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Multi-modality Point Spectroscopy: interests, development and application to in vivo diagnosis of bladder and skin cancers

机译:多模态点光谱:兴趣,开发和应用于体内诊断膀胱和皮肤癌症

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Combining autofluorescence (AF) and Diffuse Reflectance (DR) spectroscopies is supposed to improve diagnosis' accuracy of early stages of cancer (as well as precancerous stages) which is of great clinical importance. For the present study, we developed a bimodal instrumentation combining spatially resolved AF and DR spectroscopies, and evaluated its ability to distinguish between healthy, inflammatory and early stages of cancers in vivo. In order to get such tissue types, we used 2 animal models: a rat bladder orthotopic cancer model and a mice UV-irradiated skin model. The first study shows that combining AF and DR improves both sensitivity and specificity of the diagnosis compared to one modality used alone: Se=67% (DR alone), 72% (AF alone) increases up to 78% when combining the two modalities. Preliminary results of the second study reveal that some spectroscopic criteria may help quantitative histological analysis in making the difference between acute and precancerous hyperplasia.
机译:组合自发荧光(AF)和漫反射率(DR)光谱应该改善癌症早期阶段的诊断(以及癌前阶段)的诊断,这是具有很大的临床重要性。对于本研究,我们开发了一种双峰仪器,其组合空间分辨的AF和DR光谱,并评估其区分体内癌症的健康,炎症和早期阶段的能力。为了获得这种组织类型,我们使用了2种动物模型:大鼠膀胱原位癌模型和小鼠UV照射皮肤模型。第一研究表明,与单独使用的一种模态相比,组合AF和DR可提高诊断的敏感性和特异性:SE = 67%(单独的DR),组合两种方式时,72%(仅单独)增加高达78%。第二种研究的初步结果表明,一些光谱标准可能有助于定量组织学分析在急性和癌前增生之间的差异。

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