Terahertz pulsed imaging of basal cell carcinoma ex vivo and in vivo

Summary Background  Terahertz radiation lies between the infrared and microwave regions of the electromagnetic spectrum and can be used to excite large amplitude vibrational modes of molecules and probe the weak interactions between them. Terahertz pulsed imaging (TPI) is a noninvasive imaging techn...

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Veröffentlicht in:British journal of dermatology (1951) 2004-08, Vol.151 (2), p.424-432
Hauptverfasser: Wallace, V.P., Fitzgerald, A.J., Shankar, S., Flanagan, N., Pye, R., Cluff, J., Arnone, D.D.
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container_end_page 432
container_issue 2
container_start_page 424
container_title British journal of dermatology (1951)
container_volume 151
creator Wallace, V.P.
Fitzgerald, A.J.
Shankar, S.
Flanagan, N.
Pye, R.
Cluff, J.
Arnone, D.D.
description Summary Background  Terahertz radiation lies between the infrared and microwave regions of the electromagnetic spectrum and can be used to excite large amplitude vibrational modes of molecules and probe the weak interactions between them. Terahertz pulsed imaging (TPI) is a noninvasive imaging technique that utilises this radiaton. Objectives  To determine whether TPI could differentiate between basal cell carcinoma (BCC) and normal tissue and to test whether it can help facilitate delineation of tumour margins prior to surgery. Methods  A portable TPI system was used in the clinic to image 18 BCCs ex vivo and five in vivo. Results  The diseased tissue showed a change in terahertz properties compared with normal tissue, manifested through a broadening of the reflected terahertz pulse. Regions of disease identified in the terahertz image correlated well with histology. Conclusions  This study has confirmed the potential of TPI to identify the extent of BCC in vivo and to delineate tumour margins. Further clinical study of TPI as a surgical tool is now required.
doi_str_mv 10.1111/j.1365-2133.2004.06129.x
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Terahertz pulsed imaging (TPI) is a noninvasive imaging technique that utilises this radiaton. Objectives  To determine whether TPI could differentiate between basal cell carcinoma (BCC) and normal tissue and to test whether it can help facilitate delineation of tumour margins prior to surgery. Methods  A portable TPI system was used in the clinic to image 18 BCCs ex vivo and five in vivo. Results  The diseased tissue showed a change in terahertz properties compared with normal tissue, manifested through a broadening of the reflected terahertz pulse. Regions of disease identified in the terahertz image correlated well with histology. Conclusions  This study has confirmed the potential of TPI to identify the extent of BCC in vivo and to delineate tumour margins. Further clinical study of TPI as a surgical tool is now required.</description><identifier>ISSN: 0007-0963</identifier><identifier>EISSN: 1365-2133</identifier><identifier>DOI: 10.1111/j.1365-2133.2004.06129.x</identifier><identifier>PMID: 15327550</identifier><identifier>CODEN: BJDEAZ</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Ltd</publisher><subject>Aged ; Aged, 80 and over ; basal cell carcinoma ; Biological and medical sciences ; Carcinoma, Basal Cell - pathology ; Dermatology ; diagnosis ; Diagnostic Imaging - instrumentation ; Diagnostic Imaging - methods ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Mohs' micrographic surgery ; Preoperative Care - methods ; Skin - pathology ; Skin Neoplasms - pathology ; Skin plastic surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; terahertz pulsed imaging ; Tumors of the skin and soft tissue. Premalignant lesions</subject><ispartof>British journal of dermatology (1951), 2004-08, Vol.151 (2), p.424-432</ispartof><rights>2004 INIST-CNRS</rights><rights>Copyright Blackwell Scientific Publications Ltd. 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Terahertz pulsed imaging (TPI) is a noninvasive imaging technique that utilises this radiaton. Objectives  To determine whether TPI could differentiate between basal cell carcinoma (BCC) and normal tissue and to test whether it can help facilitate delineation of tumour margins prior to surgery. Methods  A portable TPI system was used in the clinic to image 18 BCCs ex vivo and five in vivo. Results  The diseased tissue showed a change in terahertz properties compared with normal tissue, manifested through a broadening of the reflected terahertz pulse. Regions of disease identified in the terahertz image correlated well with histology. Conclusions  This study has confirmed the potential of TPI to identify the extent of BCC in vivo and to delineate tumour margins. Further clinical study of TPI as a surgical tool is now required.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>basal cell carcinoma</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Basal Cell - pathology</subject><subject>Dermatology</subject><subject>diagnosis</subject><subject>Diagnostic Imaging - instrumentation</subject><subject>Diagnostic Imaging - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Mohs' micrographic surgery</subject><subject>Preoperative Care - methods</subject><subject>Skin - pathology</subject><subject>Skin Neoplasms - pathology</subject><subject>Skin plastic surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>terahertz pulsed imaging</subject><subject>Tumors of the skin and soft tissue. 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Terahertz pulsed imaging (TPI) is a noninvasive imaging technique that utilises this radiaton. Objectives  To determine whether TPI could differentiate between basal cell carcinoma (BCC) and normal tissue and to test whether it can help facilitate delineation of tumour margins prior to surgery. Methods  A portable TPI system was used in the clinic to image 18 BCCs ex vivo and five in vivo. Results  The diseased tissue showed a change in terahertz properties compared with normal tissue, manifested through a broadening of the reflected terahertz pulse. Regions of disease identified in the terahertz image correlated well with histology. Conclusions  This study has confirmed the potential of TPI to identify the extent of BCC in vivo and to delineate tumour margins. 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ispartof British journal of dermatology (1951), 2004-08, Vol.151 (2), p.424-432
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source MEDLINE; Oxford University Press Journals All Titles (1996-Current); Wiley Online Library All Journals
subjects Aged
Aged, 80 and over
basal cell carcinoma
Biological and medical sciences
Carcinoma, Basal Cell - pathology
Dermatology
diagnosis
Diagnostic Imaging - instrumentation
Diagnostic Imaging - methods
Female
Humans
Male
Medical sciences
Middle Aged
Mohs' micrographic surgery
Preoperative Care - methods
Skin - pathology
Skin Neoplasms - pathology
Skin plastic surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
terahertz pulsed imaging
Tumors of the skin and soft tissue. Premalignant lesions
title Terahertz pulsed imaging of basal cell carcinoma ex vivo and in vivo
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