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Journal of Biomedical Optics • Open Access

Differentiation of benign and malignant breast tumors by in-vivo three-dimensional parallel-plate diffuse optical tomography
Author(s): Regine Choe; Soren D. Konecky; Alper Corlu; Kijoon Lee; Turgut Durduran; David R. Busch Jr.; Saurav Pathak; Brian J. Czerniecki; Julia C. Tchou; Douglas L. Fraker; Angela DeMichele; Britton Chance; Simon R. Arridge; Martin Schweiger; Joseph P. Culver; Mitchell D. Schnall; Mary E. Putt; Mark A. Rosen; Arjun G. Yodh

Paper Abstract

We have developed a novel parallel-plate diffuse optical tomography (DOT) system for three-dimensional in vivo imaging of human breast tumor based on large optical data sets. Images of oxy-, deoxy-, and total hemoglobin concentration as well as blood oxygen saturation and tissue scattering were reconstructed. Tumor margins were derived using the optical data with guidance from radiology reports and magnetic resonance imaging. Tumor-to-normal ratios of these endogenous physiological parameters and an optical index were computed for 51 biopsy-proven lesions from 47 subjects. Malignant cancers (N=41) showed statistically significant higher total hemoglobin, oxy-hemoglobin concentration, and scattering compared to normal tissue. Furthermore, malignant lesions exhibited a twofold average increase in optical index. The influence of core biopsy on DOT results was also explored; the difference between the malignant group measured before core biopsy and the group measured more than 1 week after core biopsy was not significant. Benign tumors (N=10) did not exhibit statistical significance in the tumor-to-normal ratios of any parameter. Optical index and tumor-to-normal ratios of total hemoglobin, oxy-hemoglobin concentration, and scattering exhibited high area under the receiver operating characteristic curve values from 0.90 to 0.99, suggesting good discriminatory power. The data demonstrate that benign and malignant lesions can be distinguished by quantitative three-dimensional DOT.

Paper Details

Date Published: 1 March 2009
PDF: 18 pages
J. Biomed. Opt. 14(2) 024020 doi: 10.1117/1.3103325
Published in: Journal of Biomedical Optics Volume 14, Issue 2
Show Author Affiliations
Regine Choe, Univ. of Pennsylvania (United States)
Soren D. Konecky, Univ. of Pennsylvania (United States)
Alper Corlu, Univ. of Pennsylvania (United States)
Kijoon Lee, Univ. of Pennsylvania (United States)
Turgut Durduran, Univ. of Pennsylvania (United States)
David R. Busch Jr., Univ. of Pennsylvania (United States)
Saurav Pathak, Univ. of Pennsylvania (United States)
Brian J. Czerniecki, Hospital of the Univ. of Pennsylvania (United States)
Julia C. Tchou, Hospital of the Univ. of Pennsylvania (United States)
Douglas L. Fraker, Hospital of the Univ. of Pennsylvania (United States)
Angela DeMichele, Hospital of the Univ. of Pennsylvania (United States)
Britton Chance, Univ. of Pennsylvania (United States)
Simon R. Arridge, Univ. College London (United Kingdom)
Martin Schweiger, Univ. College London (United Kingdom)
Joseph P. Culver, Washington Univ. School of Medicine in St. Louis (United States)
Mitchell D. Schnall, The Univ. of Pennsylvania Health System (United States)
Mary E. Putt, The Univ. of Pennsylvania Health System (United States)
Mark A. Rosen, The Univ. of Pennsylvania Health System (United States)
Arjun G. Yodh, Univ. of Pennsylvania (United States)

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