Diagnosis of head and neck squamous cell carcinoma using Raman spectroscopy: tongue tissues

Raman spectroscopy is a powerful optical technique capable of providing the structural information at the molecular level. Thus, the technique can be used to detect biochemical changes associated with carcinogenesis and identify the biomolecules involved in cancer. We studied the Raman spectral characteristics of normal, carcinoma in situ, and invasive squamous cell carcinoma (SCC) tissues of tongue, and identified the spectral features that can discriminate these three tissue types. We found that the intensities of Raman bands assignable to tryptophan increase while those attributable to protein keratin decrease when tissue changes from normal to invasive SCC. The variation observed in the intensity of many discriminating peaks including those of tryptophan and keratin as tissue changes from normal to carcinoma in situ and then to invasive SCC suggests that Raman spectroscopy can be used to monitor progression of the disease. We have also analyzed the data with multivariate statistical methods such as principal component analysis and discriminant function analysis. These chemometric methods clearly separate the whole data into three distinct groups consistent with results of pathology. We were able to detect with 91% success rate the normal and carcinoma in situ tissues and with 89% accuracy the invasive SCC tissues of the tongue. Copyright (c) 2011 John Wiley & Sons, Ltd.