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Laser-based spectroscopic methods in tissue characterization

K Svanberg1, C af Klinteberg, A Nilsson

  • 1Department of Oncology, Lund University Hospital, Sweden. katarina.svanberg@fysik.lth.se

Annals of the New York Academy of Sciences
|March 25, 1998
PubMed
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Laser-induced fluorescence spectroscopy effectively characterizes tumors using delta-amino levulinic acid (ALA) to induce protoporphyrin IX (PpIX). This technique aids in precise tumor demarcation across various human cancers.

Area of Science:

  • Medical Physics
  • Oncology
  • Biophotonics

Background:

  • Accurate tumor characterization is crucial for effective cancer treatment.
  • Laser-induced fluorescence (LIF) offers a promising non-invasive diagnostic tool.
  • Tumor-localizing substances can enhance fluorescence signals for better detection.

Purpose of the Study:

  • To develop and evaluate laser-based spectroscopic techniques for tumor tissue characterization.
  • To investigate the utility of delta-amino levulinic acid (ALA) for protoporphyrin IX (PpIX) induction in tumors.
  • To assess the efficacy of LIF for tumor demarcation in various human malignancies.

Main Methods:

  • Sensitization of tumor tissue using delta-amino levulinic acid (ALA) administered topically, orally, or intravenously.

Related Experiment Videos

  • Monitoring of autofluorescence and protoporphyrin IX (PpIX)-related fluorescence signals.
  • In vivo time-integrated laser-induced fluorescence measurements using a point fluorosensor and multicolor fluorescence imaging system.
  • Main Results:

    • Calculated tumor demarcation functions for various human malignant tumors, including bladder, prostate, head and neck, breast, and gastrointestinal cancers.
    • Examined colon tumors and esophageal tumors/dysplastic lesions, including in patients with Barrett's esophagus.
    • Demonstrated the feasibility of LIF for in vivo tumor detection and characterization across different clinical specialties.

    Conclusions:

    • Laser-based spectroscopic techniques utilizing ALA-induced PpIX fluorescence are effective for tumor tissue characterization.
    • The developed methods show potential for precise tumor demarcation in a wide range of human cancers.
    • LIF spectroscopy represents a valuable tool for improving cancer diagnosis and surgical guidance.