Laser-induced differential fluorescence for cancer diagnosis without biopsy
- Oak Ridge National Laboratory, Oak Ridge, Tennessee 37831 (United States)
- Thompson Cancer Survival Center, Knoxville, Tennessee 37916 (United States)
An optical diagnostic procedure based on laser-induced fluorescence was developed for direct {ital in vivo} cancer diagnosis without requiring biopsy. The methodology was applied in a clinical study involving over 100 patients in order to differentiate normal tissue from malignant tumors of the esophagus. Endogenous fluorescence of normal and malignant tissues was measured directly with the use of a fiber-optic probe inserted through an endoscope. The measurements were performed {ital in vivo} during routine endoscopy. Detection of the fluorescence signal from the tissue was performed with the use of laser excitation. This report describes the differential normalized fluorescence (DNF) procedure using the amplified spectral differences between the normalized fluorescence of malignant tissue and normal mucosa. The results of this DNF approach were compared with histopathology results of the biopsy samples and indicated excellent agreement in the classification of normal tissue and malignant tumors for the samples investigated. Data related to various grades of Barrett{close_quote}s esophagus are discussed. The DNF procedure could lead to the development of a rapid and cost-effective technique for cancer diagnosis. {copyright} {ital 1997} {ital Society for Applied Spectroscopy}
- Research Organization:
- Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)
- DOE Contract Number:
- AC05-84OR21400
- OSTI ID:
- 662001
- Journal Information:
- Applied Spectroscopy, Vol. 51, Issue 1; Other Information: PBD: Jan 1997
- Country of Publication:
- United States
- Language:
- English
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