论文标题

使用光声遥感显微镜改善最大安全脑肿瘤切除

Improving Maximal Safe Brain Tumor Resection with Photoacoustic Remote Sensing Microscopy

论文作者

Ecclestone, Benjamin R., Bell, Kevan, Abbasi, Saad, Dinakaran, Deepak, van Landeghem, Frank K. H., Mackey, John R., Fieguth, Paul, Reza, Parsin Haji

论文摘要

恶性脑肿瘤是最致命的肿瘤之一,任何癌症类型的存活率最低。在考虑手术肿瘤切除术时,切除的次优程度与临床结局不良和较低的总生存率有关。目前可用于术中组织病理学评估的工具平均需要20分钟的处理,并且指导手术的诊断质量有限。因此,需要快速成像技术来指导脑肿瘤的最大切除术。朝着这个目标努力,这里提出的是所有光学非接触标签的无反射模式光声遥感(PARS)显微镜。通过使用可调激光激光器,PAR可以利用DNA和细胞质的内源性光吸收峰实现类似于标准苏木精和曙红(H和E)染色的虚拟对比度。同时,使用快速的266 nm激发来通过苏木精样对比进行实时迅速评估大型扫描并迅速评估小领域。使用该技术获得的图像显示出与当前的脑组织组织病理学评估标准相当的质量和对比。使用所提出的方法,在未染色的脑组织中实现了快速,高通量,组织学成像,这表明术中指导有用,以改善手术切除程度。

Malignant brain tumors are among the deadliest neoplasms with the lowest survival rates of any cancer type. In considering surgical tumor resection, suboptimal extent of resection is linked to poor clinical outcomes and lower overall survival rates. Currently available tools for intraoperative histopathological assessment require an average of 20 minutes processing and are of limited diagnostic quality for guiding surgeries. Consequently, there is an unaddressed need for a rapid imaging technique to guide maximal resection of brain tumors. Working towards this goal, presented here is an all optical non-contact label-free reflection mode photoacoustic remote sensing (PARS) microscope. By using a tunable excitation laser, PARS takes advantage of the endogenous optical absorption peaks of DNA and cytoplasm to achieve virtual contrast analogous to standard hematoxylin and eosin (H and E) staining. In conjunction, a fast 266 nm excitation is used to generate large grossing scans and rapidly assess small fields in real-time with hematoxylin-like contrast. Images obtained using this technique show comparable quality and contrast to the current standard for histopathological assessment of brain tissues. Using the proposed method, rapid, high-throughput, histological-like imaging was achieved in unstained brain tissues, indicating PARS utility for intraoperative guidance to improve extent of surgical resection.

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