Laser-induced fluorescence in the detection of esophageal carcinoma

Kenneth K. Wang, Kumar Gutta, Mark A. Laukka, John Densmore

Research output: Chapter in Book/Report/Conference proceedingConference contribution

9 Scopus citations

Abstract

Laser induced fluorescence (LIF) is a technique which can perform an 'optical biopsy' of gastrointestinal mucosa. LIF was performed in resected specimens using a pulsed N 2-laser coupled fiberoptically to a probe. Fluorescence was measured using a 0.2 meter spectroscope with an intensified photodiode array. Measurements were made on fresh (<30 minutes after resection) esophageal specimens containing normal mucosa, Barrett's esophagus, and adenocarcinoma. Each tissue section was examined using an optical probe consisting of a central fiber for delivering the excitation energy and a 6 fiber bundle surrounding the central fiber for detection of the fluorescence. An excitation wavelength of 337 nm was used which generated 3-ns pulses while fluorescence intensities were acquired from 300-800 nm. Spectra were obtained from each section in a standardized fashion and background spectra subtracted. Fluorescence readings were taken from 54 normal esophageal sections and 32 sections of adenocarcinoma. A fluorescence index obtained from the tumor sections was 0.68±0.01 compared with 0.51±0.01 for the normal sections (p<0.001). Using a discriminant value of 0.65, this technique had a sensitivity of 81% and a specificity of 100% for detection of malignant tissue. The positive predictive value was 100% and the negative predictive value was 90% for an overall accuracy of 93%. LIF is a promising technique which has the capability of distinguishing normal versus malignant tissue in the esophagus with good accuracy.

Original languageEnglish (US)
Title of host publicationProceedings of SPIE - The International Society for Optical Engineering
EditorsRinaldo Cubeddu, Renato Marchesini, Serge R. Mordon, Katarina Svanberg, Herbert H. Rinneberg, al et al
Pages14-18
Number of pages5
StatePublished - Dec 1 1995
EventOptical Biopsy and Fluorescence Spectroscopy and Imaging - Lille, Fr
Duration: Sep 9 1994Sep 10 1994

Publication series

NameProceedings of SPIE - The International Society for Optical Engineering
Volume2324
ISSN (Print)0277-786X

Other

OtherOptical Biopsy and Fluorescence Spectroscopy and Imaging
CityLille, Fr
Period9/9/949/10/94

ASJC Scopus subject areas

  • Electronic, Optical and Magnetic Materials
  • Condensed Matter Physics
  • Computer Science Applications
  • Applied Mathematics
  • Electrical and Electronic Engineering

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  • Cite this

    Wang, K. K., Gutta, K., Laukka, M. A., & Densmore, J. (1995). Laser-induced fluorescence in the detection of esophageal carcinoma. In R. Cubeddu, R. Marchesini, S. R. Mordon, K. Svanberg, H. H. Rinneberg, & A. et al (Eds.), Proceedings of SPIE - The International Society for Optical Engineering (pp. 14-18). (Proceedings of SPIE - The International Society for Optical Engineering; Vol. 2324).