Document Detail


Quantitative near-infrared spectroscopy of cervical dysplasia in vivo.
MedLine Citation:
PMID:  10548647     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aims of this study were: (i) to quantify near-infrared optical properties of normal cervical tissues and high-grade squamous intra-epithelial lesions (H-SIL); (ii) to assess the feasibility of differentiating normal cervical tissues from H-SIL on the basis of these properties; and (iii) to determine how cervical tissue optical properties change following photodynamic therapy (PDT) of H-SIL in vivo. Using the frequency domain photon migration technique, non-invasive measurements of normal and dysplastic ecto-cervical tissue optical properties, i.e. absorption (mu(a)) and effective scattering coefficients, and physiological parameters, i.e. tissue water and haemoglobin concentration, percentage oxygen saturation (%SO(2)), were performed on 10 patients scheduled for PDT of histologically-proven H-SIL. Cervix absorption and effective scattering parameters were up to 15% lower in H-SIL sites compared with normal cervical tissue for all wavelengths studied (674, 811, 849, 956 nm). Following PDT, all mu(a) values increased significantly, due to elevated tissue blood and water content associated with PDT-induced hyperaemia and oedema. Tissue total haemoglobin concentration ([TotHb]) and arterio-venous oxygen saturation measured in H-SIL sites were lower than normal sites ([TotHb]: 88.6 +/- 35.8 micromol/l versus 124.7 +/- 22.6 micromol/l; %SO(2): 76.5 +/- 14.7% versus 84.9 +/- 3.4%).
Authors:
R Hornung; T H Pham; K A Keefe; M W Berns; Y Tadir; B J Tromberg
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Human reproduction (Oxford, England)     Volume:  14     ISSN:  0268-1161     ISO Abbreviation:  Hum. Reprod.     Publication Date:  1999 Nov 
Date Detail:
Created Date:  1999-12-30     Completed Date:  1999-12-30     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  8701199     Medline TA:  Hum Reprod     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  2908-16     Citation Subset:  IM    
Affiliation:
Laser Microbeam and Medical Program (LAMMP), Beckman Laser Institute and Medical Clinic, University of California (Irvine), CA 92612, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Biopsy
Cervical Intraepithelial Neoplasia / drug therapy,  pathology
Colposcopy
Female
Hemoglobins / analysis
Humans
Oxyhemoglobins / analysis
Photochemotherapy
Spectroscopy, Near-Infrared*
Uterine Cervical Dysplasia / pathology*
Grant Support
ID/Acronym/Agency:
R29-GM50958/GM/NIGMS NIH HHS; RR-01192/RR/NCRR NIH HHS
Chemical
Reg. No./Substance:
0/Hemoglobins; 0/Oxyhemoglobins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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