1. Optical diagnosis of cervical cancer by fluorescence spectroscopy technique.
- Author
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Chidananda SM, Satyamoorthy K, Rai L, Manjunath AP, and Kartha VB
- Subjects
- Adult, Calibration, Female, Humans, Lasers, Middle Aged, Neoplasm Staging, Sensitivity and Specificity, Uterine Cervical Neoplasms pathology, Spectrometry, Fluorescence methods, Uterine Cervical Neoplasms diagnosis
- Abstract
In the present work, we examine normal and malignant stage IIIB cervical tissue by laser induced fluorescence, with 2 different objectives. (i) Development of the fluorescence spectroscopy technique as a standard optical method for discrimination of normal and malignant tissue samples and, (ii) Optimization of the technique by the method of matching of a sample spectrum with calibration sets of spectra of pathologically certified samples. Laser-induced fluorescence spectra were measured using samples from 62 subjects at different excitation wavelengths. Principal component analysis (PCA) of spectra and intensity ratios of curve-resolved fluorescence peaks were tested for discrimination. It was found that PCA of total fluorescence at 325 nm excitation gives specificity and sensitivity over 95%. Use of calibration sets of spectra of histo-pathologically certified samples combined with PCA for matching and pass/fail classification of test samples is shown to have high sensitivity/specificity for routine diagnostic purposes as well as for possible staging of the disease. Further, the multi-component origin of the fluorescence spectra is illustrated by curve resolution and fluorescence spectra of separated proteins of tissue homogenates.
- Published
- 2006
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