Clinical Diagnosis of Gastric Cancer by High-Sensitivity THz Fiber-Based Fast-Scanning Near-Field Imaging

The distinguishable absorption contrast among healthy gastric tissues, carcinoma in situ and cancer tissues in the THz frequency range is one of the keys to realizing gastric cancer diagnosis by THz imaging. Based on microwave devices and a sub-wavelength fiber, we developed a fast-scanning THz imag...

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Main Authors: Hua Chen, Juan Han, Shihua Ma, Xiao Li, Tianzhu Qiu, Xiaofeng Chen
Format: Article
Language:English
Published: MDPI AG 2022-08-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/16/3932
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author Hua Chen
Juan Han
Shihua Ma
Xiao Li
Tianzhu Qiu
Xiaofeng Chen
author_facet Hua Chen
Juan Han
Shihua Ma
Xiao Li
Tianzhu Qiu
Xiaofeng Chen
author_sort Hua Chen
collection DOAJ
description The distinguishable absorption contrast among healthy gastric tissues, carcinoma in situ and cancer tissues in the THz frequency range is one of the keys to realizing gastric cancer diagnosis by THz imaging. Based on microwave devices and a sub-wavelength fiber, we developed a fast-scanning THz imaging system combined with the principle of surface plasmon resonance enhancement. This imaging system has a near-field λ/17 spatial resolution and imaging S/N ratio as high as 10<sup>8</sup>:1, and the image results are directly displayed within 1 min. We also successfully demonstrated the image diagnostic capability on sliced tissues from eight patients with gastric cancer. The results indicate that THz absorption images can not only clearly distinguish cancer tissue from healthy tissues but also accurately define the margins of cancer. Through a medical statistical study of 40 sliced tissues from 40 patients, we prove that THz imaging can be used as a standalone method to diagnose gastric cancer tissues with a diagnostic specificity and sensitivity of 100%. Compared with the H&E staining method, THz imaging diagnosis makes the automation of tissue-sampling pre-screening procedure possible and assists in quickly determining the boundary between cancerous and healthy tissues.
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spelling doaj.art-042308fec5474af198bb1fef9d0f772a2023-11-30T21:04:14ZengMDPI AGCancers2072-66942022-08-011416393210.3390/cancers14163932Clinical Diagnosis of Gastric Cancer by High-Sensitivity THz Fiber-Based Fast-Scanning Near-Field ImagingHua Chen0Juan Han1Shihua Ma2Xiao Li3Tianzhu Qiu4Xiaofeng Chen5School of Physics, Southeast University, Nanjing 211189, ChinaSchool of Physics, Southeast University, Nanjing 211189, ChinaSchool of Physics, Southeast University, Nanjing 211189, ChinaDepartment of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, ChinaDepartment of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, ChinaDepartment of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, ChinaThe distinguishable absorption contrast among healthy gastric tissues, carcinoma in situ and cancer tissues in the THz frequency range is one of the keys to realizing gastric cancer diagnosis by THz imaging. Based on microwave devices and a sub-wavelength fiber, we developed a fast-scanning THz imaging system combined with the principle of surface plasmon resonance enhancement. This imaging system has a near-field λ/17 spatial resolution and imaging S/N ratio as high as 10<sup>8</sup>:1, and the image results are directly displayed within 1 min. We also successfully demonstrated the image diagnostic capability on sliced tissues from eight patients with gastric cancer. The results indicate that THz absorption images can not only clearly distinguish cancer tissue from healthy tissues but also accurately define the margins of cancer. Through a medical statistical study of 40 sliced tissues from 40 patients, we prove that THz imaging can be used as a standalone method to diagnose gastric cancer tissues with a diagnostic specificity and sensitivity of 100%. Compared with the H&E staining method, THz imaging diagnosis makes the automation of tissue-sampling pre-screening procedure possible and assists in quickly determining the boundary between cancerous and healthy tissues.https://www.mdpi.com/2072-6694/14/16/3932gastric cancerabsorption contrastTHzimaging diagnosis
spellingShingle Hua Chen
Juan Han
Shihua Ma
Xiao Li
Tianzhu Qiu
Xiaofeng Chen
Clinical Diagnosis of Gastric Cancer by High-Sensitivity THz Fiber-Based Fast-Scanning Near-Field Imaging
Cancers
gastric cancer
absorption contrast
THz
imaging diagnosis
title Clinical Diagnosis of Gastric Cancer by High-Sensitivity THz Fiber-Based Fast-Scanning Near-Field Imaging
title_full Clinical Diagnosis of Gastric Cancer by High-Sensitivity THz Fiber-Based Fast-Scanning Near-Field Imaging
title_fullStr Clinical Diagnosis of Gastric Cancer by High-Sensitivity THz Fiber-Based Fast-Scanning Near-Field Imaging
title_full_unstemmed Clinical Diagnosis of Gastric Cancer by High-Sensitivity THz Fiber-Based Fast-Scanning Near-Field Imaging
title_short Clinical Diagnosis of Gastric Cancer by High-Sensitivity THz Fiber-Based Fast-Scanning Near-Field Imaging
title_sort clinical diagnosis of gastric cancer by high sensitivity thz fiber based fast scanning near field imaging
topic gastric cancer
absorption contrast
THz
imaging diagnosis
url https://www.mdpi.com/2072-6694/14/16/3932
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