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1.
Opt Express ; 28(2): 2600-2610, 2020 Jan 20.
Artículo en Inglés | MEDLINE | ID: mdl-32121945

RESUMEN

A continuous-wave (CW) Scheimpflug underwater multi-spectral lidar system was constructed to monitor aquatic fauna with spatial, spectral, and temporal resolution. Utilizing a 1 W 414 nm diode laser and a detection set-up with a reflective grating, measurements of shrimp pleopod movements at fixed range, and the swimming of small fish trapped in a clear tube were performed in a 5 m ×0.6 m ×0.6 m water tank. The spatial resolution is about 5 mm, the spectral resolution is 10 nm (from 400 nm to 700 nm), and with proper binning of the CCD, a read-out repetition rate up to 150 Hz can be reached. The experimental results demonstrate that the underwater Scheimpflug lidar system has great potential for detailed monitoring of the small aquatic fauna in oceanic environments.


Asunto(s)
Organismos Acuáticos/fisiología , Océanos y Mares , Óptica y Fotónica , Animales , Elasticidad , Fluorescencia , Imagenología Tridimensional , Procesamiento de Señales Asistido por Computador , Factores de Tiempo , Vibración
2.
Rhinology ; 50(1): 26-32, 2012 03.
Artículo en Inglés | MEDLINE | ID: mdl-22469602

RESUMEN

PROBLEM: Suspected, but objectively absent, rhinosinusitis constitutes a major cause of visits to the doctor, high health care costs, and the over-prescription of antibiotics, contributing to the serious problem of resistant bacteria. This situation is largely due to a lack of reliable and widely applicable diagnostic methods. METHOD: A novel method for the diagnosis of rhinosinusitis based on non-intrusive diode laser gas spectroscopy is presented. The technique is based on light absorption by free gas (oxygen and water vapour) inside the sinuses, and has the potential to be a complementary diagnostic tool in primary health care. The method was evaluated on 40 patients with suspected sinus problems, referred to the diagnostic radiology clinic for low-dose computed tomography (CT), which was used as the reference technique. MAIN RESULTS: The data obtained with the new laser-based method correlated well with the grading of opacification and ventilation using CT. The sensitivity and specificity were estimated to be 93% and 61%, respectively, for the maxillary sinuses, and 94% and 86%, respectively, for the frontal sinuses. Good reproducibility was shown. PRINCIPAL CONCLUSION: The laser-based technique presents real-time clinical data that correlate well to CT findings, while being non-intrusive and avoiding the use of ionizing radiation.


Asunto(s)
Sinusitis Frontal/diagnóstico , Láseres de Semiconductores , Sinusitis Maxilar/diagnóstico , Rinitis/diagnóstico , Análisis Espectral , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Sinusitis Frontal/diagnóstico por imagen , Humanos , Masculino , Sinusitis Maxilar/diagnóstico por imagen , Persona de Mediana Edad , Rinitis/diagnóstico por imagen , Sensibilidad y Especificidad , Tomografía Computarizada por Rayos X , Adulto Joven
3.
Opt Express ; 16(10): 6794-808, 2008 May 12.
Artículo en Inglés | MEDLINE | ID: mdl-18545382

RESUMEN

Fluorescence lidar techniques offer considerable potential for remote, non-invasive diagnostics of stone cultural heritage in the outdoor environment. Here we present the results of a joint Italian-Swedish experiment, deploying two hyperspectral fluorescence lidar imaging systems, for the documentation of past conservation interventions on the Colosseum, Rome. Several portions of the monument were scanned and we show that it was possible to discriminate among masonry materials, reinforcement structures and protective coatings inserted during past conservation interventions, on the basis of their fluorescence signatures, providing useful information for a first quick, large-scale in situ screening of the monument.

4.
Appl Spectrosc ; 60(10): 1188-91, 2006 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-17059672

RESUMEN

The detection of contamination such as salt in outdoor high-voltage insulator systems and its subsequent removal are vital for a reliable transmission of electric power. Remote detection of salt on a copper metal surface was carried out by using a mobile laser-induced breakdown spectroscopy (LIBS) Lidar system with a laser wavelength of 355 nm. Detection of salt on a polymeric high-voltage insulator was obtained when an additional lens was inserted into the beam path, and the number of photons that was detected could be calculated by using a calibrated white light source. Ablative cleaning could readily be carried out with LIBS and was verified by observing the disappearance of the sodium D-line emission.

5.
Appl Spectrosc ; 59(8): 1037-41, 2005 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-16105213

RESUMEN

A method combining laser-induced fluorescence and principal component analysis to detect and discriminate between algal and fungal growth on insulator materials has been studied. Eight fungal cultures and four insulator materials have been analyzed. Multivariate classifications were utilized to characterize the insulator material, and fungal growth could readily be distinguished from a clean surface. The results of the principal component analyses make it possible to distinguish between algae infected, fungi infected, and clean silicone rubber materials. The experiments were performed in the laboratory using a fiber-optic fluorosensor that consisted of a nitrogen laser and an optical multi-channel analyzer system.


Asunto(s)
Contaminación de Equipos , Hongos/química , Hongos/aislamiento & purificación , Análisis de Componente Principal , Elastómeros de Silicona/química , Eucariontes/química , Eucariontes/aislamiento & purificación , Rayos Láser , Nitrógeno/química , Espectrometría de Fluorescencia , Esporas Fúngicas/química , Esporas Fúngicas/aislamiento & purificación , Sri Lanka , Suecia , Tanzanía
6.
Appl Spectrosc ; 59(10): 1229-35, 2005 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-18028619

RESUMEN

Time-resolved spectroscopy is a powerful technique permitting the separation of the scattering properties from the chemical absorption properties of a sample. The reduced scattering coefficient and the absorption coefficient are usually obtained by fitting diffusion or Monte Carlo models to the measured data using numerical optimization techniques. However, these methods do not take the spectral dimension of the data into account during the evaluation procedure, but evaluate each wavelength separately. A procedure involving multivariate methods may seem more appealing for people used to handling conventional near-infrared data. In this study we present a new method for processing TRS spectra in order to compute the absorption and reduced scattering coefficients. This approach, MADSTRESS, is based on linear regression and a two-dimensional (2D) interpolation procedure. The method has allowed us to calculate absorption and scattering coefficients of apples and fructose powder. The accuracy of the method was good enough to provide the identification of fructose absorption peaks in apple absorption spectra and the construction of a calibration model predicting the sugar content of apples.

7.
Br J Dermatol ; 144(4): 832-40, 2001 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-11298545

RESUMEN

BACKGROUND: A previously reported randomized clinical trial showed treatment of Bowen's disease using photodynamic therapy (PDT) with topically applied delta-aminolaevulinic acid (ALA) to be at least as effective as cryosurgery and to be associated with fewer adverse effects. OBJECTIVES: To compare ALA-PDT and cryotherapy in the treatment of histopathologically verified basal cell carcinomas (BCCs) in a non-blinded, prospective phase III clinical trial. METHODS: One lesion from each of 88 patients was included. The BCCs were divided into superficial and nodular lesions. The follow-up period was restricted to 1 year with close follow-up for the first 3 months. Efficacy was assessed as the recurrence rate 12 months after the first treatment session, verified by histopathology. Tolerability was evaluated as the time of healing, pain and discomfort during and after the treatment, and final cosmetic outcome. RESULTS: Histopathologically verified recurrence rates in the two groups were statistically comparable and were 25% (11 of 44) for ALA-PDT and 15% (six of 39) for cryosurgery. However, clinical recurrence rates were only 5% (two of 44) for PDT and 13% (five of 39) for cryosurgery. Additional treatments, usually one, had to be performed in 30% of the lesions in the PDT group. The healing time was considerably shorter and the cosmetic outcome significantly better with PDT. Pain and discomfort during the treatment session and in the following week were low, and were equivalent with the two treatment modalities. CONCLUSIONS: In terms of efficacy, ALA-PDT is comparable with cryosurgery as a treatment modality for BCCs. Retreatments are more often required with PDT than with cryosurgery. This can easily be performed due to the shorter healing time, less scarring and better cosmetic outcome that follows ALA-PDT.


Asunto(s)
Carcinoma Basocelular/tratamiento farmacológico , Carcinoma Basocelular/cirugía , Criocirugía , Fotoquimioterapia , Neoplasias Cutáneas/tratamiento farmacológico , Neoplasias Cutáneas/cirugía , Adulto , Anciano , Anciano de 80 o más Años , Carcinoma Basocelular/patología , Criocirugía/efectos adversos , Estética , Femenino , Estudios de Seguimiento , Humanos , Masculino , Persona de Mediana Edad , Recurrencia Local de Neoplasia , Fotoquimioterapia/efectos adversos , Fotoquimioterapia/métodos , Estudios Prospectivos , Neoplasias Cutáneas/patología , Resultado del Tratamiento , Cicatrización de Heridas
8.
Appl Opt ; 40(21): 3572-4, 2001 Jul 20.
Artículo en Inglés | MEDLINE | ID: mdl-18360386

RESUMEN

The absorption spectrum of alpha-pinene gas, a biogenic volatile organic compound, was directly measured with a pulsed mid-infrared laser. The maximum absorption wavelength was found to be ~3.42 mum, and an absorption cross section of 4.8 x 10(-23) m(2) molec(-1) was obtained. A simple theoretical calculation with the measured spectral data showed that several hundreds of parts in 10(12) (ppt) of alpha-pinene gas in forest-mountain areas over a range of ~10 km were detectable by a long-path-averaged hard-target absorption lidar. Requirements for system development were also discussed.

9.
Appl Opt ; 40(33): 6111-20, 2001 Nov 20.
Artículo en Inglés | MEDLINE | ID: mdl-18364910

RESUMEN

What is believed to be the first fluorescence imaging of the facades of a historical building, which was accomplished with a scanning fluorescence lidar system, is reported. The mobile system was placed at a distance of ~60 m from the medieval Lund Cathedral (Sweden), and a 355-nm pulsed laser beam was swept over the stone facades row by row while spectrally resolved fluorescence signals of each measurement point were recorded. By multispectral image processing, either by formation of simple spectral-band ratios or by use of multivariate techniques, areas with different spectral signatures were classified. In particular, biological growth was observed and different stone types were distinguished. The technique can yield data for use in facade status assessment and restoration planning.

10.
Opt Lett ; 26(1): 16-8, 2001 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-18033492

RESUMEN

Monitoring of free gas embedded in scattering media, such as wood, fruits, and synthetic materials, is demonstrated by use of diode laser spectroscopy combined with sensitive modulation techniques. Gas detection is made possible by the contrast of the narrow absorptive feature of the free-gas molecules with the slow wavelength dependence of the absorption and scattering cross sections in solids and liquids. An absorption sensitivity of 2.5 x 10(-4), corresponding to a 1.25-mm air column, is demonstrated by measurements of dispersed molecular oxygen. These techniques open up new possibilities for characterization and diagnostics, including internal gas pressure and gas-exchange assessment, in organic and synthetic materials.

11.
Phys Rev Lett ; 87(27 Pt 1): 273001, 2001 Dec 31.
Artículo en Inglés | MEDLINE | ID: mdl-11800875

RESUMEN

Radiative lifetimes have been measured for two excited levels of Ce IV using the time-resolved laser-induced fluorescence technique. Ce3+ ions were produced in a laser-induced plasma. In the measurements, a suitable magnetic field was applied to reduce the recombination between electrons and the ions and thus the background light from the recombination, and special care was exercised to avoid flight-out-of-view effects on the lifetime measurements for the high-velocity ions. The experimental lifetime results, tau = 30(2) ns for the level 49 737 cm(-1) and tau = 30(3) ns for the level 52 226 cm(-1), were compared with relativistic Hartree-Fock calculations (tau = 30.5 and 30.0 ns) indicating a particularly excellent agreement.

12.
Acta Derm Venereol ; 80(1): 19-23, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-10721826

RESUMEN

Superficial blood perfusion was monitored using laser-Doppler perfusion imaging in connection with a phase III clinical trial comparing photodynamic therapy, utilizing topically applied delta-aminolevulinic acid, with cryotherapy of basal cell carcinomas. A total of 526 images were recorded before and immediately after the treatment and during the follow-up period. Before treatment, the lesions exhibited a blood perfusion 3+/-2 times that in normal tissue. Both treatment modalities induced an increased blood perfusion inside the lesions, which slowly approached normal values in conjunction with successful treatments. The blood perfusion in successfully treated lesions approached normal values 2 months after photodynamic therapy, and about 1 year after cryotherapy. The tissue perfusion in recurrent lesions did not decrease to normal values after the treatment, suggesting that the laser-Doppler perfusion imaging technique can be used to follow the healing process and discover possible persistent tumour growth.


Asunto(s)
Carcinoma Basocelular/irrigación sanguínea , Carcinoma Basocelular/terapia , Crioterapia , Flujometría por Láser-Doppler , Fotoquimioterapia , Neoplasias Cutáneas/irrigación sanguínea , Neoplasias Cutáneas/terapia , Adulto , Anciano , Anciano de 80 o más Años , Humanos , Persona de Mediana Edad , Flujo Sanguíneo Regional
13.
Lasers Surg Med ; 26(1): 76-82, 2000.
Artículo en Inglés | MEDLINE | ID: mdl-10637006

RESUMEN

BACKGROUND AND OBJECTIVE: Fluorescence techniques can provide powerful noninvasive means for medical diagnosis, based on the detection of either endogenous or exogenous fluorophores. The fluorescence of delta-aminolevulinic acid (ALA)-induced protoporphyrin IX (PpIX) has already shown promise for the diagnosis of tumors. The aim of the study was to investigate the localization of skin tumors after the topical application of ALA, by detecting the PpIX fluorescence either in the spectral or in the time domain. STUDY DESIGN/MATERIALS N AND METHODS: Two fluorescence imaging systems were used to identify basal cell carcinomas of the skin in humans, after topical application of 20% ALA ointment. Both systems rely on the comparison between the exogenous and the endogenous fluorescence, performed either in the spectral domain or in the time domain. The first system works by using three images acquired through different spectral filters, whereas the second one measures the spatial map of the average fluorescence lifetime of the sample. RESULTS: A clear demarcation of skin malignancies was successfully performed in vivo noninvasively with both fluorescence imaging systems. CONCLUSION: The two complementary approaches considered in the present study show promise for skin tumor detection and delineation based on specific fluorescence features.


Asunto(s)
Carcinoma Basocelular/química , Carcinoma Basocelular/patología , Fármacos Fotosensibilizantes/análisis , Protoporfirinas/análisis , Neoplasias Cutáneas/química , Neoplasias Cutáneas/patología , Espectrometría de Fluorescencia/métodos , Adulto , Anciano , Anciano de 80 o más Años , Ácido Aminolevulínico , Humanos , Masculino
14.
Appl Opt ; 39(21): 3774-80, 2000 Jul 20.
Artículo en Inglés | MEDLINE | ID: mdl-18349953

RESUMEN

Frequency-modulation spectroscopy provides ultrasensitive absorption measurements. The technique is especially adaptable to diode lasers, which can be modulated easily, and has been used extensively in the near-infrared and infrared spectral regions. The availability of blue diode lasers now means that the accessible wavelength region can be increased. We successfully demonstrate wavelength-modulation spectroscopy and two-tone frequency-modulation spectroscopy for the weak second resonance line of potassium at 404.8 nm and for the transition at 405.8 nm in lead, starting from the thermally populated 6(p)(2 3)P(2) metastable level. Information on the modulation parameters is obtained with a fitting procedure. Experimental signal-to-noise ratios at different absorption levels are compared with theoretical signal-to-noise ratios and show good agreement. Detection sensitivities of 2 x 10(-6) and 5 x 10(-6) for wavelength and two-tone frequency-modulation spectroscopy, respectively, for a 120-Hz bandwidth are demonstrated.

15.
Opt Express ; 6(4): 92-103, 2000 Feb 14.
Artículo en Inglés | MEDLINE | ID: mdl-19401749

RESUMEN

Real-time imaging of gas leaks was demonstrated using an IR camera employing outdoor thermal background radiation. Ammonia, ethylene and methane detection was demonstrated in the spectral region 7-13 microm. Imaging was accomplished using an optical filter and a gas-correlation cell matching the absorption band of the gas. When two gases, such as ammonia and ethylene, are absorbing in the same wavelength region it is possible to isolate one for display by using gas-correlation multispectral imaging. Results from a field test on a leaking gas tanker are presented as QuickTime movies. A detection limit of 200 ppm x meter for ammonia was accomplished in this setup when the temperature difference between the background and the gas was 18 K and the frame rate was 15 Hz.

16.
Radiology ; 213(3): 860-5, 1999 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-10580967

RESUMEN

PURPOSE: To determine whether intense laser-produced x rays have an increased radiation hazard. MATERIALS AND METHODS: Mammalian cells were exposed to x rays from a laser-produced plasma that produced ultrahigh peak absorbed dose rates, up to a factor of 10(10) higher than those produced by conventional x rays used in imaging. The cell survival was studied as a function of the absorbed dose. The survival of mammalian cells exposed to high peak absorbed dose rates with laser-produced x rays was compared with the survival of cells exposed to standard absorbed dose rates with conventional x-ray sources. Comparative survival studies were performed by using a conventional x-ray tube and a cobalt 60 source. The absorbed doses in the irradiation field were measured with thermoluminescent dosimeters. RESULTS: Cell survival following irradiation by filtered, laser-produced x rays with a high dose rate was not markedly different from the survival following irradiation by conventional sources. There was, however, a notable difference between the survival after exposure to filtered, laser-produced x rays and the survival after exposure to unfiltered laser-produced x rays. CONCLUSION: Exposure to filtered, laser-produced x rays with a high dose rate does not lead to increased harm to mammalian cells exposed in vitro compared with the harm from exposure to x rays from conventional sources, which indicates that the use of high-power laser facilities for medical imaging is justified.


Asunto(s)
Supervivencia Celular/efectos de la radiación , Rayos Láser/efectos adversos , Traumatismos Experimentales por Radiación/etiología , Animales , Línea Celular , Relación Dosis-Respuesta en la Radiación , Cobayas , Dosis Máxima Tolerada
17.
J Photochem Photobiol B ; 49(2-3): 120-8, 1999 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-10392462

RESUMEN

Laser-induced fluorescence (LIF) investigations have been performed in connection with photodynamic therapy (PDT) of basal cell carcinomas and adjacent normal skin following topical application of 5-aminolaevulinic acid (ALA) in order to study the kinetics of the protoporphyrin IX (PpIX) build-up. Five superficial and 10 nodular lesions in 15 patients are included in the study. Fluorescence measurements are performed prior to the application of ALA, 2, 4 and 6 h post ALA application, immediately post PDT (60 J cm-2 at 635 nm), and 2 h after the treatment. Hence, the build-up, photobleaching and re-accumulation of PpIX can be followed. Superficial lesions show a maximum PpIX fluorescence 6 h post ALA application, whereas the intensity is already the highest 2-4 h after the application in nodular lesions. Immediately post PDT, the fluorescence contribution at 670 nm from the photoproducts is about 2% of the pre-PDT PpIX fluorescence at 635 nm. Two hours after the treatment, a uniform distribution of PpIX is found in the lesion and surrounding normal tissue. During the whole procedure, the autofluorescence of the lesions and the normal skin does not vary significantly from the values recorded before the application of ALA.


Asunto(s)
Ácido Aminolevulínico/uso terapéutico , Carcinoma Basocelular/tratamiento farmacológico , Fármacos Fotosensibilizantes/uso terapéutico , Protoporfirinas/metabolismo , Neoplasias Cutáneas/tratamiento farmacológico , Administración Tópica , Adulto , Anciano , Anciano de 80 o más Años , Carcinoma Basocelular/metabolismo , Femenino , Humanos , Cinética , Masculino , Persona de Mediana Edad , Fotoquimioterapia , Neoplasias Cutáneas/metabolismo , Espectrometría de Fluorescencia
18.
Acta Ophthalmol Scand ; 77(2): 182-8, 1999 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-10321535

RESUMEN

PURPOSE: Photodynamic therapy utilising delta-aminolevulinic acid-induced protoporphyrin IX photosensitisation, was evaluated as a treatment modality for nonmelanoma skin malignancies of the eyelids and the periocular skin. METHODS: Photodynamic therapy with laser light at 635 nm was performed in 13 patients with 19 basal cell carcinomas and one patient with 3 cutaneous T-cell lymphoma lesions. A topical application regimen was used and in median 3 treatment sessions were given to each lesion. RESULTS: A visually judged complete response was achieved in 42% (8/19) of the basal cell carcinomas and in 100% of the T-cell lymphoma lesions (3/3). Partial tumour response was seen in 42% (8/19) and no response in 16% (3/19) of the basal cell carcinomas. The median follow-up time was 12 months. No, or very little scarring and loss of cilia were induced by the treatment. CONCLUSION: Photodynamic therapy with delta-aminolevulinic acid can eradicate eye-close non-melanoma skin malignancies without compromising the function of the eyelids. Further development of the method is needed to reach the same cure rates as those of the conventional treatment modalities.


Asunto(s)
Ácido Aminolevulínico/uso terapéutico , Carcinoma Basocelular/tratamiento farmacológico , Neoplasias de los Párpados/tratamiento farmacológico , Linfoma de Células T/tratamiento farmacológico , Fotoquimioterapia , Fármacos Fotosensibilizantes/uso terapéutico , Neoplasias Cutáneas/tratamiento farmacológico , Administración Tópica , Adulto , Anciano , Anciano de 80 o más Años , Ácido Aminolevulínico/administración & dosificación , Carcinoma Basocelular/patología , Neoplasias de los Párpados/patología , Femenino , Estudios de Seguimiento , Humanos , Rayos Láser , Linfoma de Células T/patología , Masculino , Persona de Mediana Edad , Fármacos Fotosensibilizantes/administración & dosificación , Neoplasias Cutáneas/patología , Resultado del Tratamiento
19.
Cancer Lett ; 135(1): 11-9, 1999 Jan 08.
Artículo en Inglés | MEDLINE | ID: mdl-10077216

RESUMEN

Diagnostic measurements and pharmacokinetic studies were performed in 17 patients with various kinds of malignant, premalignant and benign lesions in the head and neck region by means of point monitoring laser-induced fluorescence. For marking different types of tissue, delta-aminolevulinic acid (ALA)-induced protoporphyrin IX (PpIX) was used. The ALA-induced PpIX synthesis was monitored at different time intervals after oral administration of ALA in low doses, 5 and 15 mg/kg b.w. Besides the porphyrin-related signal the tissue endogenous fluorescence was also recorded. The fluorescence spectra were evaluated at two different wavelengths corresponding to the specific drug-related fluorescence peak and the endogenous tissue fluorescence emission at 635 and 490 nm, respectively. The evaluated fluorescence data were correlated to the histopathological tissue investigation. A fall-off in the overall fluorescence intensity at 490 nm was obtained for all the malignant and premalignant areas, as well as an increased red fluorescence. A ratio between the red and the blue/green fluorescence intensity was formed for each time interval after the ALA administration. The lower drug dose seems to be sufficient to obtain a useful demarcation ratio between normal and diseased tissue with a very low PpIX fluorescence intensity in the normal tissue. A PpIX fluorescence maximum seems to occur between 3 and 4 h in normal tissues, whereas malignant tumour tissue shows a higher level for a longer period of time.


Asunto(s)
Ácido Aminolevulínico , Neoplasias de Cabeza y Cuello/diagnóstico , Administración Oral , Adulto , Anciano , Relación Dosis-Respuesta a Droga , Endoscopía , Femenino , Neoplasias de Cabeza y Cuello/metabolismo , Humanos , Rayos Láser , Masculino , Persona de Mediana Edad , Fármacos Fotosensibilizantes , Protoporfirinas/biosíntesis , Espectrometría de Fluorescencia
20.
Gut ; 44(4): 511-8, 1999 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-10075958

RESUMEN

BACKGROUND AND AIMS: Laser induced fluorescence (LIF) from colonic mucosa was measured in vivo with and without delta aminolevulinic acid (ALA) in an attempt to differentiate between neoplasia and non-neoplasia in real time during colonoscopy. METHODS: Spectra from 32 adenomas, 68 normal sites, and 14 hyperplastic polyps in 41 patients were obtained with a point monitoring system. Twenty one of the patients had been given a low dose of ALA as a photosensitiser before the examination. Light of 337, 405, or 436 nm wavelength was used as excitation. Stepwise multivariate linear regression analysis was performed. RESULTS: With 337 nm excitation, 100% sensitivity and 96% specificity was obtained between normal mucosa and adenomas. Seventy seven per cent of the hyperplastic polyps were classified as non-neoplastic. When exciting with 405 and 436 nm, the possibility of distinguishing different types of tissue was considerably better in the ALA patients than in the non-ALA patients. CONCLUSIONS: The in vivo point measurements imply that a good discrimination between normal tissue and adenomatous polyps can be obtained using the LIF technique. Excitation at 337 nm and at 405 nm or 436 nm using ALA gives good results. LIF also shows potential for distinguishing adenomatous from hyperplastic polyps. The number of detection wavelengths could be reduced if chosen properly.


Asunto(s)
Adenoma/diagnóstico , Colon/patología , Neoplasias del Colon/diagnóstico , Lesiones Precancerosas/diagnóstico , Adulto , Anciano , Anciano de 80 o más Años , Ácido Aminolevulínico , Colonoscopía , Diagnóstico Diferencial , Femenino , Fluorescencia , Humanos , Hiperplasia/diagnóstico , Masculino , Persona de Mediana Edad , Fármacos Fotosensibilizantes , Sensibilidad y Especificidad
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