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Journal of Biomedical Optics

Novel optical detection system for in vivo identification and localization of cervical intraepithelial neoplasia
Author(s): Kevin T. Schomacker; Thomas Meese; Chunsheng Jiang; Charles C. Abele; Karen M. Dickson; Stephen T. Sum; Ross F. Flewelling
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Paper Abstract

A noncontact optical detection system is developed for the in vivo identification and localization of high-grade cervical intraepithelial neoplasia (CIN 2,3). Diagnostic scans of the entire human cervix are performed following acetic acid application employing three integrated optical measurements: laser-induced fluorescence spectroscopy, white light diffuse reflectance spectroscopy, and video imaging. Full cervical scans comprising 499 interrogation locations at 1-mm spatial resolution are completed in 12 s. Diffuse reflectance and fluorescence spectra with signal-to-noise ratios of better than 100-to-1 are collected between 360 and 720 nm in increments of 1 nm, with an inherent spectral resolution of 8 nm. Glare reduction and optical vignetting are handled with a novel illumination scheme and subsequent spectral arbitration algorithms. The system is designed and found to be well below acceptable safe optical exposure levels. Typical reproducibility across multiple systems is approximately 5%, providing reliable and accurate detection of in vivo cervical neoplasia in normal clinical use.

Paper Details

Date Published: 1 May 2006
PDF: 12 pages
J. Biomed. Opt. 11(3) 034009 doi: 10.1117/1.2208987
Published in: Journal of Biomedical Optics Volume 11, Issue 3
Show Author Affiliations
Kevin T. Schomacker, MediSpectra, Inc. (United States)
Thomas Meese, MediSpectra, Inc. (United States)
Chunsheng Jiang, MediSpectra, Inc. (United States)
Charles C. Abele, MediSpectra, Inc. (United States)
Karen M. Dickson, MediSpectra, Inc. (United States)
Stephen T. Sum, MediSpectra, Inc. (United States)
Ross F. Flewelling, MediSpectra, Inc. (United States)

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