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Diagnosing clean margins through Raman spectroscopy in human and animal mammary tumour surgery: a short review

机译:通过拉曼光谱法在人和动物乳腺肿瘤手术中诊断干净边缘的简短回顾

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摘要

Breast cancer frequency in human and other mammal female populations has worryingly increased lately. The acute necessity for taxonomy of the aetiological factors along with seeking for new diagnostic tools and therapy procedures aimed at reducing mortality have yielded in an intense research effort worldwide. Surgery is a regular method to counteract extensive development of breast cancer and prevent metastases provided that negative surgical margins are achieved. This highly technical challenge requires fast, extremely sensitive and selective discrimination between malignant and benign tissues even down to molecular level. The particular advantages of Raman spectroscopy, such as high chemical specificity, and the ability to measure raw samples and optical responses in the visible or near-infrared spectral range, have recently recommended it as a means with elevated potential in precise diagnostic in oncology surgery. This review spans mainly the latter 10 years of exceptional efforts of scientists implementing Raman spectroscopy as a nearly real-time diagnostic tool for clean margins assessment in mastectomy and lumpectomy. Although greatly contributing to medical discoveries for the wealth of humanity, animals as patients have benefitted less from advances in surgery diagnostic using Raman spectroscopy. This work also dedicates a few lines to applications of surface enhanced Raman spectroscopy in veterinary oncological surgery.
机译:令人担忧的是,最近人类和其他哺乳动物女性人群中的乳腺癌发病率有所增加。在全世界范围内的大量研究工作中,迫切需要对病因进行分类,并寻求新的诊断工具和治疗程序以降低死亡率。手术是抵消乳腺癌广泛发展并预防转移的常规方法,前提是手术切缘阴性。这项高度技术性的挑战要求对恶性组织和良性组织进行快速,极其敏感和选择性的区分,甚至低至分子水平。拉曼光谱法的特殊优势,例如高化学特异性,以及在可见或近红外光谱范围内测量原始样品和光学响应的​​能力,最近已被推荐为在肿瘤外科手术中进行精确诊断的一种手段。这篇综述主要涵盖了科学家在过去10年中的不懈努力,他们将拉曼光谱术作为近实时诊断工具来评估乳房切除术和肿块切除术的清洁余量。尽管为人类的财富极大地促进了医学发现,但作为患者的动物从使用拉曼光谱术进行手术诊断的进展中受益较少。这项工作还致力于表面增强拉曼光谱在兽医肿瘤外科中的应用。

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