Page 312 - Vibrational Spectroscopic Imaging for Biomedical Applications
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286    Cha pte r  Ni ne


        resolve, e.g., the detection and characterization of neoplastic changes,
        discrimination of the cancer type and staging of the cancer, and the
        effects of drug an/or radiation therapy on cancer development.
            Understanding the chemical basis of the tissue spectra can be
        very useful to extract diagnostic parameters from these spectra.
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        Shafer-Peltier et al.  demonstrated that they could discriminate
        between macroscopic spectra of different types of breast tissue on by
        fitting them with a set of reference spectra derived from Raman imag-
        ing. The reference set of nine independent basis spectra consisted of
        various breast tissue morphological structures, such as the epithelial
        cell cytoplasm, cell nucleus, fat,  β-carotene, collagen, calcium
        hydroxyapatite, calcium oxalate dehydrate, cholesterol-like lipid
        deposits, and water. The resulting fitting coefficients yielded the con-
        tribution of each basis spectrum to the macroscopic tissue spectrum,
        thereby elucidating the chemical/morphological makeup of the tis-
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        sue.  The fitting coefficients were shown to be different for the differ-
        ent breast tissue pathologies, enabling tissue identification based on
        a thorough understanding of the chemical composition.
            Raman images of tissue are often compared with hematoxylin
        and eosin (H&E)-stained images of the same or adjacent section that
        are routinely used in pathology. Although similar tissue structures
        can be observed, Raman images show more also other features that
        are not present in the H&E-stained sections. This is illustrated by the
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        work of Koljenovic et al. on healthy human bronchial tissue.  Using
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        big maps, up to 1. 5 × 0.5 mm, with a high spectral (8 cm ) and spatial
        resolution (1 to 12 μm), she identified the chemical composition of
        different morphologic structures and provided the basis for further in
        vitro and in vivo investigations of the biochemical changes that
        accompany pathologic transformation of tissue Fig. 9.12. All maps
        were made with a point mapping system using 847 nm, 100 mW for
        excitation and 10 seconds signal collection time.
            As mentioned above, much work has focused on the different
        aspects of cancer research. Much of this work is fundamental research
        on the differences between normal and (pre)cancerous tissue in order
        to develop clinical applications. Biochemical chances that occur can
        be spatially identified which is important for targeting the most dis-
        criminative areas using fiber-optic Raman probes.
            An example of the kind of information that Raman imaging can pro-
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        vide is given in Fig. 9.13, published in a study by Amareff et al.  Using
        785 nm, 160 mW laser light, focused to a spot of 3 to 4 μm, the sampled
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        large areas (20 to 30 mm ) of mouse glioma tissue with a relatively low
        resolution of 50 μm and 5 seconds signal integration time per spectrum.
        She showed that the cholesterol and phospholipid contents were highest
        in the corpus callosum and decreased gradually toward the cortex
        surface as well as in the tumor. Using a combination of subsequent
        k-means and hierarchical cluster analysis techniques, she demon-
        strated clear distinction between normal, tumor, two types of necrotic
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