Bossi Alessandro, Bianchi Leonardo, Saccomandi Paola, Pifferi Antonio
Department of Mechanical Engineering, Politecnico di Milano, via Giuseppe La Masa 1, 20156 Milan, Italy.
Department of Physics, Politecnico di Milano, Piazza Leonardo da Vinci 32, 20133, Milan, Italy.
Biomed Opt Express. 2024 Mar 19;15(4):2481-2497. doi: 10.1364/BOE.517376. eCollection 2024 Apr 1.
Thermal therapies treat tumors by means of heat, greatly reducing pain, post-operation complications, and cost as compared to traditional methods. Yet, effective tools to avoid under- or over-treatment are mostly needed, to guide surgeons in laparoscopic interventions. In this work, we investigated the temperature-dependent optical signatures of ex-vivo calf brain, lung, and heart tissues based on the reduced scattering and absorption coefficients in the near-infrared spectral range (657 to 1107 nm). These spectra were measured by time domain diffuse optics, applying a step-like spatially homogeneous thermal treatment at 43 °C, 60 °C, and 80 °C. We found three main increases in scattering spectra, possibly due to the denaturation of collagen, myosin, and the proteins' secondary structure. After 75 °C, we found the rise of two new peaks at 770 and 830 nm in the absorption spectra due to the formation of a new chromophore, possibly related to hemoglobin or myoglobin. This research marks a significant step forward in controlling thermal therapies with diffuse optical techniques by identifying several key markers of thermal damage. This could enhance the ability to monitor and adjust treatment in real-time, promising improved outcomes in tumor therapy.
热疗法通过加热来治疗肿瘤,与传统方法相比,可大大减轻疼痛、减少术后并发症并降低成本。然而,在腹腔镜干预中,非常需要有效的工具来避免治疗不足或过度治疗,以指导外科医生。在这项工作中,我们基于近红外光谱范围(657至1107nm)内的约化散射和吸收系数,研究了离体小牛脑、肺和心脏组织的温度依赖性光学特征。这些光谱通过时域漫射光学测量,在43°C、60°C和80°C下进行了类似阶跃的空间均匀热处理。我们发现散射光谱有三个主要增加,可能是由于胶原蛋白、肌球蛋白和蛋白质二级结构的变性。在75°C之后,我们在吸收光谱中发现770和830nm处出现两个新峰,这是由于形成了一种新的发色团,可能与血红蛋白或肌红蛋白有关。这项研究通过识别热损伤的几个关键标志物,在利用漫射光学技术控制热疗法方面迈出了重要一步。这可以提高实时监测和调整治疗的能力,有望改善肿瘤治疗效果。