Development of clinical photoacoustic imaging system

Sentinel lymph node biopsy using methylene blue and radioactive tracers has replaced invasive axillary lymph node dissection and become the standard method of axillary staging in planning appropriate treatment and determining prognosis for clinically node-negative breast cancer patients. However, tw...

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Bibliographic Details
Main Author: Kew, Kok Wen
Other Authors: Manojit Pramanik
Format: Final Year Project (FYP)
Language:English
Published: 2016
Subjects:
Online Access:http://hdl.handle.net/10356/68423
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author Kew, Kok Wen
author2 Manojit Pramanik
author_facet Manojit Pramanik
Kew, Kok Wen
author_sort Kew, Kok Wen
collection NTU
description Sentinel lymph node biopsy using methylene blue and radioactive tracers has replaced invasive axillary lymph node dissection and become the standard method of axillary staging in planning appropriate treatment and determining prognosis for clinically node-negative breast cancer patients. However, two or more invasive surgical procedures with associated patient morbidity are often required for definitive staging and treatment of the axilla in current sentinel lymph node biopsy practice. To minimize morbidity and expenses potentially associated with extensive surgery in the axilla as part of primary treatment for breast cancer patients, a dual-modality photoacoustic and ultrasonic imaging system has been developed to noninvasively detect sentinel lymph nodes, which most likely contain metastatic cancer cells based on the accumulation of methylene blue dye. Light absorbances in embedded objects at various depths within multilayered tissues were determined by Monte Carlo simulations of light transport in turbid medium to optimize near-infrared laser pulses of 670-nm wavelength delivery for maximum optical penetration. Potential feasibility of laser opto-acoustic imaging for clinical applications was demonstrated by its capability to detect and localize small spherical phantoms with enhanced absorption coefficient relative to the background absorption at a depth of up to 2.5 cm in ex vivo. These results demonstrate the clinical potential of non-invasive opto-acoustic imaging for facile identification of sentinel lymph nodes in cancer staging and metastasis detection with promising diagnostic capability. It was shown that combined photoacoustic tomography and ultrasound potentially allows identification and sampling of the sentinel lymph node using percutaneous fine needle aspiration biopsy, thereby eliminating the need for invasive axillary staging procedures.
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spelling ntu-10356/684232023-03-03T15:32:55Z Development of clinical photoacoustic imaging system Kew, Kok Wen Manojit Pramanik School of Chemical and Biomedical Engineering DRNTU::Engineering::Bioengineering Sentinel lymph node biopsy using methylene blue and radioactive tracers has replaced invasive axillary lymph node dissection and become the standard method of axillary staging in planning appropriate treatment and determining prognosis for clinically node-negative breast cancer patients. However, two or more invasive surgical procedures with associated patient morbidity are often required for definitive staging and treatment of the axilla in current sentinel lymph node biopsy practice. To minimize morbidity and expenses potentially associated with extensive surgery in the axilla as part of primary treatment for breast cancer patients, a dual-modality photoacoustic and ultrasonic imaging system has been developed to noninvasively detect sentinel lymph nodes, which most likely contain metastatic cancer cells based on the accumulation of methylene blue dye. Light absorbances in embedded objects at various depths within multilayered tissues were determined by Monte Carlo simulations of light transport in turbid medium to optimize near-infrared laser pulses of 670-nm wavelength delivery for maximum optical penetration. Potential feasibility of laser opto-acoustic imaging for clinical applications was demonstrated by its capability to detect and localize small spherical phantoms with enhanced absorption coefficient relative to the background absorption at a depth of up to 2.5 cm in ex vivo. These results demonstrate the clinical potential of non-invasive opto-acoustic imaging for facile identification of sentinel lymph nodes in cancer staging and metastasis detection with promising diagnostic capability. It was shown that combined photoacoustic tomography and ultrasound potentially allows identification and sampling of the sentinel lymph node using percutaneous fine needle aspiration biopsy, thereby eliminating the need for invasive axillary staging procedures. Bachelor of Engineering (Chemical and Biomolecular Engineering) 2016-05-26T02:01:03Z 2016-05-26T02:01:03Z 2016 Final Year Project (FYP) http://hdl.handle.net/10356/68423 en Nanyang Technological University 80 p. application/pdf
spellingShingle DRNTU::Engineering::Bioengineering
Kew, Kok Wen
Development of clinical photoacoustic imaging system
title Development of clinical photoacoustic imaging system
title_full Development of clinical photoacoustic imaging system
title_fullStr Development of clinical photoacoustic imaging system
title_full_unstemmed Development of clinical photoacoustic imaging system
title_short Development of clinical photoacoustic imaging system
title_sort development of clinical photoacoustic imaging system
topic DRNTU::Engineering::Bioengineering
url http://hdl.handle.net/10356/68423
work_keys_str_mv AT kewkokwen developmentofclinicalphotoacousticimagingsystem