Title
Intraoperative delineation of primary brain tumors using time-resolved fluorescence spectroscopy
Date Issued
01 December 2010
Access level
open access
Resource Type
journal article
Author(s)
Cedars-Sinai Medical Center
Abstract
The goal of this study is to determine the potential of timeresolved laser-induced fluorescence spectroscopy (TR-LIFS) as an adjunctive tool for delineation of brain tumor from surrounding normal tissue in order to assist the neurosurgeon in near-complete tumor excision. A time-domain TR-LIFS prototype apparatus (gated photomultiplier detection, fast digitizer) was used for recording tissue autofluorescence in normal cortex (NC), normal white matter (NWM), and various grades of gliomas intraoperatively. Tissue fluorescence was induced with a pulsed nitrogen laser (337 nm, 700 ps), and the intensity decay profiles were recorded in the 360-to 550-nm spectral range (10-nm interval). Histopathological analysis (hematoxylin & eosin) of the biopsy samples taken from the site of TR-LIFS measurements was used for validation of spectroscopic results. Preliminary results on 17 patients demonstrate that normal cortex (N=16) and normal white matter (N=3) show two peaks of fluorescence emission at 390 nm (lifetime = 1.8±0.3 ns) and 460 nm (lifetime = 0.8±0.1 ns). The 390-nm emission peak is absent in low-grade glioma (N=5; lifetime=1.1 ns) and reduced in high-grade glioma (N=9; lifetime = 1.7±0.4 ns). The emission characteristics at 460 nm in all tissues correlated with the nicotinamide adenine dinucleotide fluorescence (peak: 440 to 460 nm; lifetime: 0.8 to 1.0 ns). These findings demonstrate the potential of using TR-LIFS as a tool for enhanced delineation of brain tumors during surgery. In addition, this study evaluates similarities and differences between TR-LIFS signatures of brain tumors obtained in vivo and those previously reported in ex vivo brain tumor specimens. © 2010 Society of Photo-Optical Instrumentation Engineers.
Volume
15
Issue
2
Language
English
OCDE Knowledge area
Cirugía
Subjects
Scopus EID
2-s2.0-77956636084
PubMed ID
Source
Journal of Biomedical Optics
ISSN of the container
10833668
Sponsor(s)
This work was supported in part by the Whitaker Foundation (RG-01-0346, PI: L. Marcu) and the Maxine-Dunitz Neurosurgical Institute at Cedars-Sinai Medical Center and by the WISE Fund at the University of Southern California.
Sources of information:
Directorio de Producción Científica
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