical relation between measured and intrinsic fluorescence is validated using tissue phantom experiments. The proposed relation can be used for estimating intrinsic fluorescence of protein for real-time diagnostic applications and thereby improving the clinical interpretation of fluorescence spectroscopic data.
Oral cancer is the most frequent type of cancer that occurs with 75000 to 80000 new cases reported every year in India. The carcinogens from tobacco and related products are the main cause for the oral cancer. ATR-FTIR method is label free, fast and cost-effective diagnostic method would allow for rapid diagnostic results in earlier stages by the minimal chemical changes occur in the biological metabolites available in the blood plasma. The present study reports the use of ATR-FTIR data with advanced statistical model (LDA-ANN) in the diagnosis of oral cancer from normal with better accuracy. The infrared spectra were acquired on ATR-FTIR Jasco spectrophotometer at 4 cm-1 resolution, 30 scans, in the 1800-900 cm-1 spectral range. Each sample had 5 spectra recorded from each blood plasma sample. The spectral data were routed through the multilayer perception of artificial neural network to evaluate for the statistical efficacy. Among the spectral data it was found that amide II (1486 cm-1) and lipid (1526 cm-1) affords about 90 % in the discrimination between groups using LDA. These preliminary results indicate that ATR-FTIR is useful to differentiate normal subject from oral cancer patients using blood plasma.
Cancer is one of the most common threat to human beings and it increases at an alarming level around the globe. In recent years, due to the advancements in opto-electronic technology, various optical spectroscopy techniques have emerged to assess the photophysicochemical and morphological conditions of normal and malignant tissues in micro as well as in macroscopic scale. In this regard, diffuse reflectance spectroscopy is considered to be the simplest, cost effective and rapid technique in diagnosis of cancerous tissues. In the present study, the hemoglobin concentration in normal and cancerous oral tissues was quantified and subsequent statistical analysis has been carried out to verify the diagnostic potentiality of the technique.
Cancer is one of the most common human threats around the world and diagnosis based on optical spectroscopy especially fluorescence technique has been established as the standard approach among scientist to explore the biochemical and morphological changes in tissues. In this regard, the present work aims to extract spectral signatures of the various fluorophores present in oral tissues using parallel factor analysis (PARAFAC). Subsequently, the statistical analysis also to be performed to show its diagnostic potential in distinguishing malignant, premalignant from normal oral tissues. Hence, the present study may lead to the possible and/or alternative tool for oral cancer diagnosis.
The analysis of the variations in the spectroscopic patterns of the key bio molecules using Native fluorescence spectroscopy, without exogenous labels, has emerged as a new trend in the characterization of the Physiological State and the Discrimination of Pathological from normal conditions of cells and tissues as the relative concentration of these bio-molecules serve as markers in evaluating the presence of cancer in the body. The aim of this unique study is to use these features of Optical spectroscopy in monitoring the behavior of cells to treatment and thus to evaluate the response to Chemotherapeutic agents and Radiation in Breast Cancer Patients. The results of the study conducted using NFS of Human blood plasma of biopsy proved Breast Cancer patients undergoing treatment are promising, enhancing the scope of Native fluorescence Spectroscopy emerging as a promising technology in the evaluation of Therapeutic Response in Breast Cancer Patients.
During metabolism the metabolites such as hormones, proteins and enzymes were released in to the blood stream by the cells. These metabolites reflect any change that occurs due to any disturbances in normal metabolic function of the human system. This was well observed with the altered spectral signatures observed with fluorescence spectroscopic technique. Previously many have reported on the significance of native fluorescence spectroscopic method in the diagnosis of cancer. As fluorescence spectroscopy is sensitive and simple, it has complementary techniques such as excitation-emission matrix, synchronous and polarization. The fluorescence polarization measurement provides details about any association or binding reactions and denaturing effects that occurs due to change in the micro environment of cells and tissues. In this study, we have made an attempt in the diagnosis of oral cancer at 405 nm excitation using fluorescence polarization measurement. The fluorescence anisotropic values calculated from polarized fluorescence spectral data of normal and oral cancer subjects yielded a good accuracy when analyzed with linear discriminant analysis based artificial neural network. The results will be discussed in detail.
Cervical cancer is the fourth most common malignancy in female worldwide; the present method for diagnosis is the biopsy, Pap smear, colposcopy etc. To overcome the drawbacks of diagnosis an alternative technique is required, optical spectroscopy is a new technique where the discrimination of normal and cancer subjects provides valuable potential information in the diagnostic oncology at an early stage. Raman peaks in the spectra suggest interesting differences in various bio molecules. In this regard, non invasive optical detection of cervical cancer using urine samples by Raman Spectroscopy combined with LDA diagnostic algorithm yields an accuracy of 100% for original and cross validated group respectively. As the results were appreciable it is necessary to carry out the analysis for more number of samples to explore the facts hidden at different stages during the development of cervical cancer.
Blood plasma possesses the biomolecules released from cells/tissues after metabolism and reflects the pathological conditions of the subjects. The analysis of biofluids for disease diagnosis becomes very attractive in the diagnosis of cancers due to the ease in the collection of samples, easy to transport, multiple sampling for regular screening of the disease and being less invasive to the patients. Hence, the intention of this study was to apply near-infrared (NIR) Raman spectroscopy in the high wavenumber (HW) region (2500−3400 cm−1) for the diagnosis of oral malignancy using blood plasma. From the Raman spectra it is observed that the biomolecules protein and lipid played a major role in the discrimination between groups. The diagnostic algorithms based on principal components analysis coupled with linear discriminant analysis (PCA-LDA) with the leave-one-patient-out cross-validation method on HW Raman spectra yielded a promising results in the identification of oral malignancy. The details of results will be discussed.
Gold nanoparticles (GNPs) provide different modes of therapeutic responses in cells depending on their size and shape. We have studied two modifications of GNPs exhibiting surface plasmon resonances (SPRs) with phototherapeutic effects in nonmalignant Vero and malignant HeLa cell lines. The cells were treated with 30-nm-size gold nanospheres (GNSs) (having SPR at a wavelength of 530 nm) and with gold nanorods (GNRs) (having SPR at 630 nm). The plasmonic phototherapy effect in cells was provided by irradiating them with green and red light-emitting diodes (LEDs). The cytotoxicities of GNPs were determined by MTT assay. Both the GNSs and GNRs were found to be biocompatible and have efficient phototherapeutic activity with LEDs.
The effect of 30nm Gold Nanoparticles (GNP) based on concentration and incubation time with respect to their cellular uptake kinetics was studied with Vero and HeLa cells . Photoirradiation effect of GNPs in combination with light emitting diode(LED) found to be remarkable and this work concentrates on optimizing concentration and light source. The effect of Gold nanoparticles alone and in combination with LED in malignant and normal cells lines were studied.
Diffuse reflectance spectroscopy has been widely used in diagnostic oncology and characterization of laser irradiated tissue. However, still accurate and simple analytical equation does not exist for estimation of diffuse reflectance from turbid media. In this work, a diffuse reflectance lookup table for a range of tissue optical properties was generated using Monte Carlo simulation. Based on the generated Monte Carlo lookup table, an empirical formula for diffuse reflectance was developed using surface fitting method. The variance between the Monte Carlo lookup table surface and the surface obtained from the proposed empirical formula is less than 1%. The proposed empirical formula may be used for modeling of diffuse reflectance from tissue.
Stokes shift spectroscopy has been considered as a potential tool in characterization of multiple components present in tissues and biofluids. Since, the intensity and resolution of the fluorophores depends on the Stokes shift, different opinion has been reflected by the researchers in fixing the Stokes shift. Also, not many studies have been reported on the characterization of biofluids and especially on the diagnosis of cancer. Urine is considered as an important diagnostic biofluid as it is rich in many metabolites where many of them are native fluorophores. In this study, we aimed at characterizing the urine of normal subjects and patients with cervical cancer as function of different Stokes shift. It is observed that Neopterin and Riboflavin are the main fluorophores contribute to the variation between normal and cervical cancer subjects. Ratio variables based linear discriminant analysis shows that the Stokes shift of 40 nm and 60 nm may be considered for better characterization with better signal to noise ratio when compared to others.
Urine is considered diagnostically important for tits native fluorophores and they vary in their distribution, concentration and physiochemical properties, depending upon the metabolic condition of the subject. In this study, we have made an attempt, to characterize the urine of normal subject and diabetic patients under medication by native fluorescence spectroscopy at 280 nm excitation. Further, the fluorescence data were analyzed employing the multivariate statistical method linear discriminant analysis (LDA) using leave one out cross validation method. The results were promising in discriminating diabetic urine from that of normal urine. This study in future may be extended to check the feasibility in ruling out the coexisting disorders such as cancer.
ion for various disease diagnosis including cancers. Oral cancer is one of the most common cancers in India and it accounts for one third of the global oral cancer burden. Raman spectroscopy of tissues has gained much attention in the diagnostic oncology, as it provides unique spectral signature corresponding to metabolic alterations under different pathological conditions and micro-environment. Based on these, several studies have been reported on the use of Raman spectroscopy in the discrimination of diseased conditions from their normal counterpart at cellular and tissue level but only limited studies were available on bio-fluids. Recently, optical characterization of bio-fluids has also geared up for biomarker identification in the disease diagnosis. In this context, an attempt was made to study the metabolic variations in the blood, urine and saliva of oral cancer patients and normal subjects using Raman spectroscopy. Principal Component based Linear Discriminant Analysis (PC-LDA) followed by Leave-One-Out Cross-Validation (LOOCV) was employed to find the statistical significance of the present technique in discriminating the malignant conditions from normal subjects.
Cervical cancer is considered as the second most commonly occurring malignancy among women, next to breast cancer. It is well known that most of the cancer patients diagnosed with advanced stages and there is a pressing need for improved methods to detect cancer at its initial stages. Many techniques have been adopted for the diagnosis of cervical cancer. Among these, fluorescence polarization spectroscopy is a complementary technique of fluorescence spectroscopy which helps us to elucidate the spectral characteristics which highly depend on pH, viscosity and local environment. Since urine has many metabolites and the measurement of native fluorescence of urine, in principle, able to provide an indication of a number of health conditions, attempts were made to study fluorescence anisotropic characterization of the human urine of cervical cancer patients and normal subjects. Significant differences were observed between the anisotropic and polarization values of cancer subjects and normal subjects.
Many research works based on fluorescence spectroscopy have proven its potential in the diagnosis of various diseases using the spectral signatures of the native key fluorophores such as tryptophan, tyrosine, collagen, NADH, FAD and porphyrin. These fluorophores distribution, concentration and their conformation may be changed depending upon the pathological and metabolic conditions of cells and tissues. In this study, we have made an attempt to characterize the blood plasma of normal subject and oral cancer patients by native fluorescence spectroscopy at 280 nm excitation. Further, the fluorescence data were analyzed by employing the multivariate statistical method - linear discriminant analyses (LDA) using leaves one out cross validation method. The results illustrate the potential of fluorescence spectroscopy technique in the diagnosis of oral cancer using blood plasma.
Oral cancers are considered to be one of the most commonly occurring malignancy worldwide. Over 70% of the cases report to the doctor only in advanced stages of the disease, resulting in poor survival rates. Hence it is necessary to detect the disease at the earliest which may increase the five year survival rate up to 90%. Among various optical spectroscopic techniques, Raman spectroscopy has been emerged as a tool in identifying several diseased conditions, including oral cancers. Around 30 - 80% of the malignancies of the oral cavity arise from premalignant lesions. Hence, understanding the molecular/spectral differences at the premalignant stage may help in identifying the cancer at the earliest and increase patient’s survival rate. Among various bio-fluids such as blood, urine and saliva, urine is considered as one of the diagnostically potential bio-fluids, as it has many metabolites. The distribution and the physiochemical properties of the urinary metabolites may vary due to the changes associated with the pathologic conditions. The present study is aimed to characterize the urine of 70 healthy subjects and 51 pre-malignant patients using Raman spectroscopy under 785nm excitation, to know the molecular/spectral differences between healthy subjects and premalignant conditions of oral malignancy. Principal component analysis based Linear discriminant analysis were also made to find the statistical significance and the present technique yields the sensitivity and specificity of 86.3% and 92.9% with an overall accuracy of 90.9% in the discrimination of premalignant conditions from healthy subjects urine.
Photoirradiation effect of gold nanospheres in conjucation with green light and rods in conjugation with red light corresponds to their absorption wavelength range found to be appreciable. In this present work concentration of nanomaterial and light dose were optimized. Gold nanospheres were synthesized by reduction technique using Sodium Borohydrate as reducing agent and Trisodium Citrate as capping agent. Au nanorods having 680-900nm absorption were synthesized using reduction techniques with CTAB and BDAC polymers. From UV-Vis absorption and Transmission Electron Microscopy the size of nanoparticles were confirmed. 30nm Gold nanospheres and green light source of 530nm wavelength with power 30mW were applied to Vero and Hela cell lines shows higher toxicity for Hela cells. Nanorods were applied and irradiated with 680nm wavelength light source with light intensity 45mW. Post irradiation effect for 24hrs, 48hrs confirms cell proliferation in normal rate in viable cells. The morphological changes in irradiated spot leads to apoptotoic cell death was confirmed with microscopic imaging. The LD50 value was also calculated.
Steady-state and time-resolved fluorescence spectroscopy were employed in the discrimination of cervical cancer patients from healthy subjects using urine samples. Fluorescence emission at 390 and 440 nm was considered to monitor the fluorescence of indoxyl sulfate and neopterin. Significant spectral differences were observed between healthy and cancer subjects. Different ratio parameters were calculated from the spectral intensity at 280- and 350-nm excitation and were subjected to stepwise linear discriminant analysis. In total, 84.0% of samples were correctly classified at 280 nm and 96.4% were correctly classified at 350 nm. The fluorescence decay kinetics of urine samples at 390-nm emission was best described by bi- exponential fits, whereas the decay characteristics at 440 nm of urine samples was best explained by bi-exponential fits and, in some cases, by tri-exponential fits. However, the decay kinetics of both indoxyl sulfate and neopterin standards was well described by bi-exponential decays. Based on the fluorescence emission characteristics and statistical analysis, the fluorophores indoxyl sulfate, neopterin, and riboflavin may be considered as potential biomarkers for cervical cancer diagnosis.
The objective of this study is to evaluate the diagnostic potential of stokes shift (SS) spectroscopy (S3) for normal, precancer and cancerous oral lesions in vivo. The SS spectra were recorded in the 250 – 650 nm spectral range by simultaneously scanning both the excitation and emission wavelengths while keeping a fixed wavelength interval Δλ=20 nm between them. Characteristic, highly resolved peaks and significant spectral differences between normal and different pathological oral lesions observed around 300, 355, 395, and 420 nm which are attributed to tryptophan, collagen, and NADH respectively. Using S3 technique one can obtain the key fluorophores in a single scan and hence they can be targeted as a tumor markers in this study. In order to quantify the altered spectral differences between normal and different pathological oral lesions are verified by different ratio parameters.
Urine is one of the diagnostically important bio fluids, as it has many metabolites and some of them are native fluorophores. There may be a variation in the distribution and the physiochemical properties of the fluorophores during any metabolic change and pathologic conditions. Native fluorescence spectroscopy has been considered as a promising tool to characterize the fluorophores present in the urine. In this study, we aimed at characterizing the urine of both normal and patients with confirmed cancer using steady state and time-resolved fluorescence spectroscopy at 280 nm and 350 nm excitation. It is observed that the metabolites indoxyl sulphate and neopterin and its derivatives are responsible for altered spectral signatures at 280 nm, and 350 nm excitation. The overall spectral data were subjected to Principal Component Analysis and the resultant components were used as input in the linear discriminant analysis. As a total, 84% and 81.8% of samples were correctly classified at 280 nm and 350 nm respectively.
Fluorescence excitation spectroscopy (FES) is an emerging approach to cancer detection. The goal of this pilot study is to evaluate the diagnostic potential of FES technique for the detection and characterization of normal and cancerous oral lesions in vivo. Fluorescence excitation (FE) spectra from oral mucosa were recorded in the spectral range of 340 to 600 nm at 635 nm emission using a fiberoptic probe spectrofluorometer to obtain spectra from the buccal mucosa of 30 sites of 15 healthy volunteers and 15 sites of 10 cancerous patients. Significant FE spectral differences were observed between normal and well differentiated squamous cell carcinoma (WDSCC) oral lesions. The FE spectra of healthy volunteers consists of a broad emission band around 440 to 470 nm, whereas in WDSCC lesions, a new primary peak was seen at 410 nm with secondary peaks observed at 505, 540, and 580 nm due to the accumulation of porphyrins in oral lesions. The FE spectral bands of the WDSCC lesions resemble the typical absorption spectra of a porphyrin. Three potential ratios (I 410 /I 505 , I 410 /I 540 , and I 410 /I 580 ) were calculated from the FE spectra and used as input variables for a stepwise linear discriminant analysis (SLDA) for normal and WDSCC groups. Leave-one-out (LOO) method of cross-validation was performed to check the reliability on spectral data for tissue characterization. The diagnostic sensitivity and specificity were determined for normal and WDSCC lesions from the scatter plot of the discriminant function scores. It was observed that diagnostic algorithm based on discriminant function scores obtained by SLDA-LOO method was able to distinguish WDSCC from normal lesions with a sensitivity of 100% and specificity of 100%. Results of the pilot study demonstrate that the FE spectral changes due to porphyrin have a good diagnostic potential; therefore, porphyrin can be used as a native tumor marker.
The metabolic coenzymes NADH and FAD are autofluorescent and can be monitored non-destructively and
without exogenous labels, using optical techniques. These endogenous fluorophores which are present in the cells and
tissues gives rise to different fluorescence emission/excitation spectra between the normal and different diseased
conditions. In the resent years, finding the optical redox ratio i.e., the ratio of the fluorescence intensity of FAD and
NADH, gives the relative change in the oxidation-reduction state of the cells. Unlike other organs oral cavity has lined
with variety of mucosal types. We investigated in vivo Optical redox ratio for four different anatomical locations viz.,
cheek mucosa, vermilion border of the lip, Hard palate, dorsal side of the tongue of healthy oral cavity. We measured
this ratio for 20 healthy subjects and the redox ratio was significantly different between the different anatomical
locations. The statistical significance was also investigated.
In this study the diagnostic potential of synchronous luminescence spectroscopy (SLS) technique for the
characterization of normal and different pathological condition of cervix viz., moderately differentiated squamous cell
carcinoma (MDSCC), poorly differentiated squamous cell carcinoma (PDSCC) and well differentiated squamous cell
carcinoma (WDSSC). Synchronous fluorescence spectra were measured for 70 abnormal cases and 30 normal subjects.
Characteristic, highly resolved peaks and significant spectral differences between normal and MDSCC, PDSCC and
WDSCC cervical blood formed elements were obtained. The synchronous luminescence spectra of formed elements of
normal and abnormal cervical cancer patients were subjected to statistical analysis. Synchronous luminescence
spectroscopy provides 90% sensitivity and 92.6% specificity.
The objective of this study is to assess the diagnostic potential of stokes shift (SS) spectroscopy (SSS) for normal and
different pathological breast tissues such as fibroadenoma and infiltrating ductal carcinoma. The SS spectra is measured
by simultaneously scanning both the excitation and emission wavelengths while keeping a fixed wavelength interval
Δλ=20 nm between them. Characteristic, highly resolved peaks and significant spectral differences between normal and
different pathological breast tissues were observed. The SS spectra of normal and different pathological breast tissues
shows the distinct peaks around 300, 350, 450, 500 and 600 nm may be attributed to tryptophan, collagen, NADH, flavin
and porphyrin respectively. Using SSS technique one can obtain all the key fluorophores in a single scan and hence they
can be targeted as a tumor markers in this study. In order to quantify the altered spectral differences between normal and
different pathological breast tissues are verified by different ratio parameters.
Oral submucous fibrosis (OSF) is a high risk precancerous condition characterized by changes in the connective
tissue fibers of the lamina propria and deeper parts leading to stiffness of the mucosa and restricted mouth opening,
fibrosis of the lining mucosa of the upper digestive tract involving the oral cavity, oro- and hypo-pharynx and the upper
two-thirds of the oesophagus. Optical reflectance measurements have been used to extract diagnostic information from a
variety of tissue types, in vivo. We apply diffuse reflectance spectroscopy to quantitatively monitor tumour response to
chemotherapy. Twenty patients with submucous fibrosis were diagnosed with diffuse reflectance spectroscopy and
treated with the chemotherapy drug, Dexamethasone sodium phosphate and Hyaluronidase injection for seven weeks and
after the treatment they were again subjected to the diffuse reflectance spectroscopy. The major observed spectral
alterations on pre and post treated submucous fibrosis is an increase in the diffuse reflectance from 450 to 600 nm.
Normal mucosa has showed higher reflectance when compared to the pre and post-treated cases. The spectral changes
were quantified and correlated to conventional diagnostic results viz., maximum mouth opening, tongue protrusion and
burning sensation. The results of this study suggest that the diffuse reflectance spectroscopy may also be considered as
complementary optical techniques to monitor oral tissue transformation.
Native fluorescence spectroscopy has shown potential to characterize and diagnose oral malignancy. We aim at extending the native fluorescence spectroscopy technique to characterize normal and oral submucous fibrosis (OSF) patients under pre- and post-treated conditions, and verify whether this method could also be considered in the monitoring of therapeutic prognosis noninvasively. In this study, 28 normal subjects and 28 clinically proven cases of OSF in the age group of 20 to 40 years are diagnosed using native fluorescence spectroscopy. The OSF patients are given dexamethasone sodium phosphate and hyaluronidase twice a week for 6 weeks, and the therapeutic response is monitored using fluorescence spectroscopy. The fluorescence emission spectra of normal and OSF cases of both pre- and post-treated conditions are recorded in the wavelength region of 350 to 600 nm at an excitation wavelength of 330 nm. The statistical significance is verified using discriminant analysis. The oxidation-reduction ratio of the tissue is also calculated using the fluorescence emission intensities of flavin adenine dinucleotide and nicotinamide adinine dinucleotide at 530 and 440 nm, respectively, and they are compared with conventional physical clinical examinations. This study suggests that native fluorescence spectroscopy could also be extended to OSF diagnosis and therapeutic prognosis.
Optical Spectroscopy in the diagnosis of diseases has attracted the medical community due to their minimally invasive nature. Among various optical spectroscopic techniques, native fluorescence spectroscopy has emerged as a potential tool in diagnostic oncology. However, still the reasons for the altered spectral signatures between normal and cancer tissues not yet completely understood. Recently, data reported that emission due to the alteration of some proteins is responsible for the transformation of normal in to malignant one. In this regard, the present study is aimed to characterize the native fluorescence spectroscopy of abnormal and normal cervical tissues, at 280nm excitation. From the study, it is observed that the normal and pathologically diseased cervical tissues have their peak emission around 339 and 336nm respectively with a secondary peak around 440nm. The FWHM value of emission spectra of abnormal tissues is lower than that of normal tissues. The fluorescence spectra of normal and various pathological conditions of cancerous tissues were analyzed by various empirical and statistical methods. Among various type of discriminant analysis, combination of ratio values and linear discrimination method provides better discrimination of normal from pre-malignant and malignant tissues.
Fluorescence spectroscopy has emerged as a promising modality in the discrimination of normal from pathologically diseased cells and tissues. As tissues are highly heterogeneous with many native fluorophores, emission spectra at one or more excitation wavelengths or excitation spectra corresponding to one or more emission wavelengths are used for diagnostic purpose. This could be overcome to great extent by applying synchronous luminescence spectroscopy. In the present study, synchronous luminescence fluorescence spectra of normal, pre malignant and malignant cervical tissues are measured by scanning both excitation and emission monochromator simultaneously with a wavelength difference of 20nm. The synchronous luminescence spectra of normal, pre-malignant and malignant cervical tissues shows the distinct peaks around 300, 350, 525nm with broad peak around 460nm and this may be due to tryptophan, collagen and flavin respectively. The broad band around 460nm may be due to the presence of pyridoxal phosphate, carotenes and lipopigments. Spectral data are also evaluated by both empirical and statistical analysis. Among the various analysis partial least square analysis provides better accuracy than other analysis in the discrimination of normal from abnormal tissues.
The ultraviolet fluorescence emission spectra of skin tissues under different pathological conditions were measured at 280nm excitation. At this excitation wavelength, the normal skin showed a primary peak emission at 352nm and this primary peak emission from neoplastic skin shows a blue shift with respect to normal tissue. This blue shift increases as the stage of abnormality increases and it is maximum (19nm) for well-differentiated squamous cell carcinoma. This alteration is further confirmed from fluorescence excitation spectra of the tissues for 340nm emission. The study concludes that the change in the emission of tryptophan around 340nm may be due to partial unfolding of protein.
Steady state fluorescence spectroscopic characterization of endogenous porphyrin emission from DMBA treated skin carcinogenesis in Swiss albino mice was carried out. The emission of endogenous porphyrin from normal and abnormal skin tissues was studied both in the presence and absence of exogenous ALA to compare the resultant porphyrin emission characterictics. The mice skin is excited at 405nm and emission spectra are scanned from 430 to 700nm. The average fluorescence emission spectra of mice skin at normal and various tissues transformation conditions were found to be different. Two peaks around 460nm and 636nm were observed and they may be attributed to NADH, Elastin and collagen combination and endogenous porphyrin emission. The intensity at 636nm increases as the stage of the cancer increases. Although exogenous ALA enhances the PPIX level in tumor, the synthesis of PPIX was also found in normal surrounding skin, in fact, with higher concentration than that of tumor tissues.
KEYWORDS: Photodynamic therapy, Tumors, Tissues, Luminescence, Mathematical modeling, In vivo imaging, Diffusion, Data modeling, Laser therapeutics, Cancer
In the recent years (delta) -aminolevulinic acid ((delta) -ALA) a precursor for the endogenous production of protoporphyrin IX (PPIX) has gained importance in the Photodynamic Therapy (PDT) of superficial and early-stage cancers. Though (delta) -ALA is present naturally in the cells, systemic administration of exogenous (delta) -ALA leads to the production of intracellular endogenous PP IX in both the tumor and the normal cells, but with varying concentration. However, the PPIX is accumulated more in the tumor tissues as the fast growing tumor cells take up the administered (delta) -ALA more than the normal cells. As the therapeutic efficacy of PDT is dependent on the post (delta) -ALA incubation time, at which the tumor to normal ratio of the PPIX concentration is high, the concentration of the PPIX in the normal and the tumor site were estimated using fluorescence spectroscopy. However, the estimation of the PPIX concentration during/after PDT is mandatory, as the PDT dosimetry is dependent on the sensitizer concentration at the target of interest. The observed variation in the concentration of PPIX in the tumor site with respect to the unexposed normal surrounding tissues, may be attributed to the diffusion of PPIX from the surrounding normal tissues to the tumor site, across the concentration gradient. Based on this a mathematical model has been proposed, to estimate the rate parameter for the diffusion of PPIX from the surrounding normal tissues in to the tumor tissue (Km), due to photobleaching during PDT at two different fluence. The Km value at two different fluences, 57.6 and 36 J/cm2 are estimated as 5.444+/- 1.186 and 3.221+/- 0.957, respectively. Further, the rate parameter for the cleavage and efflux of (delta) -ALA (K1), and the rate parameter for the evasion of the PPIX from the tumor tissues during PDT (Kt), were also estimated by fitting the experimental data to the developed mathematical model. The estimated parameters will be utilized to estimate the exact concentration of PPIX in the tumor tissues for a better PDT efficacy.
Photodynamic Therapy has emerged as a new modality in the treatment of various nonmalignant and malignant diseases. It involves the systemic administration of tumor specific photo-sensitizers with the subsequent application of visible light. This combination causes the generation of cytotoxic species, which damage sensitive targets, producing cell injury and tumor destruction. Although, photofrin is the only photosensitizer currently approved for PDT and tumor detection, its concomitant cutaneous photosensitization poses a significant problem. Hence, δ-aminoleuvulinic acid (δ-ALA) a precursor for the endogenous production of Protoporphyrin IX, through heme biosynthesis pathway, has gained significant importance in the Photodynamic Therapy. Though δ-ALA is present naturally in the cells, exogenous δ-ALA helps to synthesis more of PpIX in the tumor cells, as the fast growing tumor cells take up the administered δ-ALA more than the normal cells. Based on these facts, many invasive studies have been reported on the kinetics of δ-ALA at cellular level by chemical extraction of PpIX from the cells. In the present study we have studied the kinetics of δ-ALA induced PpIX fluorescence from Hela cells by perchloric/Methanol extraction method. However, the amount of PpIX synthesized in the cells at different point of incubation time by noninvasive methods has not been reported. Hence we have also used a noninvasive technique of measuring the kinetics δ-ALA induced PPIX fluorescence from Hela, an epithelial cell derived from human cervical cancer by both single photon (steady state) and multi photon excitation. From the studies it is observed that the δ-ALA induced PpIX is more at 2 hours incubation time for 2 mM of δ-ALA concentration. Further, it is observed that with steady state fluorescence imaging method, the excitation light itself cause the Photodynamic damage, due to the prolonged exposure of the cells than in multi photon excitation, leading to the rounding of cells. This may be due to the activation of PpIX in cells by the excitation light source.
Native fluorescence spectra of tissues of both normal and cervical carcinoma were measured at 320 nm excitation. The spectra were normalized with respect to maximum peak intensity and average fluorescence spectra were computed for normal and cancerous cervical tissues. The average fluorescence spectrum of normal cervix is found to be significantly different from that of cancer. Both normal and cancerous cervical tissues show a distinct primary emission peak around 380 nm which may be attributed to the structural proteins, collagen and elastin. In addition, the average spectrum of normal cervix shows a less intense peak around 440 nm, which is red shifted to 460nm and more intense in the case of cancerous cervical tissues, when compared to normal. A ratio parameter I380/I460 is introduced and a critical value of 1.9 for this ratio parameter is found to classify cervical cancerous tissues from normal with a sensitivity and specificity of 100% and 85.7% respectively. Also the slope value analysis between 420 to 440nm & 440 to 460nm of the normal and cancerous samples gives 100% accuracy in the classification of normal from the cancerous samples. Further, discriminant analysis together with Principal component analysis (PCA) was performed to determine the statistical significance and to confirm the above two analysis. The potentiality of the ratio parameter and slope values analysis is improved by the support of multivariate statistical analysis.
Fourier transform IR spectroscopy of normal and cancerous human oral tissues have been studied in the mid IR frequency region. From this study, we observed that the cancerous tissues are having higher absorption than that of normal one. Further it is observed that there is a 13 cm-1 red shift for cancerous samples with respect to normal tissues at their maximum absorption. In order to quantify the spectral differences between normal and cancerous tissues, two ratio parameters R1 equals I1650/I1546 and R2 equals I1650/I1384 are introduced. From the ratio parameter R1, it is found that the critical value 2.1 classify the malignant from normal with a 93 percent sensitivity and 80 percent specificity. Similarity a critical value 3 is given for the ratio parameter R2 yielding 80 percent sensitivity and 100 percent specificity.
The steady state native fluorescence emission and excitation spectra of human normal and cancerous oral tissues are studied in the visible region. The fluorescence excitation spectrum is recorded for 600 nm emission by scanning the excitation. The excitation spectrum of normal tissues has peaks at 406, 524 and 552 nm, whereas the cancerous tissues have peaks at 406, 513 and 552 nm respectively. The fluorescence emission spectra were also recorded at 405 and 560 nm excitations. The emission spectrum of cancerous tissues has two distinct peaks at 604 and 660 nm. It is also observed that there is a distinct difference between normal and cancerous tissues at 560 nm excitation. The ratio parameter R1$ equals (I(subscript 406/I550) is introduced from the excitation spectrum for 600 nm emission and two ratio parameters R2 equals (I470/I600) and R3 equals (I470/I660) are introduced for the emission spectrum at 405 nm excitation. Among the three ratio parameters the R1 classifies the normal and cancerous tissues at a specificity and sensitivity of 83 percent and 93 percent respectively. A critical value of 1.8 is suggested for classifying the normal from cancerous tissues.
A new photosensitizer, Trithia Sapphyrin was synthesized with 3 sulfurs and 2 nitrogen inside the macrocycle. The relative effectiveness is influenced by molecular properties, which control the penetration and distribution of the sensitizer in the system prior to the photon capture. To be precise, the effectiveness of the sensitizer depends on (1) the ability to partition from the bathing medium to a region of the cell membrane where it is exposed to a low polarity environment, (2) ability to absorb light in such a low polarity environment, (3) its triplet quantum yield in this environment. In view of these factors, the partition coefficient for different concentrations, ranging from 1 to 50 (mu) g/ml of trithia sapphyrin in the Octanol/Saline system was determined. The partition coefficient for 5 (mu) g/ml is observed to be the highest, which indicated the higher partitioning of trithia sapphyrin towards the octanol phase i.e. towards the membrane. The uptake of sensitizer was analyzed in 0.05% hematocrit for different periods of incubation ranging from 5 minutes to 5 hour, in order to find (1) binding of sensitizer to the cell membrane, (2) partition of the sensitizer molecule between the aqueous phase and lipid phase and (3) diffusion of the pigment molecule into the intracellular aqueous phase. With these observations, Photohemolysis studies were carried out for different pre and post incubation time as a function of light dose and sensitizer concentration.
Recently, laser pretreatment of dental enamel has emerged as a new technique in the field of orthodontics. However, the changes in the morphology of the enamel surface is very much dependent on the wavelength of laser, emission mode of the laser, energy density, exposure time and the nature of the substance absorbing the energy. Based on these, we made a comparative in vitro study on laser etching with acid etching with reference to their bond strength. Studies were conducted on 90 freshly extracted, non carious, human maxillary or mandibular anteriors and premolars. Out of 90, 60 were randomly selected for laser irradiation. The other 30 were used for conventional acid pretreatment. The group of 60 were subjected to Nd-YAG laser exposure (1060 nm, 10 Hz) at differetn fluences. The remaining 30 were acid pretreated with 30% orthophosphoric acid. Suitable Begg's brackets were selected and bound to the pretreated surface and the bond strength were tested using Instron testing machine. The bond strength achieved through acid pretreatment is found to be appreciably greater than the laser pretreated tooth. Though the bond strength achieved through the acid pretreated tooth is found to be significantly greater than the laser pretreated specimens, the laser pretreatement is found to be successful enough to produce a clinically acceptable bond strength of > 0.60 Kb/mm. Examination of the laser pre-treated tooth under SEM showed globule formation which may produce the mechanical interface required for the retention of the resin material.
Native fluorescence characteristics of blood plasma was studied in the visible region, during the regenerating phase of the rat liver tissue. Animals were subjected to partial hepatectomy (PH). Blood samples were collected after several intervals of post PH time and also from control animals. Native fluorescence spectra of blood plasma were measured at 405 nm excitation. In addition to the primary emission peak around 440 nm, the fluorescence spectra of experimental group of animals showed distinct secondary emission peak around 620 nm, which is found to be absent in the case of control animals. This may be attributed to the presence of endogenous porphyrins. The fluorescence intensity at 620 nm was found to be maximum at about 16 hrs of post PH time and it decreased thereafter with increasing post PH time. The spectral differences between controls and experimental animals were found to be minimal at 240 hrs of post PH time.
Fluorescence spectroscopy of intrinsic biomolecules has been extensively used in biology and medicine for the past several decades. In the present study, we report the native fluorescence characteristics of blood plasma from normal human subjects and patients with different liver abnormalities such as hepatitis, leptospirosis, jaundice, cirrhosis and liver cell failure. Native fluorescence spectra of blood plasma -- acetone extract were measured at 405 nm excitation. The average spectrum of normal blood plasma has a prominent emission peak around 464 nm whereas in the case of liver diseased subjects, the primary peak is red shifted with respect to normal. In addition, liver diseased cases show distinct secondary emission peak around 615 nm, which may be attributed to the presence of endogenous porphyrins. The red shift of the prominent emission peak with respect to normal is found to be maximum for hepatitis and minimum for cirrhosis whereas the secondary emission peak around 615 nm was found to be more prominent in the case of cirrhosis than the rest. The ratio parameter I465/I615 is found to be statistically significant (p less than 0.001) in discriminating liver abnormalities from normal.
Many applications of native fluorescence spectroscopy of intrinsic biomolecules such as Try, Tyr, Phe, NADH and FAD are reported on both the characterization and the discrimination of malignant tissues from the normal. In the field of diagnostic oncology, extensive studies have been made to distinguish the normal from malignant condition in breast, cervix, colon and bronchus. From the studies made by Alfano and co-workers, it was found that the emission at 340 and 440 nm under UV excitation have shown statistically significant difference between normal and malignant tissues. As tissues are highly complex in nature, it is worth to known whether the changes arise from cells or from other extracellular tissue components, so as to enable us to have better understanding on the transformation mechanism of normal into malignant and to go for an improved approach in the effective optical diagnosis. In this context, the present study addresses the question of whether there are differences in the native cellular fluorescence characteristics between normal and malignant epithelial cells from human larynx. With this aim, the UV fluorescence emission spectra in the wavelength region of excitation between 270 - 310 nm and the excitation spectra for 340 nm emission were measured and analyzed. In order to quantify the altered fluorescence signal between the normal and malignant cells, different ratio parameters were introduced.
Native fluorescence spectroscopy of biomolecules has emerged as an intrinsic parameter in the characterization of the physiological state and the discrimination of pathological from normal conditions of cells and tissues. The key fluorescing biomolecules inc ells and tissues ar tryptophan, tyrosine, phenylalanine, collagen, elastin, NADH, flavin and porphyrin. Extensive studies were made on tissues of various origin to discriminate the malignancy from normal. The differences in the fluorescence emission spectra have been shown to separate benign and malignant tissues. In the present work, a pilot study was carried out on the characterization of blood plasma of both normal and cancerous subjects. The blood plasma was separated by centrifuging the blood and it was diluted in PBS by adjusting the O.D. to 0.5 at 280 nm. This diluted sample as excited in the UV region between 250-340 nm. Among the various excitation wavelengths, emission spectrum at 300 nm excitation has considerable difference between blood plasma of normal subjects and cancer patients. To quantify these differences and to verify if there is any diagnostic potential exists, the ratio of fluorescence intensities at 340 and 440 nm was calculated. It is found that the ratio value of normal blood plasma is less than 11 and for tumor, it is greater than 11. Besides, it is found that the ratio value of blood plasma from patients with cancer varies from 11 to 28, depending upon the stage of malignancy.
Native fluorescence spectroscopy of biomolecules has emerged as a new modality to the medical community in characterizing the various physiological conditions of tissues. In the past several years, many groups have been working to introduce the spectroscopic methods to diagnose cancer. Researchers have successfully used native fluorescence to distinguish cancerous from normal tissue samples in rat and human tissue. We have developed three generations of instruments, called the CD-scan, CD-ratiometer and CD-map, to allow the medical community to use optics for diagnosing tissue. Using ultraviolet excitation and emission spectral measurements on both normal and cancerous tissue of the breast, gynecology, colon, and aerodigestive tract can be separated. For example, from emission intensities at 340 nm to 440 nm (300 nm excitation), a statistically consistent difference between malignant tissue and normal or benign tissue is observed. In order to utilize optical biopsy techniques in a clinical setting, the CD-scan instrument was developed, which allows for rapid and reliable in-vitro and in-vivo florescence measurements of the aerodigestive tract with high accuracy. The instrumentation employs high sensitivity detection techniques which allows for lamp excitation, small diameter optical fiber probes; the higher spatial resolution afforded by the small diameter probes can increase the ability to detect smaller tumors. The fiber optic probes allow for usage in the aerodigestive tract, cervix and colon. Needle based fiber probes have been developed for in-vivo detection of breast cancer.
Cancer is a disease whose cause has been eluding researchers. This paper details a new method for the diagnosis of cancer using characteristic autofluorescence from tissues. The experiments were carried out using a nitrogen laser, spectrofluorometer and tissue samples of normal and cancer tissues. The fluorescence spectra of various samples were obtained and observed both by in-vivo and in-vitro studies. Results from these studies have been detailed. The paper also presents a hypothesis on the origin of cancer.
We report on an analysis of diffuse reflectance spectra measured in conjunction with the fluorescence from normal human breast tissues and malignant breast tumors. The diffuse reflectance spectra from excised, air-equilibrated, human breast tissue samples show lower fractions of oxygenated hemoglobin and higher content of ferric (Fe3+) heme in malignant breast tumor samples than in normal breast tissues. Normal tissues are found to be easily deoxygenated and reoxygenated, but malignant tumors usually do not change their state as much. An analysis of tissue oxygenation parameters is discussed with respect to an enhancement of predictive power of fluorescence diagnostic method. The oxygenation state of tissues may be used as an additional marker in cancer diagnostics.
Access to the requested content is limited to institutions that have purchased or subscribe to SPIE eBooks.
You are receiving this notice because your organization may not have SPIE eBooks access.*
*Shibboleth/Open Athens users─please
sign in
to access your institution's subscriptions.
To obtain this item, you may purchase the complete book in print or electronic format on
SPIE.org.
INSTITUTIONAL Select your institution to access the SPIE Digital Library.
PERSONAL Sign in with your SPIE account to access your personal subscriptions or to use specific features such as save to my library, sign up for alerts, save searches, etc.