Chinese Journal of Lasers, Volume. 45, Issue 2, 207002(2018)

Real-Time in vivo Raman Spectroscopy and Its Clinical Applications in Early Cancer Detection

Shuang Wang1 and Haishan Zeng2,3、*
Author Affiliations
  • 1[in Chinese]
  • 2[in Chinese]
  • 3[in Chinese]
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    Figures & Tables(11)
    Schematic of the potential light-tissue interactions, shown specifically in lung tissue[5]
    Schematic of Raman scattering
    Raman probe designs for endoscopic and open-field biomedical applications[5]. (a) Bevelled collection fibers with in-line filter; (b) probe with front mounted filtering; (c) lung endoscopic Raman probe with first stage filtering coating on distal tip and second stage high performance filtering at proximal end; (d) compound parabolic concentrator Raman probe; (e) Raman probe for cervical disease detection; (f) Raman probe for skin disease detection
    (a) Diagram of the integrated real-time rapid Raman spectrometer system for skin cancer detection; (b) diagram of the specially designed skin Raman probe[43]
    Schematic configuration of the real-time Raman system for skin cancer diagnosis[42]
    Mean Raman spectra of different skin lesions[42]. (a) Full-range spectral results displayed from 500 cm-1 to 1800 cm-1; (b) spectral results plotted for lower frequency range only (500-1055 cm-1) show variability according to lesion diagnosis. AK, actinic keratosis; AN, atypical nevus; BCC, basal cell carcinoma; BN, blue nevus; CN, compound nevus; IN, intradermal nevus; JN, junctional nevus; MM, malignant melanoma; SCC, squamous cell carcinoma; SK, seborrheic keratosis
    Lesion classification by Raman spectroscopy based on PC-GDA. Posterior probabilities for discriminating (a) skin cancers and precancers (cancer+actinic keratosis, including MM, BCC, SCC, AK, n=232) from benign skin disorders (including atypical nevi, blue nevi, compound nevi, intradermal nevi, junctional nevi, seborrheic keratosis, n=286), (b) melanoma (n=44) from benign pigmented skin diseases (including atypical nevi, blue nevi, compound nevi, intradermal nevi, junctional nevi, seborrheic kera
    Schematic of the endoscopic laser Raman spectroscopy system[73]. The inserts show the arrangement of the excitation (red) and collection (green) fibers. The collection fibers were connected to the spectrograph through a special round to parabolic fiber bundle to achieve better signal-to-noise ratio
    Pictures showing images acquired by a bronchoscopy Raman system[79]. (a) White light bronchoscopic image; (b) blue light excited fluorescence image of the same location as (a), green is representative of normal tissue, and dark red (center of image) is diseased tissue; (c) same lesion being excited simultaneously with blue light to generate a fluorescence image and with 785 nm light from the Raman catheter, the field of view is about 2 cm
    Mean Raman spectra by diagnosis (all spectra normalized to their respective area under curve before averaging by diagnosis) [73]
    Lesion classification by Raman spectroscopy based on STEP PC-GDA[73]. (a) Posterior probability plot for distinguishing cancerous lesions (HGD, CIS and invasive cancer; n=72) from benign lesions (mild dysplasia, metaplasia, hyperplasia, inflammation and normal; n=208); (b) ROC curves and 95% CIs derived from the posterior probabilities; (c) box plot representation of the posterior probability distributions according to lesion subcategories
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    Shuang Wang, Haishan Zeng. Real-Time in vivo Raman Spectroscopy and Its Clinical Applications in Early Cancer Detection[J]. Chinese Journal of Lasers, 2018, 45(2): 207002

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    Paper Information

    Special Issue:

    Received: Oct. 8, 2017

    Accepted: --

    Published Online: Feb. 28, 2018

    The Author Email: Zeng Haishan (hzeng@bccrc.ca)

    DOI:10.3788/CJL201845.0207002

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