Skip to main content
U.S. Department of Energy
Office of Scientific and Technical Information

Miniature fluorescence sensor for quantitative detection of brain tumour

Journal Article · · Lab on a Chip
DOI:https://doi.org/10.1039/d3lc00982c· OSTI ID:2326054
 [1];  [1];  [2];  [3];  [1];  [4];  [5];  [6];  [1];  [1]
  1. Royal Melbourne Institute of Technology (RMIT), VIC (Australia)
  2. Royal Melbourne Institute of Technology (RMIT), VIC (Australia); National Physical Laboratory (CSIR), New Delhi (India); Academy of Scientific and Innovative Research (AcSIR), Ghaziabad (India)
  3. Royal Melbourne Institute of Technology (RMIT), VIC (Australia); St. Vincent's Hospital Melbourne, VIC (Australia)
  4. National Physical Laboratory (CSIR), New Delhi (India); Academy of Scientific and Innovative Research (AcSIR), Ghaziabad (India)
  5. Royal Melbourne Institute of Technology (RMIT), VIC (Australia); Princeton Plasma Physics Laboratory (PPPL), Princeton, NJ (United States)
  6. Veterinary Referral Hospital, Victoria (Australia)

Fluorescence-guided surgery has emerged as a vital tool for tumour resection procedures. As well as intraoperative tumour visualisation, 5-ALA-induced PpIX provides an avenue for quantitative tumour identification based on ratiometric fluorescence measurement. To this end, fluorescence imaging and fibre-based probes have enabled more precise demarcation between the cancerous and healthy tissues. These sensing approaches, which rely on collecting the fluorescence light from the tumour resection site and its “remote” spectral sensing, introduce challenges associated with optical losses. In this work, we demonstrate the viability of tumour detection at the resection site using a miniature fluorescence measurement system. Unlike the current bulky systems, which necessitate remote measurement, we have adopted a millimetre-sized spectral sensor chip for quantitative fluorescence measurements. A reliable measurement at the resection site requires a stable optical window between the tissue and the optoelectronic system. This is achieved using an antifouling diamond window, which provides stable optical transparency. The system achieved a sensitivity of 92.3% and specificity of 98.3% in detecting a surrogate tumour at a resolution of 1 × 1 mm2. In conclusion, as well as addressing losses associated with collecting and coupling fluorescence light in the current ‘remote’ sensing approaches, the small size of the system introduced in this work paves the way for its direct integration with the tumour resection tools with the aim of more accurate interoperative tumour identification.

Research Organization:
Princeton Plasma Physics Laboratory (PPPL), Princeton, NJ (United States)
Sponsoring Organization:
USDOE; Australian Research Council (ARC)
Grant/Contract Number:
AC02-09CH11466
OSTI ID:
2326054
Journal Information:
Lab on a Chip, Journal Name: Lab on a Chip Journal Issue: 4 Vol. 24; ISSN 1473-0197
Publisher:
Royal Society of ChemistryCopyright Statement
Country of Publication:
United States
Language:
English

References (54)

Association of the Extent of Resection With Survival in Glioblastoma journal November 2016
Laser Driven Miniature Diamond Implant for Wireless Retinal Prostheses journal October 2020
Slippery quartz surfaces for anti‐fouling optical windows journal December 2022
Multimodal imaging to explore endogenous fluorescence of fresh and fixed human healthy and tumor brain tissues journal October 2018
Widefield fluorescence lifetime imaging of protoporphyrin IX for fluorescence‐guided neurosurgery: An ex vivo feasibility study journal February 2019
A multispectral fluorescence imaging system: Design and initial clinical tests in intra‐operative Photofrin‐photodynamic therapy of brain tumors journal February 2003
Optical touch pointer for fluorescence guided glioblastoma resection using 5‐aminolevulinic acid journal January 2010
Time course of neurological deficits after surgery for primary brain tumours journal July 2020
Fluorescence Photodiagnostics and Photobleaching Studies of Cancerous Lesions using Ratio Imaging and Spectroscopic Techniques journal January 2000
Visualization technologies for 5-ALA-based fluorescence-guided surgeries journal December 2018
The friction of diamond-like carbon coatings in a water environment journal September 2013
Friction and wear properties of diamonds and diamond coatings journal December 1991
Control wettability of the hydrogen-terminated diamond surface and the oxidized diamond surface using an atomic force microscope journal March 2003
In vitro and in vivo porphyrin accumulation by C6 glioma cells after exposure to 5-aminolevulinic acid journal September 1998
Fluorescence-guided surgery with 5-aminolevulinic acid for resection of malignant glioma: a randomised controlled multicentre phase III trial journal May 2006
Postoperative stereotactic radiosurgery compared with whole brain radiotherapy for resected metastatic brain disease (NCCTG N107C/CEC·3): a multicentre, randomised, controlled, phase 3 trial journal August 2017
Real-time fluorescence imaging in intraoperative decision making for cancer surgery journal May 2021
Lessons from brain mapping in surgery for low-grade glioma: insights into associations between tumour and brain plasticity journal August 2005
Patterned hydrophobic and hydrophilic surfaces of ultra-smooth nanocrystalline diamond layers journal December 2016
Diamond encapsulated photovoltaics for transdermal power delivery journal March 2016
Detection improvement of gliomas in hyperspectral imaging of protoporphyrin IX fluorescence – in vitro comparison of visual identification and machine thresholds journal January 2022
Combination of hand-held probe and microscopy for fluorescence guided surgery in the brain tumor marginal zone journal June 2017
Friction of Diamond in the Presence of Water Vapor and Hydrogen Gas. Coupling Gas-Phase Lubrication and First-Principles Studies journal March 2012
Fluorescence-guided surgery with live molecular navigation — a new cutting edge journal August 2013
Surgical oncology for gliomas: the state of the art journal November 2017
Hyperspectral data processing improves PpIX contrast during fluorescence guided surgery of human brain tumors journal August 2017
Optical properties, spectral, and lifetime measurements of central nervous system tumors in humans journal October 2017
Optical Characterization of Neurosurgical Operating Microscopes: Quantitative Fluorescence and Assessment of PpIX Photobleaching journal August 2018
Optical filtering technologies for integrated fluorescence sensors journal January 2007
Intraoperative mass spectrometry mapping of an onco-metabolite to guide brain tumor surgery journal June 2014
Transparent antifouling material for improved operative field visibility in endoscopy journal September 2016
 -aminolevulinic acid-induced protoporphyrin IX concentration correlates with histopathologic markers of malignancy in human gliomas: the need for quantitative fluorescence-guided resection to identify regions of increasing malignancy journal July 2011
Origin of Ultralow Friction and Wear in Ultrananocrystalline Diamond journal June 2008
Monitoring ALA‐induced PpIX Photodynamic Therapy in the Rat Esophagus Using Fluorescence and Reflectance Spectroscopy journal November 2008
5‐Aminolevulinic Acid‐induced Protoporphyrin IX Levels in Tissue of Human Malignant Brain Tumors journal September 2010
Fluorescence Spectra of Highlighter Inks journal January 2018
Yield stress and wall slip phenomena in colloidal silica gels journal July 2003
Some Rheological Measurements on Magnetic Iron Oxide Suspensions in Silicone Oil journal October 1986
Fluorescence-Guided Resection of Malignant Glioma with 5-ALA journal January 2016
Review of Techniques to Achieve Optical Surface Cleanliness and Their Potential Application to Surgical Endoscopes journal May 2017
Adverse long-term effects of brain radiotherapy in adult low-grade glioma patients journal May 2001
Concept of a high-resolution miniature spectrometer using an integrated filter array journal January 2007
Intraoperative Fluorescence-Guided Resection of High-Grade Malignant Gliomas Using 5-Aminolevulinic Acid–Induced Porphyrins: A Systematic Review and Meta-Analysis of Prospective Studies journal May 2013
Diagnostic Potential of Autofluorescence for an Assisted Intraoperative Delineation of Glioblastoma Resection Margins¶ journal January 2003
Fluorescence Monitoring of a Topically Applied Liposomal Temoporfin Formulation and Photodynamic Therapy of Nonpigmented Skin Malignancies journal January 2007
Quantitative Spectroscopic Analysis of 5-Aminolevulinic Acid-Induced Protoporphyrin IX Fluorescence Intensity in Diffusely Infiltrating Astrocytomas journal January 2007
Quantitative fluorescence in intracranial tumor: implications for ALA-induced PpIX as an intraoperative biomarker journal July 2011
The long-term side effects of radiation therapy for benign brain tumors in adults journal October 1990
Fluorescence-Guided Surgery: A Review on Timing and Use in Brain Tumor Surgery journal June 2021
Fluorescence Lifetime Imaging and Spectroscopic Co-Validation for Protoporphyrin IX-Guided Tumor Visualization in Neurosurgery journal September 2021
Intraoperative Fluorescence Imaging for Personalized Brain Tumor Resection: Current State and Future Directions journal October 2016
The Use of Spectroscopy Handheld Tools in Brain Tumor Surgery: Current Evidence and Techniques journal May 2019
Quantitative Wide-Field Imaging Techniques for Fluorescence Guided Neurosurgery journal June 2019
Supramarginal Resection for Glioblastoma: It Is Time to Set Boundaries! A Critical Review on a Hot Topic journal May 2022

Similar Records

Intraoperative β{sup -} detecting probe for radio-guided surgery in tumour resection
Conference · Wed Jul 01 00:00:00 EDT 2015 · OSTI ID:22531367

Optical diagnostics of tumour cells at different stages of pathology development
Journal Article · Fri Nov 29 23:00:00 EST 2013 · Quantum Electronics (Woodbury, N.Y.) · OSTI ID:22373689

Spectrally resolved fluorescence diffuse tomography of biological tissues
Journal Article · Fri Aug 27 00:00:00 EDT 2010 · Quantum Electronics (Woodbury, N.Y.) · OSTI ID:21471341

Related Subjects