Technical Note: Noninvasive mid-IR fiber-optic evanescent wave spectroscopy (FEWS) for early detection of skin cancers.


Journal

Medical physics
ISSN: 2473-4209
Titre abrégé: Med Phys
Pays: United States
ID NLM: 0425746

Informations de publication

Date de publication:
Nov 2020
Historique:
received: 16 03 2020
revised: 20 07 2020
accepted: 31 08 2020
pubmed: 25 9 2020
medline: 15 5 2021
entrez: 24 9 2020
Statut: ppublish

Résumé

Melanoma is the most lethal of the three primary skin cancers, including also basal cell carcinoma (BCC) and squamous cell carcinoma (SCC), which are less lethal. The accepted diagnosis process involves manually observing a suspicious lesion through a Dermascope (i.e., a magnifying glass), followed by a biopsy. This process relies on the skill and the experience of a dermatologist. However, to the best of our knowledge, there is no accepted automatic, noninvasive, and rapid method for the early detection of the three types of skin cancer, distinguishing between them and noncancerous lesions, and identifying each of them. It is our aim to develop such a system. We developed a fiber-optic evanescent wave spectroscopy (FEWS) system based on middle infrared (mid-IR) transmitting AgClBr fibers and a Fourier-transform infrared spectrometer (FTIR). We used the system to perform mid-IR spectral measurements on suspicious lesions in 90 patients, before biopsy, in situ, and in real time. The lesions were then biopsied and sent for pathology. The spectra were analyzed and the differences between pathological and healthy tissues were found and correlated. Five of the lesions measured were identified as melanomas, seven as BCC, and three as SCC. Using mathematical analyses of the spectra of these lesions we were able to tell that all were skin cancers and we found specific and easily identifiable differences between them. This FEWS method lends itself to rapid, automatic and noninvasive early detection and characterization of skin cancers. It will be easily implemented in community clinics and has the potential to greatly simplify the diagnosis process.

Identifiants

pubmed: 32970830
doi: 10.1002/mp.14471
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

5523-5530

Subventions

Organisme : Israeli Ministry of Science
ID : 3-10856

Informations de copyright

© 2020 American Association of Physicists in Medicine.

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Auteurs

Svetlana Basov (S)

Department of Biomedical Engineering, Tel Aviv University, 30 Haim Levanon, Tel Aviv, 6997801, Israel.

Yair Dankner (Y)

Shenkar College of Engineering and Design, 12 Anne Frank, Ramat Gan, 52526, Israel.

Marcelo Weinstein (M)

Nuclear Research Center Negev, P.O.B. 9001, Beer Sheva, 8419001, Israel.

Abraham Katzir (A)

School of Physics and Astronomy, Tel Aviv University, 30 Haim Levanon, Tel Aviv-Yafo, 6997801, Israel.

Max Platkov (M)

Nuclear Research Center Negev, P.O.B. 9001, Beer Sheva, 8419001, Israel.

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