Dolganova I N, Aleksandrova P V, Nikitin P V, Alekseeva A I, Chernomyrdin N V, Musina G R, Beshplav S T, Reshetov I V, Potapov A A, Kurlov V N, Tuchin V V, Zaytsev K I
Institute of Solid State Physics of the Russian Academy of Sciences, Chernogolovka 142432, Russia.
Institute for Regenerative Medicine, Sechenov First Moscow State Medical University (Sechenov University), Moscow 119991, Russia.
Biomed Opt Express. 2020 Oct 28;11(11):6780-6798. doi: 10.1364/BOE.409692. eCollection 2020 Nov 1.
Optical coherence tomography (OCT) of the rat and human brain tissue samples is performed. The set of samples comprises intact white and gray matter, as well as human brain gliomas of the World Health Organization (WHO) Grades I-IV and glioma model 101.8 from rats. Analysis of OCT signals is aimed at comparing the physically reasonable properties of tissues, and determining the attenuation coefficient, parameter related to effective refractive index, and their standard deviations. Data analysis is based on the linear discriminant analysis and estimation of their dispersion in a four-dimensional principal component space. The results demonstrate the distinct contrast between intact tissues and low-grade gliomas and moderate contrast between intact tissues and high-grade gliomas. Particularly, the mean values of attenuation coefficient are 7.56±0.91, 3.96±0.98, and 5.71±1.49 mm for human white matter, glioma Grade I, and glioblastoma, respectively. The significant variability of optical properties of high Grades and essential differences between rat and human brain tissues are observed. The dispersion of properties enlarges with increase of the glioma WHO Grade, which can be attributed to the growing heterogeneity of pathological brain tissues. The results of this study reveal the advantages and drawbacks of OCT for the intraoperative diagnosis of brain gliomas and compare its abilities separately for different grades of malignancy. The perspective of OCT to differentiate low-grade gliomas is highlighted by the low performance of the existing intraoperational methods and instruments.
对大鼠和人类脑组织样本进行了光学相干断层扫描(OCT)。样本集包括完整的白质和灰质,以及世界卫生组织(WHO)I-IV级的人类脑胶质瘤和大鼠的胶质瘤模型101.8。OCT信号分析旨在比较组织的物理合理特性,并确定衰减系数、与有效折射率相关的参数及其标准偏差。数据分析基于线性判别分析及其在四维主成分空间中的离散度估计。结果表明,完整组织与低级别胶质瘤之间存在明显对比,完整组织与高级别胶质瘤之间存在中等对比。特别是,人类白质、I级胶质瘤和胶质母细胞瘤的衰减系数平均值分别为7.56±0.91、3.96±0.98和5.71±1.49mm。观察到高级别胶质瘤光学特性的显著变异性以及大鼠和人类脑组织之间的本质差异。特性的离散度随着胶质瘤WHO分级的增加而增大,这可归因于病理性脑组织异质性的增加。本研究结果揭示了OCT在脑胶质瘤术中诊断中的优缺点,并分别比较了其对不同恶性程度的诊断能力。现有术中方法和仪器的低性能突出了OCT鉴别低级别胶质瘤的前景。