Samara National Research University, Department of Laser and Biotechnical Systems, Samara, Russia.
Samara State Medical University, Department of Oncology, Samara, Russia.
J Biophotonics. 2019 Apr;12(4):e201800400. doi: 10.1002/jbio.201800400. Epub 2019 Jan 28.
The present paper studies the applicability of a portable cost-effective spectroscopic system for the optical screening of skin tumors. in vivo studies of Raman scattering and autofluorescence (AF) of skin tumors with the 785 nm excitation laser in the near-infrared region included malignant melanoma, basal cell carcinoma and various types of benign neoplasms. The efficiency of the portable system was evaluated by comparison with a highly sensitive spectroscopic system and with the diagnosis accuracy of a human oncologist. Partial least square analysis of Raman and AF spectra was performed; specificity and sensitivity of various skin oncological pathologies detection varied from 78.9% to 100%. Hundred percent accuracy of benign and malignant skin tumors differentiation is possible only with a combined analysis of Raman and AF signals.
本研究探讨了一种便携式、经济实惠的光谱系统在皮肤肿瘤光学筛查中的适用性。本研究采用 785nm 激发激光的近红外区域的拉曼散射和自发荧光(AF)对皮肤肿瘤进行了体内研究,包括恶性黑色素瘤、基底细胞癌和各种类型的良性肿瘤。通过与高灵敏度光谱系统和人类肿瘤学家的诊断准确性进行比较,评估了便携式系统的效率。对拉曼和 AF 光谱进行了偏最小二乘分析;各种皮肤肿瘤病理的检测特异性和敏感性从 78.9%到 100%不等。只有结合拉曼和 AF 信号的分析,才能实现良性和恶性皮肤肿瘤的 100%准确区分。