The Potential of Raman Spectroscopy in the Diagnosis of Dysplastic and Malignant Oral Lesions.

Simple Summary: Raman spectroscopy, a light scattering technique that provides the biochemical fingerprint of a sample, was used on samples taken from patients with cancer and precancerous lesions. This information was then used to build a classifier to identify cancer and the precancerous phases. T...

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Publicado en:Cancers Vol. 13; no. 4; pp. 619 - 620
Autores principales: Ibrahim, Ola, Toner, Mary, Flint, Stephen, Byrne, Hugh J., Lyng, Fiona M., Preda, Lorenzo
Formato: pictorial research tables/charts Journal Article
Publicado: MDPI 2/15/2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2/15/2021
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      pub: MDPI
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        10.3390/cancers13040619
        148975784
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        atl: The Potential of Raman Spectroscopy in the Diagnosis of Dysplastic and Malignant Oral Lesions.
      aug:
        au:
          Ibrahim, Ola
          Toner, Mary
          Flint, Stephen
          Byrne, Hugh J.
          Lyng, Fiona M.
          Preda, Lorenzo
        affil: School of Dental Science, Trinity College Dublin, Lincoln Place, D02 Dublin 2, Ireland
      sug:
        subj:
          Mouth Neoplasms Diagnosis
          Precancerous Conditions Diagnosis
          Squamous Cell Carcinoma of Head and Neck Diagnosis
          Spectrum Analysis, Raman
          Human
          Squamous Cell Carcinoma of Head and Neck Pathology
          Precancerous Conditions Pathology
          Mouth Neoplasms Pathology
          Descriptive Statistics
          Nucleic Acids Metabolism
          Mouth Mucosa Metabolism
          Lipids Metabolism
          Proteins Metabolism
          Collagen Metabolism
          Connective Tissue Metabolism
          Smoking
          Inflammation
      ab: Simple Summary: Raman spectroscopy, a light scattering technique that provides the biochemical fingerprint of a sample, was used on samples taken from patients with cancer and precancerous lesions. This information was then used to build a classifier to identify cancer and the precancerous phases. The ability to distinguish cancerous tissue from normal and precancerous tissue is diagnostically crucial as it can alter the patients' prognosis and management. Moreover, as cellular changes are often present at the tumour margin, the ability to distinguish these changes from cancer can help in preserving more of the tissue and maintaining aesthetics and functionality for the patient. Early diagnosis, treatment and/or surveillance of oral premalignant lesions are important in preventing progression to oral squamous cell carcinoma (OSCC). The current gold standard is through histopathological diagnosis, which is limited by inter- and intra-observer errors and sampling errors. The objective of this work was to use Raman spectroscopy to discriminate between benign, mild, moderate and severe dysplasia and OSCC in formalin fixed paraffin preserved (FFPP) tissues. The study included 72 different pathologies from which 17 were benign lesions, 20 mildly dysplastic, 20 moderately dysplastic, 10 severely dysplastic and 5 invasive OSCC. The glass substrate and paraffin wax background were digitally removed and PLSDA with LOPO cross-validation was used to differentiate the pathologies. OSCC could be differentiated from the other pathologies with an accuracy of 70%, while the accuracy of the classifier for benign, moderate and severe dysplasia was ~60%. The accuracy of the classifier was lowest for mild dysplasia (~46%). The main discriminating features were increased nucleic acid contributions and decreased protein and lipid contributions in the epithelium and decreased collagen contributions in the connective tissue. Smoking and the presence of inflammation were found to significantly influence the Raman classification with respective accuracies of 76% and 94%.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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