Section on Functional and Analytical Biophotonics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, MD, USA.
Anal Cell Pathol (Amst). 2012;35(5-6):317-37. doi: 10.3233/ACP-2012-0058.
In vivo optical imaging is being conducted in a variety of medical applications, including optical breast cancer imaging, functional brain imaging, endoscopy, exercise medicine, and monitoring the photodynamic therapy and progress of neoadjuvant chemotherapy. In the past three decades, in vivo diffuse optical breast cancer imaging has shown promising results in cancer detection, and monitoring the progress of neoadjuvant chemotherapy. The use of near infrared spectroscopy for functional brain imaging has been growing rapidly. In fluorescence imaging, the difference between autofluorescence of cancer lesions compared to normal tissues were used in endoscopy to distinguish malignant lesions from normal tissue or inflammation and in determining the boarders of cancer lesions in surgery. Recent advances in drugs targeting specific tumor receptors, such as AntiBodies (MAB), has created a new demand for developing non-invasive in vivo imaging techniques for detection of cancer biomarkers, and for monitoring their down regulations during therapy. Targeted treatments, combined with new imaging techniques, are expected to potentially result in new imaging and treatment paradigms in cancer therapy. Similar approaches can potentially be applied for the characterization of other disease-related biomarkers. In this chapter, we provide a review of diffuse optical and fluorescence imaging techniques with their application in functional brain imaging and cancer diagnosis.
体内光学成像是在各种医学应用中进行的,包括光学乳腺癌成像、功能性脑成像、内窥镜检查、运动医学以及光动力疗法和新辅助化疗进展的监测。在过去的三十年中,体内漫射光学乳腺癌成像在癌症检测和监测新辅助化疗进展方面显示出了有前景的结果。近红外光谱在功能性脑成像中的应用发展迅速。在荧光成像中,癌症病变的自发荧光与正常组织之间的差异被用于内窥镜检查,以区分恶性病变与正常组织或炎症,并确定手术中癌症病变的边界。针对特定肿瘤受体的药物(如抗体(MAB))的最新进展,为开发用于检测癌症生物标志物的非侵入性体内成像技术以及监测治疗过程中它们的下调需求创造了新的需求。靶向治疗与新的成像技术相结合,有望为癌症治疗带来新的成像和治疗模式。类似的方法可能有潜力应用于其他与疾病相关的生物标志物的表征。在本章中,我们提供了漫射光学和荧光成像技术的综述及其在功能性脑成像和癌症诊断中的应用。