Enhancing early bladder cancer detection with fluorescence-guided endoscopic optical coherence tomography

被引:63
作者
Pan, YT [1 ]
Xie, TQ
Du, CW
Bastacky, S
Meyers, S
Zeidel, ML
机构
[1] SUNY Stony Brook, Dept Biomed Engn, Stony Brook, NY 11794 USA
[2] Brookhaven Natl Lab, Dept Med, Upton, NY 11973 USA
[3] Univ Pittsburgh, Med Ctr, Pittsburgh, PA 15261 USA
关键词
D O I
10.1364/OL.28.002485
中图分类号
O43 [光学];
学科分类号
070207 [光学]; 0803 [光学工程];
摘要
We report an experimental study of the possibility of enhancing early bladder cancer diagnosis with fluorescence-image-guided endoscopic optical coherence tomography (OCT). After the intravesical instillation of a 10% solution of 5-aminolevulinic acid, simultaneous fluorescence imaging (excitation of 380-420 nm, emission of 620-700 nm) and OCT are performed on rat bladders to identify the photochemical and morphological changes associated with uroepithelial tumorigenesis. The preliminary results of our ex vivo study reveal that both fluorescence and OCT can identify early uroepithelial cancers, and OCT can detect precancerous lesions (e.g., hyperplasia) that fluorescence may miss. This suggests that a cystoscope combining 5-aminolevulinic acid fluorescence and OCT imaging has the potential to enhance the efficiency and sensitivity of early bladder cancer diagnosis. (C) 2003 Optical Society of America.
引用
收藏
页码:2485 / 2487
页数:3
相关论文
共 9 条
[1]
Fluorescence spectroscopy of epithelial tissue throughout the dysplasia-carcinoma sequence in an animal model: Spectroscopic changes precede morphologic changes [J].
Coghlan, L ;
Utzinger, U ;
Richards-Kortum, R ;
Brookner, C ;
Zuluaga, A ;
Gimenez-Conti, I ;
Follen, M .
LASERS IN SURGERY AND MEDICINE, 2001, 29 (01) :1-10
[2]
In vivo ultrahigh-resolution optical coherence tomography [J].
Drexler, W ;
Morgner, U ;
Kärtner, FX ;
Pitris, C ;
Boppart, SA ;
Li, XD ;
Ippen, EP ;
Fujimoto, JG .
OPTICS LETTERS, 1999, 24 (17) :1221-1223
[3]
Transurethral resection for bladder cancer using 5-aminolevulinic acid induced fluorescence endoscopy versus white light endoscopy [J].
Kriegmair, M ;
Zaak, D ;
Rothenberger, KH ;
Rassweiler, J ;
Jocham, D ;
Eisenberger, F ;
Tauber, R ;
Stenzl, A ;
Hofstetter, A .
JOURNAL OF UROLOGY, 2002, 168 (02) :475-478
[4]
Combined application of optical methods to increase the information content of optical coherent tomography in diagnostics of neoplastic processes [J].
Kuranov, RV ;
Sapozhnikova, VV ;
Shakhova, HM ;
Gelikonov, VM ;
Zagainova, EV ;
Petrova, SA .
QUANTUM ELECTRONICS, 2002, 32 (11) :993-998
[5]
Endoscopic optical coherence tomography based on a microelectromechanical mirror [J].
Pan, YT ;
Xie, HK ;
Fedder, GK .
OPTICS LETTERS, 2001, 26 (24) :1966-1968
[6]
Real-time in vivo imaging of human gastrointestinal ultrastructure by use of endoscopic optical coherence tomography with a novel efficient interferometer design [J].
Rollins, AM ;
Ung-arunyawee, R ;
Chak, A ;
Wong, RCK ;
Kobayashi, K ;
Sivak, MV ;
Izatt, JA .
OPTICS LETTERS, 1999, 24 (19) :1358-1360
[7]
In vivo endoscopic OCT imaging of precancer and cancer states of human mucosa [J].
Sergeev, A. M. ;
Gelikonov, V. M. ;
Gelikonov, G. V. ;
Feldchtein, F. I. ;
Kuranov, R. V. ;
Gladkova, N. D. ;
Shakhova, N. M. ;
Snopova, L. B. ;
Shakhov, A. V. ;
Kuznetzova, I. A. ;
Denisenko, A. N. ;
Pochinko, V. V. ;
Chumakov, Yu. P. ;
Streltzova, O. S. .
OPTICS EXPRESS, 1997, 1 (13) :432-440
[8]
In vivo endoscopic optical biopsy with optical coherence tomography [J].
Tearney, GJ ;
Brezinski, ME ;
Bouma, BE ;
Boppart, SA ;
Pitris, C ;
Southern, JF ;
Fujimoto, JG .
SCIENCE, 1997, 276 (5321) :2037-2039
[9]
Detection of tumorigenesis in urinary bladder with optical coherence tomography: optical characterization of morphological changes [J].
Xie, TQ ;
Zeidel, ML ;
Pan, YT .
OPTICS EXPRESS, 2002, 10 (24) :1431-1443