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基于ATR-FTIR 光谱的血清检测和多元数据分析在乳腺癌诊断中的应用。

Breast cancer detection by ATR-FTIR spectroscopy of blood serum and multivariate data-analysis.

机构信息

Department of Applied Optics, ITMO University, Kronverksky Pr. 49, 197101, Saint-Petersburg, Russia.

Department of Applied Optics, ITMO University, Kronverksky Pr. 49, 197101, Saint-Petersburg, Russia.

出版信息

Talanta. 2020 Jul 1;214:120857. doi: 10.1016/j.talanta.2020.120857. Epub 2020 Feb 24.

Abstract

Detection of breast cancer has particular importance for the diagnosis of cancer diseases. This is the most common type of cancer among women. Breast cancer is a malignant tumor of the glandular tissue of the breast. It is proposed to use infrared spectroscopy of blood serum as a simple and quick way to detect breast cancer. The paper presents the results of research using the methods of multivariate processing of IR spectra of human blood serum obtained by ATR-FTIR spectroscopy. The paper presents the results of research using the methods of multivariate processing of IR spectra of human blood serum obtained by ATR-FTIR spectroscopy. A sufficiently large sample of patients and healthy donors was diagnosed. Blood samples are examined from 66 patients who are clinically diagnosed with breast cancer and 80 healthy volunteers. A feature of the applied approach was a combination of the method of principal component analysis (PCA) and principal component regression (PCR) for processing the IR spectra of blood serum. The PCA method allows us to determine the spectral bands referring for the intensity differences between the control group and the patient group. Shown, that the range of 1306-1250cm in the IR spectrum of blood serum is diagnostically significant for breast cancer. This range corresponds to the vibrations of several functional groups of DNA and RNA, which play a key role in discrimination in breast cancer screening using ATR-FTIR spectroscopy. It is shown that the proposed method has advantages in ease of use for clinical diagnosis and gives good results for the identification of breast cancer. The values of sensitivity (92.3%) and specificity (87.1%) obtained using the PCR method are close to those of mammography and ultrasound. This indicates the possibility of using this method in real clinical laboratory diagnostics.

摘要

乳腺癌的检测对于癌症疾病的诊断尤为重要。这是女性中最常见的癌症类型。乳腺癌是乳腺腺组织的恶性肿瘤。有人提议使用血清红外光谱作为一种简单快速的方法来检测乳腺癌。本文介绍了使用ATR-FTIR 光谱法获得的人血清红外光谱多元处理方法的研究结果。本文介绍了使用 ATR-FTIR 光谱法获得的人血清红外光谱多元处理方法的研究结果。对足够大的患者和健康捐赠者样本进行了诊断。从 66 名经临床诊断患有乳腺癌的患者和 80 名健康志愿者中检查了血液样本。所应用方法的一个特点是将主成分分析 (PCA) 和主成分回归 (PCR) 方法结合起来处理血清的红外光谱。PCA 方法允许我们确定参考对照组和患者组之间强度差异的光谱带。结果表明,血清红外光谱中 1306-1250cm 的范围对乳腺癌具有诊断意义。该范围对应于 DNA 和 RNA 的几个功能基团的振动,这些基团在使用 ATR-FTIR 光谱进行乳腺癌筛查中的鉴别中起着关键作用。结果表明,所提出的方法在临床诊断中的易用性方面具有优势,并在乳腺癌识别方面取得了良好的效果。使用 PCR 方法获得的灵敏度(92.3%)和特异性(87.1%)值接近乳房 X 光摄影术和超声检查的结果。这表明该方法有可能在实际的临床实验室诊断中使用。

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