1. Photodynamic therapy dosimetry using multiexcitation multiemission wavelength: toward real-time prediction of treatment outcome
- Author
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Marcelo Saito Nogueira, Lilian Tan Moriyama, Clovis Grecco, Stefan Andersson-Engels, Monirehalsadat Mousavi, Cristina Kurachi, and Katarina Svanberg
- Subjects
Male ,Paper ,optical properties ,Fluorophore ,Materials science ,Diffuse reflectance infrared fourier transform ,Correlation coefficient ,medicine.medical_treatment ,Biomedical Engineering ,Blood volume ,Photodynamic therapy ,01 natural sciences ,TERAPIA FOTODINÂMICA ,Imaging phantom ,010309 optics ,Biomaterials ,chemistry.chemical_compound ,Mice ,0103 physical sciences ,medicine ,Dosimetry ,Animals ,Photosensitizer ,Special Section on Photodynamic Therapy ,Radiometry ,in vivo measurement ,Photosensitizing Agents ,dosimetry ,fiber-optic probe ,Phantoms, Imaging ,Atomic and Molecular Physics, and Optics ,eye diseases ,Electronic, Optical and Magnetic Materials ,biomedical optics ,Treatment Outcome ,chemistry ,Photochemotherapy ,photodynamic therapy ,fluorescence ,Biomedical engineering - Abstract
Evaluating the optical properties of biological tissues is needed to achieve accurate dosimetry during photodynamic therapy (PDT). Currently, accurate assessment of the photosensitizer (PS) concentration by fluorescence measurements during PDT is typically hindered by the lack of information about tissue optical properties. In the present work, a hand-held fiber-optic probe instrument monitoring fluorescence and reflectance is used for assessing blood volume, reduced scattering coefficient, and PS concentration facilitating accurate dosimetry for PDT. System validation was carried out on tissue phantoms using nonlinear least squares support machine regression analysis. It showed a high correlation coefficient (>0.99) in the prediction of the PS concentration upon a large variety of phantom optical properties. In vivo measurements were conducted in a PDT chlorine e6 dose escalating trial involving 36 male Swiss mice with Ehrlich solid tumors in which fluences of 5, 15, and 40 J cm−2 were delivered at two fluence rates (100 and 40 mW cm−2). Remarkably, quantitative measurement of fluorophore concentration was achieved in the in vivo experiment. Diffuse reflectance spectroscopy (DRS) system was also used to independently measure the physiological properties of the target tissues for result comparisons. Then, blood volume and scattering coefficient measured by the fiber-optic probe system were compared with the corresponding result measured by DRS and showed agreement. Additionally, tumor hemoglobin oxygen saturation was measured using the DRS system. Overall, the system is capable of assessing the implicit photodynamic dose to predict the PDT outcome.
- Published
- 2019