Raman spectroscopy for assessment of bone resection margins in mandibulectomy for oral cavity squamous cell carcinoma

被引:42
作者
Barroso, Elisa M. [1 ]
ten Hove, Ivo [1 ]
Schut, Tom C. Bakker [2 ]
Mast, Hetty [1 ]
van Lanschot, Cornelia G. F. [3 ]
Smits, Roeland W. H. [3 ]
Caspers, Peter J. [2 ]
Verdijk, Rob [4 ]
Hegt, Vincent Noordhoek [4 ]
de Jong, Robert J. Baatenburg [3 ]
Wolvius, Eppo B. [1 ]
Puppels, Gerwin J. [2 ]
Koljenovic, Senada [4 ]
机构
[1] Erasmus MC, Dept Oral & Maxillofacial Surg, POB 2040, NL-3000 CA Rotterdam, Netherlands
[2] Erasmus MC, Dept Dermatol, Ctr Opt Diagnost & Therapy, POB 2040, NL-3000 CA Rotterdam, Netherlands
[3] Erasmus MC, Dept Otorhinolaryngol & Head & Neck Surg, POB 2040, NL-3000 CA Rotterdam, Netherlands
[4] Erasmus MC, Dept Pathol, POB 2040, NL-3000 CA Rotterdam, Netherlands
关键词
Oral cancer surgery; Adequate resection margins; Intra-operative assessment; Mandible; Surgical oncology; INTRAOPERATIVE CYTOLOGICAL ASSESSMENT; FROZEN-SECTION; WATER CONCENTRATION; SURGICAL MARGIN; LOCAL-CONTROL; NECK-CANCER; FREE-FLAP; RECONSTRUCTION; HEAD; TISSUE;
D O I
10.1016/j.ejca.2018.01.068
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Objectives: The aim of this study was to investigate the potential of Raman spectroscopy for detection of oral cavity squamous cell carcinoma (OCSCC) in bone resection surfaces during mandibulectomy. Materials & methods: Raman mapping experiments were performed on fresh mandible resection specimens from patients treated with mandibulectomy for OCSCC. A tumour detection algorithm was created based on water concentration and the high-wavenumber range (2800 cm(-1)-3050 cm(-1)) of the Raman spectra. Results: Twenty-six ex vivo Raman mapping experiments were performed on 26 fresh mandible resection specimens obtained from 22 patients. The algorithm was applied on an independent test set and showed an accuracy of 95%, a sensitivity of 95%, and a specificity of 87%. Conclusion: These results form the basis for further development of a Raman spectroscopy tool as an objective method for intraoperative assessment of bone resection margins. (C) 2018 Elsevier Ltd. All rights reserved.
引用
收藏
页码:77 / 87
页数:11
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