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利用透射拉曼光谱对钙化灶进行无创探测诊断乳腺癌的前景。

Prospects for the diagnosis of breast cancer by noninvasive probing of calcifications using transmission Raman spectroscopy.

作者信息

Matousek Pavel, Stone Nicholas

机构信息

Council for the Central Laboratory of the Research Councils, Rutherford Appleton Laboratory, Central Laser Facility, Oxfordshire OX11 0QX, United Kingdom.

出版信息

J Biomed Opt. 2007 Mar-Apr;12(2):024008. doi: 10.1117/1.2718934.

Abstract

Breast calcifications can be found in both benign and malignant lesions, and the composition of these calcifications can indicate the possible disease state. As current practices such as mammography and histopathology examine the morphology of the specimen, they cannot reliably distinguish between the two types of calcification, which frequently are the only mammographic features that indicate the presence of a cancerous lesion. Raman spectroscopy is an optical technique capable of obtaining biochemical information of a sample in situ. We demonstrate for the first time the noninvasive recovery of Raman spectra of calcified materials buried within a chicken breast tissue slab 16 mm thick, achieved using transmission Raman spectroscopy. The spectra of both calcium hydroxyapatite (HAP) and calcium oxalate monohydrate (COM) are obtained and chemically identified. The experimental geometry and gross insensitivity of the Raman signal to the depth of the calcified lesion makes the concept potentially well suited for probing human female breasts, in conjunction with existing mammography or ultrasound, to provide complementary data in the early diagnosis of breast cancer.

摘要

乳腺钙化可见于良性和恶性病变中,这些钙化的成分能够指示可能的疾病状态。由于诸如乳房X线摄影术和组织病理学等当前方法是检查标本的形态,所以它们无法可靠地区分这两种类型的钙化,而这两种钙化常常是表明存在癌性病变的唯一乳房X线摄影特征。拉曼光谱学是一种能够原位获取样品生化信息的光学技术。我们首次展示了使用透射拉曼光谱法对埋于16毫米厚鸡胸组织块内的钙化物质进行拉曼光谱的无创恢复。获得了羟基磷灰石(HAP)和一水合草酸钙(COM)的光谱并进行了化学鉴定。拉曼信号对钙化病变深度的实验几何结构和总体不敏感性使得该概念有可能非常适合与现有的乳房X线摄影术或超声检查相结合来探测人类女性乳房,以便在乳腺癌的早期诊断中提供补充数据。

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