Dharumalingam Pavithra, Vinayachandran Divya, C Ganesh, M Shanthi, A Backiyalakshmi, Selvakumar Haripriya
Oral Medicine and Radiology, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology (SRMIST), Chennai, IND.
Cureus. 2024 Dec 16;16(12):e75788. doi: 10.7759/cureus.75788. eCollection 2024 Dec.
Dentistry still faces difficulties in diagnosing oral precancer and cancer, especially when it comes to early phase changes or disease detection, evaluation, and treatment. In essence, oral lumenography is the process of identifying oral lesions using a chemiluminescent light source and a toluidine blue labeling system. Since neoplastic epithelial cells have a changed nuclear-cytoplasmic ratio, acetic acid dehydration brings out this nuclear density and gives the tissue an "acetowhite" look. This phenomenon is further intensified when diffuse blue-white chemiluminescent illumination is created by using toluidine blue, which preferentially stains premalignant lesions, in place of ordinary lighting. In developing countries like India, oral cancer and other precancerous and malignant lesions of the oral cavity are very common. The most common diagnostic methods for oral mucosal lesions suggestive of malignancy or premalignancy are tissue samples and histological examination. There is a waiting period following this invasive operation before learning the diagnostic findings. Thus, the creation of a non-invasive screening instrument is required to detect oral cancer. Thus, the main goal of our work is to create a real-time, non-invasive diagnostic tool for oral cancer screening that is based on optical imaging methods like fluorescence emission imaging and diffuse reflectance imaging. To enhance clinical assessment and facilitate the diagnosis of premalignant and early-stage malignant lesions, numerous novel approaches have been developed. In this article, the purpose of a tissue reflectance-based analysis has been discussed. It is currently offered for sale under the ViziLite brand (Zila Pharmaceuticals, Phoenix, AZ, US) after being altered for usage in the oral cavity.
牙科在诊断口腔癌前病变和癌症方面仍然面临困难,尤其是在早期变化或疾病检测、评估和治疗方面。从本质上讲,口腔腔造影术是使用化学发光光源和甲苯胺蓝标记系统识别口腔病变的过程。由于肿瘤上皮细胞的核质比发生了变化,醋酸脱水会突出这种核密度,使组织呈现出“醋酸白”外观。当使用优先染色癌前病变的甲苯胺蓝代替普通照明产生漫射蓝白色化学发光照明时,这种现象会进一步加剧。在印度等发展中国家,口腔癌和口腔其他癌前及恶性病变非常常见。对于提示恶性或癌前病变的口腔黏膜病变,最常见的诊断方法是组织取样和组织学检查。在进行这种侵入性操作后,要等待一段时间才能得知诊断结果。因此,需要创建一种非侵入性筛查工具来检测口腔癌。因此,我们工作的主要目标是创建一种基于荧光发射成像和漫反射成像等光学成像方法的用于口腔癌筛查的实时、非侵入性诊断工具。为了加强临床评估并促进癌前病变和早期恶性病变的诊断,已经开发了许多新颖的方法。在本文中,讨论了基于组织反射率分析的目的。它经过改进后用于口腔,目前以ViziLite品牌(美国亚利桑那州凤凰城的Zila制药公司)出售。