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6    Cha pte r  O n e


        spatial heterogeneity and connective tissue contributions when prob-
        ing for disease markers in tissue spectra. While not explicitly men-
        tioned, it was clear that the first step in cancer diagnoses would be to
        separate the histologic units of tissue and then examine specific cell
        types individually for markers of malignancy. 34,35  With the micros-
        copy resolution prerequisite, the use of FT-IR microscopy for cell level
                                      36
        spectral acquisition was proposed.  It is also now generally recog-
        nized that univariate analysis of features, as reported in early studies,
        is unlikely to provide robust measures of disease. Hence, the focus of
        recent studies has been to employ microscopy approaches and multi-
                              37
        variate spectral analyses  to provide clinically relevant informa-
        tion. 38,39  While the discussion above makes it clear that cell-level
        spectral data is needed and multivariate analyses should be employed,
        the emergence of FT-IR imaging is a critical technological develop-
        ment that enables both requirements to be met. An additional need is
        to demonstrate that the developed protocols are robustly applicable
        to a large sample population.

        1.1.3  FT-IR Imaging for Pathology
        This potential for using FT-IR imaging for pathology is illustrated in
        Fig. 1.1. The image on the left (Fig. 1.1a) is a low-power optical micros-
        copy image, the standard practice in any pathology laboratory, in
        which the contrast arises due to H&E staining of nucleic acid regions
        blue and protein regions pink. The images in the center and on the
        right are from corresponding sections that are unstained. Figure 1.1b
        displays the relative absorption image at a frequency associated with
        glycoproteins, which are generally concentrated in secretory epithe-
        lium. Figure 1.1c highlights the tissue in a similar manner at a fre-
        quency associated with collagen, which is a significant component of




         (a)               (b)                  (c)










                   0.5 mm

                           0.00 0.02 0.04 0.06 0.08 0.10 0.00 0.04 0.08 0.12 0.16 0.20
        FIGURE 1.1  (a) A breast H&E-stained tissue core is compared with infrared
                         −1
        images at (b) 1080 cm  to highlight epithelial tissue features that correspond
                                          −1
        to hematoxylin staining and at (c) 1240 cm  to highlight connective tissue
        features that correspond with eosin staining.
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