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Research Papers: Sensing

Visible light optical spectroscopy is sensitive to neovascularization in the dysplastic cervix

[+] Author Affiliations
Vivide Tuan-Chyan Chang

Duke University, Department of Biomedical Engineering, Durham, North Carolina 27708

Sarah M. Bean

Duke University Medical Center, Department of Pathology, Durham, North Carolina 27710

Peter S. Cartwright

Duke University Medical Center, Department of Obstetrics and Gynecology, Durham, North Carolina 27710

Nirmala Ramanujam

Duke University, Department of Biomedical Engineering, Durham, North Carolina 27708

J. Biomed. Opt. 15(5), 057006 (October 07, 2010). doi:10.1117/1.3495730
History: Received January 03, 2010; Revised August 12, 2010; Accepted August 23, 2010; Published October 07, 2010; Online October 07, 2010
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Neovascularization in cervical intraepithelial neoplasia (CIN) is studied because it is the precursor to the third most common female cancer worldwide. Diffuse reflectance from 450600nm was collected from 46 patients (76 sites) undergoing colposcopy at Duke University Medical Center. Total hemoglobin, derived using an inverse Monte Carlo model, significantly increased in CIN 2+(N=12) versus CIN 1 (N=16) and normal tissues (N=48) combined with P<0.004. Immunohistochemistry using monoclonal anti-CD34 was used to quantify microvessel density to validate the increased hemoglobin content. Biopsies from 51 sites were stained, and up to three hot spots per slide were selected for microvessel quantification by two observers. Similar to the optical study results, microvessel density was significantly increased in CIN 2+(N=16) versus CIN 1 (N=21) and normal tissue (N=14) combined with P<0.007. Total vessel density, however, was not significantly associated with dysplastic grade. Hence, our quantitative optical spectroscopy system is primarily sensitive to dysplastic neovascularization immediately beneath the basement membrane, with minimal confounding from vascularity inherent in the normal stromal environment. This tool could have potential for in vivo applications in screening for cervical cancer, prognostics, and monitoring of antiangiogenic effects in chemoprevention therapies.

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© 2010 Society of Photo-Optical Instrumentation Engineers

Citation

Vivide Tuan-Chyan Chang ; Sarah M. Bean ; Peter S. Cartwright and Nirmala Ramanujam
"Visible light optical spectroscopy is sensitive to neovascularization in the dysplastic cervix", J. Biomed. Opt. 15(5), 057006 (October 07, 2010). ; http://dx.doi.org/10.1117/1.3495730


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