Raman spectroscopy and U-Net deep neural network in antiresorptive drug-related osteonecrosis of the jaw.

Raman spectroscopy SERDS U-Net antiresorptive drug-related osteonecrosis of the jaw background subtraction

Journal

Oral diseases
ISSN: 1601-0825
Titre abrégé: Oral Dis
Pays: Denmark
ID NLM: 9508565

Informations de publication

Date de publication:
31 Aug 2023
Historique:
revised: 30 07 2023
received: 14 07 2022
accepted: 14 08 2023
medline: 31 8 2023
pubmed: 31 8 2023
entrez: 31 8 2023
Statut: aheadofprint

Résumé

Application of an optical method for the identification of antiresorptive drug-related osteonecrosis of the jaw (ARONJ). We introduce shifted-excitation Raman difference spectroscopy followed by U-Net deep neural network refinement to determine bone tissue viability. The obtained results are validated through established histological methods. Discrimination of osteonecrosis from physiological tissues was evaluated at 119 distinct measurement loci in 40 surgical specimens from 28 patients. Mean Raman spectra were refined from 11,900 raw spectra, and characteristic peaks were assigned to their respective molecular origin. Then, following principal component and linear discriminant analyses, osteonecrotic lesions were distinguished from physiological tissue entities, such as viable bone, with a sensitivity, specificity, and overall accuracy of 100%. Moreover, bone mineral content, quality, maturity, and crystallinity were quantified, revealing an increased mineral-to-matrix ratio and decreased carbonate-to-phosphate ratio in ARONJ lesions compared to physiological bone. The results demonstrate feasibility with high classification accuracy in this collective. The differentiation was determined by the spectral features of the organic and mineral composition of bone. This merely optical, noninvasive technique is a promising candidate to ameliorate both the diagnosis and treatment of ARONJ in the future.

Identifiants

pubmed: 37650266
doi: 10.1111/odi.14721
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : Mildred Scheel Cancer Career Center Hamburg of the German Cancer Aid
ID : 70113304
Organisme : Wilhelm Sander-Stiftung
ID : 2017.111.1

Informations de copyright

© 2023 The Authors. Oral Diseases published by Wiley Periodicals LLC.

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Auteurs

Levi Matthies (L)

Department of Oral and Maxillofacial Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Mildred Scheel Cancer Career Center HaTriCS4, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Medhanie T Gebrekidan (MT)

Institute of Thermal-, Environmental- and Resources' Process Engineering (ITUN), Technische Universität Bergakademie Freiberg (TUBAF), Freiberg, Germany.

Andreas S Braeuer (AS)

Institute of Thermal-, Environmental- and Resources' Process Engineering (ITUN), Technische Universität Bergakademie Freiberg (TUBAF), Freiberg, Germany.

Reinhard E Friedrich (RE)

Department of Oral and Maxillofacial Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Florian Stelzle (F)

Department of Oral and Maxillofacial Surgery, Friedrich-Alexander-Universität Erlangen-Nürnberg (FAU), Erlangen, Germany.

Constantin Schmidt (C)

Division of Orthopedics, Department of Trauma and Orthopedic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Department of Osteology and Biomechanics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Ralf Smeets (R)

Department of Oral and Maxillofacial Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Division of "Regenerative Orofacial Medicine", Department of Oral and Maxillofacial Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Alexandre T Assaf (AT)

Department of Oral and Maxillofacial Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Martin Gosau (M)

Department of Oral and Maxillofacial Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Tim Rolvien (T)

Division of Orthopedics, Department of Trauma and Orthopedic Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Christian Knipfer (C)

Department of Oral and Maxillofacial Surgery, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.

Classifications MeSH