Ryzhikova Elena, Kazakov Oleksandr, Halamkova Lenka, Celmins Dzintra, Malone Paula, Molho Eric, Zimmerman Earl A, Lednev Igor K
Department of Chemistry, University at Albany, SUNY, 1400 Washington Avenue, Albany, NY 12222, USA.
Department of Physics, University at Albany, SUNY, 1400 Washington Avenue, Albany, NY 12222, USA.
J Biophotonics. 2015 Jul;8(7):584-96. doi: 10.1002/jbio.201400060. Epub 2014 Sep 25.
The key moment for efficiently and accurately diagnosing dementia occurs during the early stages. This is particularly true for Alzheimer's disease (AD). In this proof-of-concept study, we applied near infrared (NIR) Raman microspectroscopy of blood serum together with advanced multivariate statistics for the selective identification of AD. We analyzed data from 20 AD patients, 18 patients with other neurodegenerative dementias (OD) and 10 healthy control (HC) subjects. NIR Raman microspectroscopy differentiated patients with more than 95% sensitivity and specificity. We demonstrated the high discriminative power of artificial neural network (ANN) classification models, thus revealing the high potential of this developed methodology for the differential diagnosis of AD. Raman spectroscopic, blood-based tests may aid clinical assessments for the effective and accurate differential diagnosis of AD, decrease the labor, time and cost of diagnosis, and be useful for screening patient populations for AD development and progression. Multivariate data analysis of blood serum Raman spectra allows for the differentiation between patients with Alzheimer's disease, other types of dementia and healthy individuals.
高效准确诊断痴呆症的关键时期出现在早期阶段。对于阿尔茨海默病(AD)来说尤其如此。在这项概念验证研究中,我们将血清的近红外(NIR)拉曼光谱与先进的多变量统计方法相结合,用于选择性识别AD。我们分析了20例AD患者、18例其他神经退行性痴呆(OD)患者和10例健康对照(HC)受试者的数据。近红外拉曼光谱对患者的区分灵敏度和特异性均超过95%。我们展示了人工神经网络(ANN)分类模型的高判别能力,从而揭示了这种开发方法在AD鉴别诊断方面的巨大潜力。基于血液的拉曼光谱检测可能有助于AD的有效准确鉴别诊断的临床评估,减少诊断的工作量、时间和成本,并有助于筛查AD发展和进展的患者群体。血清拉曼光谱的多变量数据分析能够区分阿尔茨海默病患者、其他类型痴呆患者和健康个体。