Detection of epidermoid squamous-cell carcinoma by laser induced autofluorescence – preliminary results

Epidermoid squamous-cell carcinoma is by far the most common malignant tumor of larynx (95-96%), representing 1.6-2% of cancers in men and 0.2-0.4% of malignancies in females, with a world growing incidence and a slight dominance in urban areas. By exposing cells and tissues to UV light, the exci...

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Main Authors: Romeo Costin, Tatiana Tozar, V. Zainea, Ruxandra Pîrvulescu, I. R. Andrei, R. Hainăroșie
Format: Article
Language:English
Published: Carol Davila University of Medicine and Pharmacy Publishing House 2016-07-01
Series:Romanian Journal of Military Medicine
Subjects:
Online Access:http://revistamedicinamilitara.ro/wp-content/uploads/2016/07/RJMM-vol-CXIX-nr-2-din-2016.42-49.pdf
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author Romeo Costin
Tatiana Tozar
V. Zainea
Ruxandra Pîrvulescu
I. R. Andrei
R. Hainăroșie
author_facet Romeo Costin
Tatiana Tozar
V. Zainea
Ruxandra Pîrvulescu
I. R. Andrei
R. Hainăroșie
author_sort Romeo Costin
collection DOAJ
description Epidermoid squamous-cell carcinoma is by far the most common malignant tumor of larynx (95-96%), representing 1.6-2% of cancers in men and 0.2-0.4% of malignancies in females, with a world growing incidence and a slight dominance in urban areas. By exposing cells and tissues to UV light, the excitation of naturally occurring chromophores occurs in part by non-radiative deactivations, in part via fluorescence emission. Using laser induced autofluorescence (LIAF) in natural tissues not impregnated with photosensitizers as a noninvasive autofluorescence technique for both diagnosis and intraoperative assessments of laryngeal cancer we can improve the tumor malign identification in vivo. A total of three laryngeal biopsies (i.e. three pairs of tissues, each pair containing a healthy and a tumor tissue sample extracted from the same patient) were considered in this study. The samples were collected from patients previously diagnosed with stage T3 laryngeal carcinoma. Immediately after the surgery fragments of normal tissue and neoplastic tissue were collected, fragments of which later, after freezing, were sectioned in 25-30 μm thickness slices and stretched to quartz slides. All samples were subjected to controlled laser irradiation using a pulsed diode laser (λ=375nm, pulse width=87ps, frequency 31MHz) and the autofluorescence and its lifetime were collected using two optical fibers (inner diameter 400µm and 1500µm, respectively) positioned in a 45o geometry. The signals were recorded using a spectrograph and a photo-sensor module, the output of which was fed to a digital oscilloscope. We assessed the impact of laser induced autofluorescence and autofluorescence lifetime measurements in order to identify the differences between healthy and tumoral laryngeal tissue and outlining them, in terms of differences between the laser autoinduced fluorescence averaged intensity. The results determined the usefulness of laser induced spectroscopy in the diagnosis of laryngeal squamous cell carcinoma, discriminating between the malignant and normal tissue by analyzing the differences in spectral autofluorescence intensity and autofluorescence lifetime. Acknowledgements: This work has been financed by the National Authority for Research and Innovation in the frame of Nucleus programme - contract 4N/2016 and the project number PN-II-IDPCE-2011-3-0922. The authors thank Prof. M. L. Pascu for permanent support in performing this research.
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spelling doaj.art-9dadd39bba3442a2a13ad1ab3e6e88662022-12-22T01:10:46ZengCarol Davila University of Medicine and Pharmacy Publishing HouseRomanian Journal of Military Medicine1222-51262501-23122016-07-01CXIX24047Detection of epidermoid squamous-cell carcinoma by laser induced autofluorescence – preliminary resultsRomeo Costin0 Tatiana Tozar1V. Zainea2 Ruxandra Pîrvulescu3I. R. Andrei4R. Hainăroșie5 Carol Davila Central University Emergency Military Hospital, BucharestNational Institute for Laser, Plasma and Radiation Physics, MagureleInstitute of Phonoaudiolology and ENT Functional Surgery “Prof.Dr. D. Hociota”, BucharestOphthalmology Clinic, University of Medicine and Pharmacy “Carol Davila”, BucharestNational Institute for Laser, Plasma and Radiation Physics, MagureleInstitute of Phonoaudiolology and ENT Functional Surgery “Prof.Dr. D. Hociota”, BucharestEpidermoid squamous-cell carcinoma is by far the most common malignant tumor of larynx (95-96%), representing 1.6-2% of cancers in men and 0.2-0.4% of malignancies in females, with a world growing incidence and a slight dominance in urban areas. By exposing cells and tissues to UV light, the excitation of naturally occurring chromophores occurs in part by non-radiative deactivations, in part via fluorescence emission. Using laser induced autofluorescence (LIAF) in natural tissues not impregnated with photosensitizers as a noninvasive autofluorescence technique for both diagnosis and intraoperative assessments of laryngeal cancer we can improve the tumor malign identification in vivo. A total of three laryngeal biopsies (i.e. three pairs of tissues, each pair containing a healthy and a tumor tissue sample extracted from the same patient) were considered in this study. The samples were collected from patients previously diagnosed with stage T3 laryngeal carcinoma. Immediately after the surgery fragments of normal tissue and neoplastic tissue were collected, fragments of which later, after freezing, were sectioned in 25-30 μm thickness slices and stretched to quartz slides. All samples were subjected to controlled laser irradiation using a pulsed diode laser (λ=375nm, pulse width=87ps, frequency 31MHz) and the autofluorescence and its lifetime were collected using two optical fibers (inner diameter 400µm and 1500µm, respectively) positioned in a 45o geometry. The signals were recorded using a spectrograph and a photo-sensor module, the output of which was fed to a digital oscilloscope. We assessed the impact of laser induced autofluorescence and autofluorescence lifetime measurements in order to identify the differences between healthy and tumoral laryngeal tissue and outlining them, in terms of differences between the laser autoinduced fluorescence averaged intensity. The results determined the usefulness of laser induced spectroscopy in the diagnosis of laryngeal squamous cell carcinoma, discriminating between the malignant and normal tissue by analyzing the differences in spectral autofluorescence intensity and autofluorescence lifetime. Acknowledgements: This work has been financed by the National Authority for Research and Innovation in the frame of Nucleus programme - contract 4N/2016 and the project number PN-II-IDPCE-2011-3-0922. The authors thank Prof. M. L. Pascu for permanent support in performing this research.http://revistamedicinamilitara.ro/wp-content/uploads/2016/07/RJMM-vol-CXIX-nr-2-din-2016.42-49.pdfLaser induced autofluorescenceautofluorescence lifetimelaryngeal squamos cell carcinoma
spellingShingle Romeo Costin
Tatiana Tozar
V. Zainea
Ruxandra Pîrvulescu
I. R. Andrei
R. Hainăroșie
Detection of epidermoid squamous-cell carcinoma by laser induced autofluorescence – preliminary results
Romanian Journal of Military Medicine
Laser induced autofluorescence
autofluorescence lifetime
laryngeal squamos cell carcinoma
title Detection of epidermoid squamous-cell carcinoma by laser induced autofluorescence – preliminary results
title_full Detection of epidermoid squamous-cell carcinoma by laser induced autofluorescence – preliminary results
title_fullStr Detection of epidermoid squamous-cell carcinoma by laser induced autofluorescence – preliminary results
title_full_unstemmed Detection of epidermoid squamous-cell carcinoma by laser induced autofluorescence – preliminary results
title_short Detection of epidermoid squamous-cell carcinoma by laser induced autofluorescence – preliminary results
title_sort detection of epidermoid squamous cell carcinoma by laser induced autofluorescence preliminary results
topic Laser induced autofluorescence
autofluorescence lifetime
laryngeal squamos cell carcinoma
url http://revistamedicinamilitara.ro/wp-content/uploads/2016/07/RJMM-vol-CXIX-nr-2-din-2016.42-49.pdf
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