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1.
Trends Analyt Chem ; 64: 100-108, 2015 Jan 01.
Artigo em Inglês | MEDLINE | ID: mdl-25598563

RESUMO

In the past decade, considerable attention has been focused on the measurement of glycemic markers, such as glycated hemoglobin and glycated albumin, that provide retrospective indices of average glucose levels in the bloodstream. While these biomarkers have been regularly used to monitor long-term glucose control in established diabetics, they have also gained traction in diabetic screening. Detection of such glycemic markers is challenging, especially in a point-of-care setting, due to the stringent requirements for sensitivity and robustness. A number of non-separation based measurement strategies were recently proposed, including photonic tools that are well suited to reagent-free marker quantitation. Here, we critically review these methods while focusing on vibrational spectroscopic methods, which offer highly specific molecular fingerprinting capability. We examine the underlying principles and the utility of these approaches as reagentless assays capable of multiplexed detection of glycemic markers and also the challenges in their eventual use in the clinic.

2.
Sci Rep ; 4: 7013, 2014 Nov 12.
Artigo em Inglês | MEDLINE | ID: mdl-25388455

RESUMO

Vibrational spectroscopy has emerged as a promising tool for non-invasive, multiplexed measurement of blood constituents - an outstanding problem in biophotonics. Here, we propose a novel analytical framework that enables spectroscopy-based longitudinal tracking of chemical concentration without necessitating extensive a priori concentration information. The principal idea is to employ a concentration space transformation acquired from the spectral information, where these estimates are used together with the concentration profiles generated from the system kinetic model. Using blood glucose monitoring by Raman spectroscopy as an illustrative example, we demonstrate the efficacy of the proposed approach as compared to conventional calibration methods. Specifically, our approach exhibits a 35% reduction in error over partial least squares regression when applied to a dataset acquired from human subjects undergoing glucose tolerance tests. This method offers a new route at screening gestational diabetes and opens doors for continuous process monitoring without sample perturbation at intermediate time points.


Assuntos
Glicemia/análise , Óptica e Fotônica/métodos , Análise Espectral Raman/métodos , Glicemia/metabolismo , Difusão , Teste de Tolerância a Glucose , Humanos , Cinética , Análise dos Mínimos Quadrados , Óptica e Fotônica/instrumentação , Pele/irrigação sanguínea , Análise Espectral Raman/instrumentação , Vibração
3.
PLoS One ; 9(8): e103546, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25084522

RESUMO

We demonstrate the application of non-gated laser induced breakdown spectroscopy (LIBS) for characterization and classification of organic materials with similar chemical composition. While use of such a system introduces substantive continuum background in the spectral dataset, we show that appropriate treatment of the continuum and characteristic emission results in accurate discrimination of pharmaceutical formulations of similar stoichiometry. Specifically, our results suggest that near-perfect classification can be obtained by employing suitable multivariate analysis on the acquired spectra, without prior removal of the continuum background. Indeed, we conjecture that pre-processing in the form of background removal may introduce spurious features in the signal. Our findings in this report significantly advance the prior results in time-integrated LIBS application and suggest the possibility of a portable, non-gated LIBS system as a process analytical tool, given its simple instrumentation needs, real-time capability and lack of sample preparation requirements.


Assuntos
Lasers , Análise Espectral/métodos
4.
Bioanalysis ; 6(3): 411-21, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-24471960

RESUMO

Raman spectroscopy is a fundamental form of molecular spectroscopy that is widely used to investigate structures and properties of molecules using their vibrational transitions. It relies on inelastic scattering of monochromatic laser light irradiating the specimen. After appropriate filtering the scattered light is dispersed onto a detector to determine the shift from the excitation wavelength, which appears in the form of characteristic spectral patterns. The technique can investigate biological samples and provide real-time diagnosis of diseases. However, despite its intrinsic advantages of specificity and minimal perturbation, the Raman scattered light is typically very weak and limits applications of Raman spectroscopy due to measurement (im)precision, driven by inherent noise in the acquired spectra. In this article, we review the principal noise sources that impact quantitative biological Raman spectroscopy. Further, we discuss how such noise effects can be reduced by innovative changes in the constructed Raman system and appropriate signal processing methods.


Assuntos
Biologia/métodos , Razão Sinal-Ruído , Análise Espectral Raman/métodos , Estatística como Assunto
5.
Sci Rep ; 3: 2822, 2013 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-24084695

RESUMO

We report a novel technique for label-free, rapid visualization of structure and dynamics of live cells with nanoscale sensitivity through traditionally opaque media. Specifically, by combining principles of near-infrared (NIR) spectroscopy and quantitative phase imaging, functional characterization of cellular structure and dynamics through silicon substrates is realized in our study. We demonstrate the efficacy of the new approach by full-field imaging of erythrocyte morphology in their native states with a nm path length sensitivity. Additionally, we observe dynamic variations of human embryonic kidney cells, through a silicon substrate, in response to hypotonic stimulation with ms temporal resolution that also provides unique insight into the underlying biophysical changes. The proposed technology is fundamentally suited for high-performance investigations of biological specimens and significantly expands the options for visualization in complex microfluidic devices fabricated on silicon.


Assuntos
Estruturas Celulares/química , Imagem Molecular/métodos , Espectroscopia de Luz Próxima ao Infravermelho/métodos , Linhagem Celular , Eritrócitos/citologia , Eritrócitos/ultraestrutura , Humanos , Silício/química , Espectroscopia de Luz Próxima ao Infravermelho/instrumentação , Coloração e Rotulagem
6.
Bioanalysis ; 5(15): 1853-61, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-23905859

RESUMO

BACKGROUND: Accurate and real-time information is critical for decision making, especially in medical applications, where any delay in diagnosis due to collection, transport and storage of biofluids can have substantial ramifications for disease management. RESULTS: We present a facile method for point-of-care biofluid diagnostics based on the spectroscopic analysis of cotton-swab contents using a Raman probe. A PCA algorithm was developed in order to understand the clustering behavior of different off-the-shelf pharmaceutical formulations based on the recorded spectral data. Furthermore, we employed the Raman probe to detect antibiotics in a human urine sample. Our observations suggest that it is possible to provide quantitative concentration determination of Raman-active analytes by using cotton swabs as a sampling probe, which offers a wealth of possibility for real-time measurement in clinical situations. CONCLUSION: We envision that the intrinsic simplicity of the proposed approach in conjunction with its capability for accurate analyte determination in biofluids will lead to its clinical translation and application in point-of-care settings in the near future.


Assuntos
Líquidos Corporais/química , Técnicas de Laboratório Clínico/métodos , Sistemas Automatizados de Assistência Junto ao Leito , Análise Espectral Raman/métodos , Algoritmos , Antibacterianos/urina , Técnicas de Laboratório Clínico/instrumentação , Técnicas de Laboratório Clínico/normas , Fibra de Algodão , Desenho de Equipamento , Humanos , Sistemas Automatizados de Assistência Junto ao Leito/normas , Manejo de Espécimes/métodos , Manejo de Espécimes/normas , Análise Espectral Raman/instrumentação , Análise Espectral Raman/normas
7.
Cancer Res ; 73(11): 3206-15, 2013 Jun 01.
Artigo em Inglês | MEDLINE | ID: mdl-23729641

RESUMO

Microcalcifications are a feature of diagnostic significance on a mammogram and a target for stereotactic breast needle biopsy. Here, we report development of a Raman spectroscopy technique to simultaneously identify microcalcification status and diagnose the underlying breast lesion, in real-time, during stereotactic core needle biopsy procedures. Raman spectra were obtained ex vivo from 146 tissue sites from fresh stereotactic breast needle biopsy tissue cores from 33 patients, including 50 normal tissue sites, 77 lesions with microcalcifications, and 19 lesions without microcalcifications, using a compact clinical system. The Raman spectra were modeled on the basis of the breast tissue components, and a support vector machine framework was used to develop a single-step diagnostic algorithm to distinguish normal tissue, fibrocystic change (FCC), fibroadenoma, and breast cancer, in the absence and presence of microcalcifications. This algorithm was subjected to leave-one-site-out cross-validation, yielding a positive predictive value, negative predictive value, sensitivity, and specificity of 100%, 95.6%, 62.5%, and 100% for diagnosis of breast cancer (with or without microcalcifications) and an overall accuracy of 82.2% for classification into specific categories of normal tissue, FCC, fibroadenoma, or breast cancer (with and without microcalcifications). Notably, the majority of breast cancers diagnosed are ductal carcinoma in situ (DCIS), the most common lesion associated with microcalcifications, which could not be diagnosed using previous Raman algorithm(s). Our study shows the potential of Raman spectroscopy to concomitantly detect microcalcifications and diagnose associated lesions, including DCIS, and thus provide real-time feedback to radiologists during such biopsy procedures, reducing nondiagnostic and false-negative biopsies.


Assuntos
Biópsia por Agulha/métodos , Doenças Mamárias/patologia , Neoplasias da Mama/patologia , Calcinose/diagnóstico , Análise Espectral Raman/métodos , Adulto , Idoso , Algoritmos , Doenças Mamárias/diagnóstico , Doenças Mamárias/metabolismo , Neoplasias da Mama/diagnóstico , Neoplasias da Mama/metabolismo , Calcinose/diagnóstico por imagem , Calcinose/patologia , Feminino , Humanos , Pessoa de Meia-Idade , Radiografia , Técnicas Estereotáxicas
8.
Proc Natl Acad Sci U S A ; 110(2): 471-6, 2013 Jan 08.
Artigo em Inglês | MEDLINE | ID: mdl-23267090

RESUMO

Microcalcifications geographically target the location of abnormalities within the breast and are of critical importance in breast cancer diagnosis. However, despite stereotactic guidance, core needle biopsy fails to retrieve microcalcifications in up to 15% of patients. Here, we introduce an approach based on diffuse reflectance spectroscopy for detection of microcalcifications that focuses on variations in optical absorption stemming from the calcified clusters and the associated cross-linking molecules. In this study, diffuse reflectance spectra are acquired ex vivo from 203 sites in fresh biopsy tissue cores from 23 patients undergoing stereotactic breast needle biopsies. By correlating the spectra with the corresponding radiographic and histologic assessment, we have developed a support vector machine-derived decision algorithm, which shows high diagnostic power (positive predictive value and negative predictive value of 97% and 88%, respectively) for diagnosis of lesions with microcalcifications. We further show that these results are robust and not due to any spurious correlations. We attribute our findings to the presence of proteins (such as elastin), and desmosine and isodesmosine cross-linkers in the microcalcifications. It is important to note that the performance of the diffuse reflectance decision algorithm is comparable to one derived from the corresponding Raman spectra, and the considerably higher intensity of the reflectance signal enables the detection of the targeted lesions in a fraction of the spectral acquisition time. Our findings create a unique landscape for spectroscopic validation of breast core needle biopsy for detection of microcalcifications that can substantially improve the likelihood of an adequate, diagnostic biopsy in the first attempt.


Assuntos
Algoritmos , Neoplasias da Mama/diagnóstico , Calcinose/diagnóstico , Análise Espectral/métodos , Adulto , Idoso , Biópsia por Agulha/métodos , Neoplasias da Mama/patologia , Calcinose/patologia , Feminino , Humanos , Pessoa de Meia-Idade , Ohio , Análise de Componente Principal
9.
J Biophotonics ; 6(8): 567-72, 2013 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22887773

RESUMO

In this letter, we propose a novel method for diagnosis of tuberculous meningitis using Raman spectroscopy. The silicate Raman signature obtained from Mycobacterium tuberculosis positive cases enables specific and sensitive detection of tuberculous meningitis from acquired cerebrospinal fluid samples. The association of silicates with the tuberculosis mycobacterium is discussed. We envision that this new method will facilitate rapid diagnosis of tuberculous meningitis without application of exogenous reagents or dyes and can be aptly used as a complementary screening tool to the existing gold standard methods.


Assuntos
Análise Espectral Raman , Tuberculose Meníngea/líquido cefalorraquidiano , Tuberculose Meníngea/diagnóstico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Fatores de Tempo
10.
J Biophotonics ; 6(4): 371-81, 2013 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-22815240

RESUMO

Microcalcifications are an early mammographic sign of breast cancer and a target for stereotactic breast needle biopsy. Here, we develop and compare different approaches for developing Raman classification algorithms to diagnose invasive and in situ breast cancer, fibrocystic change and fibroadenoma that can be associated with microcalcifications. In this study, Raman spectra were acquired from tissue cores obtained from fresh breast biopsies and analyzed using a constituent-based breast model. Diagnostic algorithms based on the breast model fit coefficients were devised using logistic regression, C4.5 decision tree classification, k-nearest neighbor (k -NN) and support vector machine (SVM) analysis, and subjected to leave-one-out cross validation. The best performing algorithm was based on SVM analysis (with radial basis function), which yielded a positive predictive value of 100% and negative predictive value of 96% for cancer diagnosis. Importantly, these results demonstrate that Raman spectroscopy provides adequate diagnostic information for lesion discrimination even in the presence of microcalcifications, which to the best of our knowledge has not been previously reported.


Assuntos
Algoritmos , Mama/patologia , Calcinose/patologia , Análise Espectral Raman/métodos , Técnicas Estereotáxicas , Adulto , Idoso , Biópsia com Agulha de Grande Calibre , Neoplasias da Mama/diagnóstico , Neoplasias da Mama/patologia , Feminino , Formaldeído/metabolismo , Humanos , Pessoa de Meia-Idade , Inclusão em Parafina
11.
Anal Bioanal Chem ; 404(10): 3091-9, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23052868

RESUMO

In recent years, Raman spectroscopy has shown substantive promise in diagnosing bladder cancer, especially due to its exquisite molecular specificity. The ability to reduce false detection rates in comparison to existing diagnostic tools such as photodynamic diagnosis makes Raman spectroscopy particularly attractive as a complementary diagnostic tool for real-time guidance of transurethral resection of bladder tumor (TURBT). Nevertheless, the state-of-the-art high-volume Raman spectroscopic probes have not reached the expected levels of specificity thereby impeding their clinical translation. To address this issue, we propose the use of a confocal Raman probe for bladder cancer diagnosis that can boost the specificity of the diagnostic algorithm based on its suppression of the out-of-focus non-analyte-specific signals emanating from the neighboring normal tissue. In this article, we engineer and apply such a probe, having depth of field of approximately 280 µm, for Raman spectral acquisition from ex vivo normal and cancerous TURBT samples. Using this clinical dataset, a diagnostic algorithm based on principal component analysis and logistic regression is developed. We demonstrate that this approach results in comparable sensitivity but significantly higher specificity in relation to high-volume Raman spectral data. The application of only two principal components is sufficient for the discrimination of the samples underlining the robustness of the algorithm. Further, no discordance between replicate spectra is observed emphasizing the reproducible nature of the current diagnostic assessment. The high levels of sensitivity and specificity achieved in this proof-of-concept study opens substantive avenues for application of a confocal Raman probe during endoscopic procedures related to diagnosis and treatment of bladder cancer.


Assuntos
Análise Espectral Raman/métodos , Neoplasias da Bexiga Urinária/diagnóstico , Bexiga Urinária/patologia , Humanos , Sensibilidade e Especificidade
12.
Anal Chem ; 84(19): 8149-56, 2012 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-22950485

RESUMO

Over the past decade, optical spectroscopy has been employed in combination with multivariate chemometric models to investigate a wide variety of diseases and pathological conditions, primarily due to its excellent chemical specificity and lack of sample preparation requirements. Despite promising results in several proof-of-concept studies, its translation to the clinical setting has often been hindered by inadequate accuracy of the conventional spectroscopic models. To address this issue and the possibility of curved (nonlinear) effects in the relationship between the concentrations of the analyte of interest and the mixture spectra (due to fluctuations in sample and environmental conditions), support vector machine-based least-squares nonlinear regression (LS-SVR) has been recently proposed. In this paper, we investigate the robustness of this methodology to noise-induced instabilities and present an analytical formula for estimating modeling precision as a function of measurement noise and model parameters. This formalism can be readily used to evaluate uncertainty in information extracted from spectroscopic measurements, particularly important for rapid-acquisition biomedical applications. Subsequently, using field data (Raman spectra) acquired from a glucose clamping study on an animal model subject, we perform the first systematic investigation of the relative effect of additive interference components (namely, noise in prediction spectra, calibration spectra, and calibration concentrations) on the prediction error of nonlinear spectroscopic models. Our results show that the LS-SVR method gives more accurate results and is substantially more robust to additive noise when compared with conventional regression methods such as partial least-squares regression (PLS), when careful selection of the LS-SVR model parameters are performed. We anticipate that these results will be useful for uncertainty estimation in similar biomedical applications where the precision of measurements and its response to noise in the data set is as important, if not more so, than the generic accuracy level.


Assuntos
Glicemia/análise , Animais , Cães , Análise dos Mínimos Quadrados , Análise Espectral Raman
13.
Anal Chem ; 84(15): 6715-22, 2012 Aug 07.
Artigo em Inglês | MEDLINE | ID: mdl-22746329

RESUMO

Microcalcifications are an early mammographic sign of breast cancer and a target for stereotactic breast needle biopsy. We developed Raman spectroscopy decision algorithms to detect breast microcalcifications, based on fit coefficients (FC) derived by modeling tissue Raman spectra as a linear combination of the Raman spectra of 9 chemical and morphologic components of breast tissue. However, little or no information is available on the precision of such measurements and its effect on the ability of Raman spectroscopy to make predictions for breast microcalcification detection. Here we report the precision, that is, the closeness of agreement between replicate Raman spectral measurements--and the model FC derived from them--obtained ex vivo from fresh breast biopsies from patients undergoing stereotactic breast needle biopsy, using a compact clinical Raman system. The coefficients of variation of the model FC averaged 0.03 for normal breast tissue sites, 0.12 for breast lesions without, and 0.22 for breast lesions with microcalcifications. Imprecision in the FC resulted in diagnostic discordance among replicates only for line-sitters, that is, tissue sites with FC values near the decision line or plane. The source of this imprecision and their implications for the use of Raman spectroscopy for guidance of stereotactic breast biopsies for microcalcifications are also discussed. In summary, we conclude that the precision of Raman spectroscopy measurements in breast tissue obtained using our compact clinical system is more than adequate to make accurate and repeatable predictions of microcalcifications in breast tissue using decision algorithms based on model FC. This provides strong evidence of the potential of Raman spectroscopy guidance of stereotactic breast needle biopsies for microcalcifications.


Assuntos
Mama/patologia , Calcinose/patologia , Análise Espectral Raman , Algoritmos , Biópsia por Agulha , Feminino , Humanos , Modelos Logísticos
14.
PLoS One ; 7(2): e32406, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22393405

RESUMO

We present the first demonstration of glycated albumin detection and quantification using Raman spectroscopy without the addition of reagents. Glycated albumin is an important marker for monitoring the long-term glycemic history of diabetics, especially as its concentrations, in contrast to glycated hemoglobin levels, are unaffected by changes in erythrocyte life times. Clinically, glycated albumin concentrations show a strong correlation with the development of serious diabetes complications including nephropathy and retinopathy. In this article, we propose and evaluate the efficacy of Raman spectroscopy for determination of this important analyte. By utilizing the pre-concentration obtained through drop-coating deposition, we show that glycation of albumin leads to subtle, but consistent, changes in vibrational features, which with the help of multivariate classification techniques can be used to discriminate glycated albumin from the unglycated variant with 100% accuracy. Moreover, we demonstrate that the calibration model developed on the glycated albumin spectral dataset shows high predictive power, even at substantially lower concentrations than those typically encountered in clinical practice. In fact, the limit of detection for glycated albumin measurements is calculated to be approximately four times lower than its minimum physiological concentration. Importantly, in relation to the existing detection methods for glycated albumin, the proposed method is also completely reagent-free, requires barely any sample preparation and has the potential for simultaneous determination of glycated hemoglobin levels as well. Given these key advantages, we believe that the proposed approach can provide a uniquely powerful tool for quantification of glycation status of proteins in biopharmaceutical development as well as for glycemic marker determination in routine clinical diagnostics in the future.


Assuntos
Albuminas/química , Análise Espectral Raman/métodos , Glicemia/metabolismo , Complicações do Diabetes/metabolismo , Diabetes Mellitus/metabolismo , Hemoglobinas Glicadas/química , Produtos Finais de Glicação Avançada , Glicosilação , Hemoglobinas/química , Humanos , Modelos Estatísticos , Análise Multivariada , Análise de Componente Principal , Análise de Regressão , Reprodutibilidade dos Testes , Albumina Sérica/química , Albumina Sérica Glicada
15.
Anal Chem ; 84(6): 2686-94, 2012 Mar 20.
Artigo em Inglês | MEDLINE | ID: mdl-22292496

RESUMO

Despite the intrinsic elemental analysis capability and lack of sample preparation requirements, laser-induced breakdown spectroscopy (LIBS) has not been extensively used for real-world applications, e.g., quality assurance and process monitoring. Specifically, variability in sample, system, and experimental parameters in LIBS studies present a substantive hurdle for robust classification, even when standard multivariate chemometric techniques are used for analysis. Considering pharmaceutical sample investigation as an example, we propose the use of support vector machines (SVM) as a nonlinear classification method over conventional linear techniques such as soft independent modeling of class analogy (SIMCA) and partial least-squares discriminant analysis (PLS-DA) for discrimination based on LIBS measurements. Using over-the-counter pharmaceutical samples, we demonstrate that the application of SVM enables statistically significant improvements in prospective classification accuracy (sensitivity), because of its ability to address variability in LIBS sample ablation and plasma self-absorption behavior. Furthermore, our results reveal that SVM provides nearly 10% improvement in correct allocation rate and a concomitant reduction in misclassification rates of 75% (cf. PLS-DA) and 80% (cf. SIMCA)-when measurements from samples not included in the training set are incorporated in the test data-highlighting its robustness. While further studies on a wider matrix of sample types performed using different LIBS systems is needed to fully characterize the capability of SVM to provide superior predictions, we anticipate that the improved sensitivity and robustness observed here will facilitate application of the proposed LIBS-SVM toolbox for screening drugs and detecting counterfeit samples, as well as in related areas of forensic and biological sample analysis.


Assuntos
Lasers , Preparações Farmacêuticas/química , Análise Espectral/métodos , Máquina de Vetores de Suporte , Sensibilidade e Especificidade
16.
Anal Chem ; 84(5): 2474-82, 2012 Mar 06.
Artigo em Inglês | MEDLINE | ID: mdl-22324826

RESUMO

In recent years, glycated hemoglobin (HbA1c) has been increasingly accepted as a functional metric of mean blood glucose in the treatment of diabetic patients. Importantly, HbA1c provides an alternate measure of total glycemic exposure due to the representation of blood glucose throughout the day, including post-prandially. In this article, we propose and demonstrate the potential of Raman spectroscopy as a novel analytical method for quantitative detection of HbA1c, without using external dyes or reagents. Using the drop coating deposition Raman (DCDR) technique, we observe that the nonenzymatic glycosylation (glycation) of the hemoglobin molecule results in subtle but discernible and highly reproducible changes in the acquired spectra, which enable the accurate determination of glycated and nonglycated hemoglobin using standard chemometric methods. The acquired Raman spectra display excellent reproducibility of spectral characteristics at different locations in the drop and show a linear dependence of the spectral intensity on the analyte concentration. Furthermore, in hemolysate models, the developed multivariate calibration models for HbA1c show a high degree of prediction accuracy and precision--with a limit of detection that is a factor of ~15 smaller than the lowest physiological concentrations encountered in clinical practice. The excellent accuracy and reproducibility achieved in this proof-of-concept study opens substantive avenues for characterization and quantification of the glycosylation status of (therapeutic) proteins, which are widely used for biopharmaceutical development. We also envision that the proposed approach can provide a powerful tool for high-throughput HbA1c sensing in multicomponent mixtures and potentially in hemolysate and whole blood lysate samples.


Assuntos
Hemoglobinas Glicadas/análise , Análise Espectral Raman , Glicemia/metabolismo , Diabetes Mellitus/diagnóstico , Diabetes Mellitus/metabolismo , Humanos , Análise de Componente Principal
17.
PLoS One ; 7(1): e30887, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22303465

RESUMO

There continues to be a significant clinical need for rapid and reliable intraoperative margin assessment during cancer surgery. Here we describe a portable, quantitative, optical fiber probe-based, spectroscopic tissue scanner designed for intraoperative diagnostic imaging of surgical margins, which we tested in a proof of concept study in human tissue for breast cancer diagnosis. The tissue scanner combines both diffuse reflectance spectroscopy (DRS) and intrinsic fluorescence spectroscopy (IFS), and has hyperspectral imaging capability, acquiring full DRS and IFS spectra for each scanned image pixel. Modeling of the DRS and IFS spectra yields quantitative parameters that reflect the metabolic, biochemical and morphological state of tissue, which are translated into disease diagnosis. The tissue scanner has high spatial resolution (0.25 mm) over a wide field of view (10 cm × 10 cm), and both high spectral resolution (2 nm) and high spectral contrast, readily distinguishing tissues with widely varying optical properties (bone, skeletal muscle, fat and connective tissue). Tissue-simulating phantom experiments confirm that the tissue scanner can quantitatively measure spectral parameters, such as hemoglobin concentration, in a physiologically relevant range with a high degree of accuracy (<5% error). Finally, studies using human breast tissues showed that the tissue scanner can detect small foci of breast cancer in a background of normal breast tissue. This tissue scanner is simpler in design, images a larger field of view at higher resolution and provides a more physically meaningful tissue diagnosis than other spectroscopic imaging systems currently reported in literatures. We believe this spectroscopic tissue scanner can provide real-time, comprehensive diagnostic imaging of surgical margins in excised tissues, overcoming the sampling limitation in current histopathology margin assessment. As such it is a significant step in the development of a platform technology for intraoperative management of cancer, a clinical problem that has been inadequately addressed to date.


Assuntos
Tecnologia de Fibra Óptica/instrumentação , Cuidados Intraoperatórios/instrumentação , Cuidados Intraoperatórios/métodos , Neoplasias/diagnóstico , Neoplasias/cirurgia , Fibras Ópticas , Análise Espectral/instrumentação , Algoritmos , Animais , Calibragem , Simulação por Computador , Feminino , Hemoglobinas/metabolismo , Humanos , Neoplasias/sangue , Imagens de Fantasmas , Reprodutibilidade dos Testes , Espectrometria de Fluorescência , Sus scrofa
18.
Talanta ; 87: 53-9, 2011 Dec 15.
Artigo em Inglês | MEDLINE | ID: mdl-22099648

RESUMO

We report the effectiveness of laser-induced breakdown spectroscopy (LIBS) in probing the content of pharmaceutical tablets and also investigate its feasibility for routine classification. This method is particularly beneficial in applications where its exquisite chemical specificity and suitability for remote and on site characterization significantly improves the speed and accuracy of quality control and assurance process. Our experiments reveal that in addition to the presence of carbon, hydrogen, nitrogen and oxygen, which can be primarily attributed to the active pharmaceutical ingredients, specific inorganic atoms were also present in all the tablets. Initial attempts at classification by a ratiometric approach using oxygen (∼777 nm) to nitrogen (742.36 nm, 744.23 nm and 746.83 nm) compositional values yielded an optimal value at 746.83 nm with the least relative standard deviation but nevertheless failed to provide an acceptable classification. To overcome this bottleneck in the detection process, two chemometric algorithms, i.e. principal component analysis (PCA) and soft independent modeling of class analogy (SIMCA), were implemented to exploit the multivariate nature of the LIBS data demonstrating that LIBS has the potential to differentiate and discriminate among pharmaceutical tablets. We report excellent prospective classification accuracy using supervised classification via the SIMCA algorithm, demonstrating its potential for future applications in process analytical technology, especially for fast on-line process control monitoring applications in the pharmaceutical industry.


Assuntos
Análise Espectral/métodos , Comprimidos/química , Comprimidos/classificação , Lasers , Análise Multivariada , Análise de Componente Principal
19.
AIP Adv ; 1(3): 32175, 2011 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-22125761

RESUMO

Due to its high chemical specificity, Raman spectroscopy has been considered to be a promising technique for non-invasive disease diagnosis. However, during Raman excitation, less than one out of a million photons undergo spontaneous Raman scattering and such weakness in Raman scattered light often require highly efficient collection of Raman scattered light for the analysis of biological tissues. We present a novel non-imaging optics based portable Raman spectroscopy instrument designed for enhanced light collection. While the instrument was demonstrated on transdermal blood glucose measurement, it can also be used for detection of other clinically relevant blood analytes such as creatinine, urea and cholesterol, as well as other tissue diagnosis applications. For enhanced light collection, a non-imaging optical element called compound hyperbolic concentrator (CHC) converts the wide angular range of scattered photons (numerical aperture (NA) of 1.0) from the tissue into a limited range of angles accommodated by the acceptance angles of the collection system (e.g., an optical fiber with NA of 0.22). A CHC enables collimation of scattered light directions to within extremely narrow range of angles while also maintaining practical physical dimensions. Such a design allows for the development of a very efficient and compact spectroscopy system for analyzing highly scattering biological tissues. Using the CHC-based portable Raman instrument in a clinical research setting, we demonstrate successful transdermal blood glucose predictions in human subjects undergoing oral glucose tolerance tests.

20.
J Biomed Opt ; 16(8): 087009, 2011 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-21895336

RESUMO

While Raman spectroscopy provides a powerful tool for noninvasive and real time diagnostics of biological samples, its translation to the clinical setting has been impeded by the lack of robustness of spectroscopic calibration models and the size and cumbersome nature of conventional laboratory Raman systems. Linear multivariate calibration models employing full spectrum analysis are often misled by spurious correlations, such as system drift and covariations among constituents. In addition, such calibration schemes are prone to overfitting, especially in the presence of external interferences that may create nonlinearities in the spectra-concentration relationship. To address both of these issues we incorporate residue error plot-based wavelength selection and nonlinear support vector regression (SVR). Wavelength selection is used to eliminate uninformative regions of the spectrum, while SVR is used to model the curved effects such as those created by tissue turbidity and temperature fluctuations. Using glucose detection in tissue phantoms as a representative example, we show that even a substantial reduction in the number of wavelengths analyzed using SVR lead to calibration models of equivalent prediction accuracy as linear full spectrum analysis. Further, with clinical datasets obtained from human subject studies, we also demonstrate the prospective applicability of the selected wavelength subsets without sacrificing prediction accuracy, which has extensive implications for calibration maintenance and transfer. Additionally, such wavelength selection could substantially reduce the collection time of serial Raman acquisition systems. Given the reduced footprint of serial Raman systems in relation to conventional dispersive Raman spectrometers, we anticipate that the incorporation of wavelength selection in such hardware designs will enhance the possibility of miniaturized clinical systems for disease diagnosis in the near future.


Assuntos
Análise Química do Sangue/métodos , Glicemia/análise , Processamento de Sinais Assistido por Computador , Análise Espectral Raman/métodos , Humanos , Análise dos Mínimos Quadrados , Imagens de Fantasmas , Máquina de Vetores de Suporte
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