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Image-guided Raman spectroscopy probe-tracking for tumor margin delineation

Horgan, CC; Bergholt, MS; Thin, MZ; Nagelkerke, A; Kennedy, R; Kalber, TL; Stuckey, DJ; (2021) Image-guided Raman spectroscopy probe-tracking for tumor margin delineation. Journal of Biomedical Optics , 26 (3) , Article 036002. 10.1117/1.JBO.26.3.036002. Green open access

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Abstract

SIGNIFICANCE: Tumor detection and margin delineation are essential for successful tumor resection. However, postsurgical positive margin rates remain high for many cancers. Raman spectroscopy has shown promise as a highly accurate clinical spectroscopic diagnostic modality, but its margin delineation capabilities are severely limited by the need for pointwise application. AIM: We aim to extend Raman spectroscopic diagnostics and develop a multimodal computer vision-based diagnostic system capable of both the detection and identification of suspicious lesions and the precise delineation of disease margins. APPROACH: We first apply visual tracking of a Raman spectroscopic probe to achieve real-time tumor margin delineation. We then combine this system with protoporphyrin IX fluorescence imaging to achieve fluorescence-guided Raman spectroscopic margin delineation. RESULTS: Our system enables real-time Raman spectroscopic tumor margin delineation for both ex vivo human tumor biopsies and an in vivo tumor xenograft mouse model. We then further demonstrate that the addition of protoporphyrin IX fluorescence imaging enables fluorescence-guided Raman spectroscopic margin delineation in a tissue phantom model. CONCLUSIONS: Our image-guided Raman spectroscopic probe-tracking system enables tumor margin delineation and is compatible with both white light and fluorescence image guidance, demonstrating the potential for our system to be developed toward clinical tumor resection surgeries.

Type: Article
Title: Image-guided Raman spectroscopy probe-tracking for tumor margin delineation
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1117/1.JBO.26.3.036002
Publisher version: http://dx.doi.org/10.1117/1.JBO.26.3.036002
Language: English
Additional information: © The Authors. Published by SPIE under a Creative Commons Attribution 4.0 Unported License. Distribution or reproduction of this work in whole or in part requires full attribution of the original publication, including its DOI.
Keywords: Raman spectroscopy, cancer, fluorescence guidance, margin delineation, probe tracking
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Department of Imaging
URI: https://discovery.ucl.ac.uk/id/eprint/10125024
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