时间分辨率光和扩散反射 (TRF-DR) 光谱用于异质乳腺组织分类和瘤边缘评估
Jigar Lad1, Erica Dao1, Gabriella Gohla2,3
1Department of Physics and Astronomy, McMaster University, Hamilton, Ontario, Canada.
Journal of biophotonics
|February 1, 2026
概括
一个新的时间分辨率光和扩散反射 (TRF-DR) 光谱系统显示了在手术期间准确识别乳腺癌边缘的前景. 这项技术有助于外科医生将瘤组织与健康组织区分开来,潜在地降低了再切割率.
科学领域:
- 生物医学光学 生物医学光学
- 手术瘤学手术瘤学
- 医学光谱学 医学光谱学
背景情况:
- 在早期乳腺癌中,高的再切割率源于手术边缘划分的困难.
- 瘤边界定义不佳对外科医生构成重大挑战,影响患者的治疗结果.
研究的目的:
- 评估时间解析光和扩散反射 (TRF-DR) 光谱系统的可行性,用于在异质组织区域中对瘤进行分类.
- 评估该系统作为乳腺癌手术中边际评估的手术内工具的潜力.
主要方法:
- 使用TRF-DR光谱系统对来自73个冷的ex vivo患者样本的4818个测量进行了测量.
- 使用加权后勤回归和主要组件分析 (PCA) 来进行数据分析.
- 根据病理学家分配的百分比,分类组织组成 (瘤,纤维腺体,脂肪)
主要成果:
- 通过四个主要组件进行训练的TRF-DR系统实现了77%的灵敏度和68%的特异性.
- 性能与当前临床技术可比,用于边际评估.
- 该系统展示了速度,可移植性和成本效益.
结论:
- TRF-DR光谱系统显示出作为评估乳腺癌手术边缘的有效手术内工具的巨大潜力.
- 这项技术可以帮助外科医生获得明显的利,从而减少对再切割手术的需求.
- 该系统的特性使其成为改善外科手术精度的实用和经济选择.
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