Spectroscopic diagnosis of bladder cancer with elastic light scattering

Background and Objectives: Recently, significant progress has been made toward the development of optical, noninvasive medical diagnostics. The goal of this study was to evaluate elastic scatter measurements as a tool for diagnosing bladder cancer. Study Design/Materials and Methods: In vivo measure...

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Veröffentlicht in:Lasers in surgery and medicine 1995, Vol.17 (4), p.350-357
Hauptverfasser: Mourant, Judith R., Bigio, Irving J., Boyer, James, Conn, Richard L., Johnson, Tamara, Shimada, Tsutomu
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container_end_page 357
container_issue 4
container_start_page 350
container_title Lasers in surgery and medicine
container_volume 17
creator Mourant, Judith R.
Bigio, Irving J.
Boyer, James
Conn, Richard L.
Johnson, Tamara
Shimada, Tsutomu
description Background and Objectives: Recently, significant progress has been made toward the development of optical, noninvasive medical diagnostics. The goal of this study was to evaluate elastic scatter measurements as a tool for diagnosing bladder cancer. Study Design/Materials and Methods: In vivo measurements on 10 patients with suspected bladder cancer were made with the optical biopsy system (OBS) developed at Los Alamos National Laboratory. Elastic‐scatter spectra over the wavelength range 250–800 nm were obtained using a fiber‐optic probe through one of the lumens of a urological cystoscope. Measurements were made on putatively normal areas and areas of uncertain abnormality, as well as those suspected to be cancerous. After measurements were made with the OBS, biopsy samples were taken at the measurement sites. Comparisons of the histopathology and the optical spectra were then made. Results and Conclusions: A diagnostic algorithm for distinguishing malignant from nonmalignant tissue based on the values of the slopes over the wavelength range 330–370 nm has a sensitivity of 100% and specificity of 97% for the limited number of patients in this Study.
doi_str_mv 10.1002/lsm.1900170403
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The goal of this study was to evaluate elastic scatter measurements as a tool for diagnosing bladder cancer. Study Design/Materials and Methods: In vivo measurements on 10 patients with suspected bladder cancer were made with the optical biopsy system (OBS) developed at Los Alamos National Laboratory. Elastic‐scatter spectra over the wavelength range 250–800 nm were obtained using a fiber‐optic probe through one of the lumens of a urological cystoscope. Measurements were made on putatively normal areas and areas of uncertain abnormality, as well as those suspected to be cancerous. After measurements were made with the OBS, biopsy samples were taken at the measurement sites. Comparisons of the histopathology and the optical spectra were then made. Results and Conclusions: A diagnostic algorithm for distinguishing malignant from nonmalignant tissue based on the values of the slopes over the wavelength range 330–370 nm has a sensitivity of 100% and specificity of 97% for the limited number of patients in this Study.</description><identifier>ISSN: 0196-8092</identifier><identifier>EISSN: 1096-9101</identifier><identifier>DOI: 10.1002/lsm.1900170403</identifier><identifier>PMID: 8684237</identifier><identifier>CODEN: LSMEDI</identifier><language>eng</language><publisher>New York: John Wiley &amp; Sons, Inc</publisher><subject>Absorption ; Biological and medical sciences ; Biopsy - methods ; cancer detection ; Carcinoma in Situ - diagnosis ; Carcinoma in Situ - pathology ; Carcinoma, Transitional Cell - diagnosis ; Carcinoma, Transitional Cell - pathology ; Cystoscopes ; Epithelium - pathology ; Equipment Design ; Fiber Optic Technology - instrumentation ; Hemoglobins - radiation effects ; Humans ; Hyperplasia ; Light ; Medical sciences ; Nephrology. Urinary tract diseases ; noninvasive diagnostics ; optical biopsy ; Optical Fibers ; optical tissue diagnostics ; Scattering, Radiation ; Spectrometry, Fluorescence - methods ; spectroscopy ; Spectrum Analysis - instrumentation ; Spectrum Analysis - methods ; Tumors of the urinary system ; Urinary Bladder Neoplasms - diagnosis ; Urinary Bladder Neoplasms - pathology ; Urinary tract. 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Med</addtitle><description>Background and Objectives: Recently, significant progress has been made toward the development of optical, noninvasive medical diagnostics. The goal of this study was to evaluate elastic scatter measurements as a tool for diagnosing bladder cancer. Study Design/Materials and Methods: In vivo measurements on 10 patients with suspected bladder cancer were made with the optical biopsy system (OBS) developed at Los Alamos National Laboratory. Elastic‐scatter spectra over the wavelength range 250–800 nm were obtained using a fiber‐optic probe through one of the lumens of a urological cystoscope. Measurements were made on putatively normal areas and areas of uncertain abnormality, as well as those suspected to be cancerous. After measurements were made with the OBS, biopsy samples were taken at the measurement sites. Comparisons of the histopathology and the optical spectra were then made. Results and Conclusions: A diagnostic algorithm for distinguishing malignant from nonmalignant tissue based on the values of the slopes over the wavelength range 330–370 nm has a sensitivity of 100% and specificity of 97% for the limited number of patients in this Study.</description><subject>Absorption</subject><subject>Biological and medical sciences</subject><subject>Biopsy - methods</subject><subject>cancer detection</subject><subject>Carcinoma in Situ - diagnosis</subject><subject>Carcinoma in Situ - pathology</subject><subject>Carcinoma, Transitional Cell - diagnosis</subject><subject>Carcinoma, Transitional Cell - pathology</subject><subject>Cystoscopes</subject><subject>Epithelium - pathology</subject><subject>Equipment Design</subject><subject>Fiber Optic Technology - instrumentation</subject><subject>Hemoglobins - radiation effects</subject><subject>Humans</subject><subject>Hyperplasia</subject><subject>Light</subject><subject>Medical sciences</subject><subject>Nephrology. Urinary tract diseases</subject><subject>noninvasive diagnostics</subject><subject>optical biopsy</subject><subject>Optical Fibers</subject><subject>optical tissue diagnostics</subject><subject>Scattering, Radiation</subject><subject>Spectrometry, Fluorescence - methods</subject><subject>spectroscopy</subject><subject>Spectrum Analysis - instrumentation</subject><subject>Spectrum Analysis - methods</subject><subject>Tumors of the urinary system</subject><subject>Urinary Bladder Neoplasms - diagnosis</subject><subject>Urinary Bladder Neoplasms - pathology</subject><subject>Urinary tract. 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Urinary tract diseases</topic><topic>noninvasive diagnostics</topic><topic>optical biopsy</topic><topic>Optical Fibers</topic><topic>optical tissue diagnostics</topic><topic>Scattering, Radiation</topic><topic>Spectrometry, Fluorescence - methods</topic><topic>spectroscopy</topic><topic>Spectrum Analysis - instrumentation</topic><topic>Spectrum Analysis - methods</topic><topic>Tumors of the urinary system</topic><topic>Urinary Bladder Neoplasms - diagnosis</topic><topic>Urinary Bladder Neoplasms - pathology</topic><topic>Urinary tract. Prostate gland</topic><topic>Xenon</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mourant, Judith R.</creatorcontrib><creatorcontrib>Bigio, Irving J.</creatorcontrib><creatorcontrib>Boyer, James</creatorcontrib><creatorcontrib>Conn, Richard L.</creatorcontrib><creatorcontrib>Johnson, Tamara</creatorcontrib><creatorcontrib>Shimada, Tsutomu</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Lasers in surgery and medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mourant, Judith R.</au><au>Bigio, Irving J.</au><au>Boyer, James</au><au>Conn, Richard L.</au><au>Johnson, Tamara</au><au>Shimada, Tsutomu</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spectroscopic diagnosis of bladder cancer with elastic light scattering</atitle><jtitle>Lasers in surgery and medicine</jtitle><addtitle>Lasers Surg. 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subjects Absorption
Biological and medical sciences
Biopsy - methods
cancer detection
Carcinoma in Situ - diagnosis
Carcinoma in Situ - pathology
Carcinoma, Transitional Cell - diagnosis
Carcinoma, Transitional Cell - pathology
Cystoscopes
Epithelium - pathology
Equipment Design
Fiber Optic Technology - instrumentation
Hemoglobins - radiation effects
Humans
Hyperplasia
Light
Medical sciences
Nephrology. Urinary tract diseases
noninvasive diagnostics
optical biopsy
Optical Fibers
optical tissue diagnostics
Scattering, Radiation
Spectrometry, Fluorescence - methods
spectroscopy
Spectrum Analysis - instrumentation
Spectrum Analysis - methods
Tumors of the urinary system
Urinary Bladder Neoplasms - diagnosis
Urinary Bladder Neoplasms - pathology
Urinary tract. Prostate gland
Xenon
title Spectroscopic diagnosis of bladder cancer with elastic light scattering
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