Open Access
1 May 2010 In vivo early diagnosis of gastric dysplasia using narrow-band image-guided Raman endoscopy
Zhiwei Huang, Mads Sylvest Bergholt, Wei Zheng, Kan Lin, Khek-Yu Ho, Ming The, Khay-Guan Yeoh
Author Affiliations +
Abstract
We first report on the implementation of a novel narrow-band image-guided Raman endoscopy technique for in vivo diagnosis of gastric dysplasia. High-quality in vivo Raman spectra can be acquired from normal and dysplastic gastric mucosal tissue within 0.5 sec under narrow-band image (NBI) guidance at gastroscopy. Significant differences are observed in in vivo Raman spectra between normal (n=54) and dysplastic (n=18) gastric tissue from 30 gastric patients, particularly in the spectral ranges of 825 to 950, 1000 to 1100, 1250 to 1500, and 1600 to 1800 cm−1, which primarily contain signals related to proteins, nucleic acids, and lipids. The multivariate analysis [i.e., principal components analysis (PCA) and linear discriminant analysis (LDA)], together with the leave-one tissue site-out, cross validation on in vivo gastric Raman spectra yields a diagnostic sensitivity of 94.4% (17/18) and specificity of 96.3% (52/54) for distinction of gastric dysplastic tissue. This study suggests that narrowband image-guided Raman endoscopy associated with PCA-LDA diagnostic algorithms has potential for the noninvasive, in vivo early diagnosis and detection of gastric precancer during clinical gastroscopic examination.
©(2010) Society of Photo-Optical Instrumentation Engineers (SPIE)
Zhiwei Huang, Mads Sylvest Bergholt, Wei Zheng, Kan Lin, Khek-Yu Ho, Ming The, and Khay-Guan Yeoh "In vivo early diagnosis of gastric dysplasia using narrow-band image-guided Raman endoscopy," Journal of Biomedical Optics 15(3), 037017 (1 May 2010). https://doi.org/10.1117/1.3420115
Published: 1 May 2010
Lens.org Logo
CITATIONS
Cited by 78 scholarly publications.
Advertisement
Advertisement
RIGHTS & PERMISSIONS
Get copyright permission  Get copyright permission on Copyright Marketplace
KEYWORDS
Raman spectroscopy

Tissues

In vivo imaging

Endoscopy

Diagnostics

Laser tissue interaction

Proteins

Back to Top