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Issue title: Optical Spectroscopic Markers of Cancer
Article type: Research Article
Authors: Keller, Matthew D. | Kanter, Elizabeth M. | Lieber, Chad A. | Majumder, Shovan K. | Hutchings, Joanne | Ellis, Darrel L. | Beaven, Richard B. | Stone, Nicholas | Mahadevan-Jansen, Anita
Affiliations: Department of Biomedical Engineering, Vanderbilt University, Nashville, TN, USA | CHOC Research Institute, Children's Hospital of Orange County, Orange, CA, USA | Biophotonics Research Group and Department of Pathology, Gloucestershire Royal Hospital, Gloucester, Gloucestershire, UK | Division of Dermatology, Vanderbilt University Medical Center, Nashville, TN, USA | Tri-State Women's Health, Florence, KY, USA
Note: [] Corresponding author. Department of Biomedical Engineering, Vanderbilt University, Station B, Box 351631, Nashville, TN 37235, USA. Tel.: +1 615 343 4787; Fax: +1 615 343 7919; E-mail: Anita.mahadevan-jansen@vanderbilt.edu
Abstract: Epithelial cancers, including those of the skin and cervix, are the most common type of cancers in humans. Many recent studies have attempted to use Raman spectroscopy to diagnose these cancers. In this paper, Raman spectral markers related to the temporal and spatial effects of cervical and skin cancers are examined through four separate but related studies. Results from a clinical cervix study show that previous disease has a significant effect on the Raman signatures of the cervix, which allow for near 100% classification for discriminating previous disease versus a true normal. A Raman microspectroscopy study showed that Raman can detect changes due to adjacent regions of dysplasia or HPV that cannot be detected histologically, while a clinical skin study showed that Raman spectra may be detecting malignancy associated changes in tissues surrounding nonmelanoma skin cancers. Finally, results of an organotypic raft culture study provided support for both the skin and the in vitro cervix results. These studies add to the growing body of evidence that optical spectroscopy, in this case Raman spectral markers, can be used to detect subtle temporal and spatial effects in tissue near cancerous sites that go otherwise undetected by conventional histology.
Keywords: Raman spectroscopy, optical diagnosis, cervix, dysplasia, skin cancer, malignancy associated changes, field effect, raft cultures, spectral markers
Journal: Disease Markers, vol. 25, no. 6, pp. 323-337, 2008
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