Quantitative Optical Spectroscopy: A Robust Tool for Direct Measurement of Breast Cancer Vascular Oxygenation and Total Hemoglobin Content In vivo

We propose the use of a robust, biopsy needle-based, fiber-optic tool for routine clinical quantification of tumor oxygenation at the time of diagnostic biopsy for breast cancer. The purpose of this study was to show diffuse reflectance spectroscopy as a quantitative tool to measure oxygenation leve...

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Veröffentlicht in:Cancer research (Chicago, Ill.) Ill.), 2009-04, Vol.69 (7), p.2919-2926
Hauptverfasser: QUINCY BROWN, J, WILKE, Lee G, GERADTS, Joseph, KENNEDY, Stephanie A, PALMER, Gregory M, RAMANUJAM, Nirmala
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container_end_page 2926
container_issue 7
container_start_page 2919
container_title Cancer research (Chicago, Ill.)
container_volume 69
creator QUINCY BROWN, J
WILKE, Lee G
GERADTS, Joseph
KENNEDY, Stephanie A
PALMER, Gregory M
RAMANUJAM, Nirmala
description We propose the use of a robust, biopsy needle-based, fiber-optic tool for routine clinical quantification of tumor oxygenation at the time of diagnostic biopsy for breast cancer. The purpose of this study was to show diffuse reflectance spectroscopy as a quantitative tool to measure oxygenation levels in the vascular compartment of breast cancers in vivo via an optical biopsy technique. Thirty-five patients undergoing surgical treatment for breast cancer were recruited for the study at Duke University Medical Center. Diffuse reflectance spectroscopy was performed on the tumors in situ before surgical resection, followed by needle-core biopsy of the optically measured tissue. Hemoglobin saturation and total hemoglobin content were quantified from 76 optical spectra-tissue biopsy pairs, consisting of 20 malignant, 23 benign, and 33 adipose tissues. Hemoglobin saturation in malignant tissues was significantly lower than nonmalignant tissues (P
doi_str_mv 10.1158/0008-5472.CAN-08-3370
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The purpose of this study was to show diffuse reflectance spectroscopy as a quantitative tool to measure oxygenation levels in the vascular compartment of breast cancers in vivo via an optical biopsy technique. Thirty-five patients undergoing surgical treatment for breast cancer were recruited for the study at Duke University Medical Center. Diffuse reflectance spectroscopy was performed on the tumors in situ before surgical resection, followed by needle-core biopsy of the optically measured tissue. Hemoglobin saturation and total hemoglobin content were quantified from 76 optical spectra-tissue biopsy pairs, consisting of 20 malignant, 23 benign, and 33 adipose tissues. Hemoglobin saturation in malignant tissues was significantly lower than nonmalignant tissues (P&lt;0.002) and was negatively correlated with tumor size and pathologic tumor category (P&lt;0.05). Hemoglobin saturation was positively correlated with total hemoglobin content in malignant tissues (P&lt;0.02). HER2/neu-amplified tumors exhibited significantly higher total hemoglobin content (P&lt;0.05) and significantly higher hemoglobin saturation (P&lt;0.02), which is consistent with a model of increased angiogenesis and tumor perfusion promoted by HER2/neu amplification. 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The purpose of this study was to show diffuse reflectance spectroscopy as a quantitative tool to measure oxygenation levels in the vascular compartment of breast cancers in vivo via an optical biopsy technique. Thirty-five patients undergoing surgical treatment for breast cancer were recruited for the study at Duke University Medical Center. Diffuse reflectance spectroscopy was performed on the tumors in situ before surgical resection, followed by needle-core biopsy of the optically measured tissue. Hemoglobin saturation and total hemoglobin content were quantified from 76 optical spectra-tissue biopsy pairs, consisting of 20 malignant, 23 benign, and 33 adipose tissues. Hemoglobin saturation in malignant tissues was significantly lower than nonmalignant tissues (P&lt;0.002) and was negatively correlated with tumor size and pathologic tumor category (P&lt;0.05). Hemoglobin saturation was positively correlated with total hemoglobin content in malignant tissues (P&lt;0.02). HER2/neu-amplified tumors exhibited significantly higher total hemoglobin content (P&lt;0.05) and significantly higher hemoglobin saturation (P&lt;0.02), which is consistent with a model of increased angiogenesis and tumor perfusion promoted by HER2/neu amplification. Diffuse reflectance spectroscopy could aid in prognosis and prediction in breast cancer via quantitative assessment of tumor physiology at the time of diagnostic biopsy.</description><subject>Antineoplastic agents</subject><subject>Biological and medical sciences</subject><subject>Breast Neoplasms - blood</subject><subject>Breast Neoplasms - blood supply</subject><subject>Breast Neoplasms - metabolism</subject><subject>Breast Neoplasms - pathology</subject><subject>Female</subject><subject>Fiber Optic Technology - methods</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Hemoglobins - metabolism</subject><subject>Humans</subject><subject>Mammary gland diseases</subject><subject>Medical sciences</subject><subject>Oxygen - blood</subject><subject>Oxygen - metabolism</subject><subject>Pharmacology. 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source MEDLINE; American Association for Cancer Research; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Antineoplastic agents
Biological and medical sciences
Breast Neoplasms - blood
Breast Neoplasms - blood supply
Breast Neoplasms - metabolism
Breast Neoplasms - pathology
Female
Fiber Optic Technology - methods
Gynecology. Andrology. Obstetrics
Hemoglobins - metabolism
Humans
Mammary gland diseases
Medical sciences
Oxygen - blood
Oxygen - metabolism
Pharmacology. Drug treatments
Receptor, ErbB-2 - biosynthesis
Spectrum Analysis
Tumors
title Quantitative Optical Spectroscopy: A Robust Tool for Direct Measurement of Breast Cancer Vascular Oxygenation and Total Hemoglobin Content In vivo
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