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Modeling Brain Metastases Through Intracranial Injection and Magnetic Resonance Imaging
Published on: June 7, 2020
Raman spectroscopy detects distant invasive brain cancer cells centimeters beyond MRI capability in humans
Michael Jermyn1, Joannie Desroches2, Jeanne Mercier2
1Thayer School of Engineering, Dartmouth College, 14 Engineering Dr., Hanover, NH 03755, USA; Department of Neurology and Neurosurgery, Montreal Neurological Institute and Hospital, McGill University, 3801 University St., Montreal, QC, H3A 2B4, Canada; Dept. of Engineering Physics, Polytechnique Montreal, CP 6079, Succ. Centre-Ville, Montreal, QC, H3C 3A7, Canada.
Abstract:
Surgical treatment of brain cancer is limited by the inability of current imaging capabilities such as magnetic resonance imaging (MRI) to detect the entirety of this locally invasive cancer. This results in residual cancer cells remaining following surgery, leading to recurrence and death. We demonstrate that intraoperative Raman spectroscopy can detect invasive cancer cells centimeters beyond pathological T1-contrast-enhanced and T2-weighted MRI signals. This intraoperative optical guide can be used to detect invasive cancer cells and minimize post-surgical cancer burden. The detection of distant invasive cancer cells beyond MRI signal has the potential to increase the effectiveness of surgery and directly lengthen patient survival.
Insights
Intraoperative Raman spectroscopy detects invasive brain cancer cells beyond MRI limits, potentially improving surgical outcomes. This optical guidance helps minimize residual cancer, aiming to increase patient survival rates.
Area of Science:
- Neurosurgery
- Oncology
- Biomedical Optics
Background:
- Brain cancer surgery is challenged by imaging limitations, often leaving residual cancer cells.
- Incomplete tumor resection due to undetected invasive cells leads to cancer recurrence and mortality.
Purpose of the Study:
- To evaluate intraoperative Raman spectroscopy for detecting invasive brain cancer cells beyond current MRI capabilities.
- To assess the potential of Raman spectroscopy in minimizing post-surgical cancer burden and improving patient survival.
Main Methods:
- Utilized intraoperative Raman spectroscopy as an optical guidance tool during brain cancer surgery.
- Compared Raman spectroscopy's detection range with standard T1-contrast-enhanced and T2-weighted MRI signals.
Main Results:
- Raman spectroscopy detected invasive cancer cells several centimeters beyond the signals provided by MRI.
- Demonstrated the capability of optical guidance to identify residual tumor margins more comprehensively.
Conclusions:
- Intraoperative Raman spectroscopy offers superior detection of invasive brain cancer cells compared to MRI.
- This technique has the potential to enhance surgical effectiveness and prolong patient survival by reducing residual disease.
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