Investigation of optical coherence micro-elastography as a method to visualize micro-architecture in human axillary lymph nodes
Identifieur interne : 000F34 ( Main/Exploration ); précédent : 000F33; suivant : 000F35Investigation of optical coherence micro-elastography as a method to visualize micro-architecture in human axillary lymph nodes
Auteurs : Kelsey M. Kennedy ; Lixin Chin ; Philip Wijesinghe ; Robert A. Mclaughlin ; Bruce Latham ; David D. Sampson ; Christobel M. Saunders ; Brendan F. KennedySource :
- BMC Cancer [ 1471-2407 ] ; 2016.
Abstract
Evaluation of lymph node involvement is an important factor in detecting metastasis and deciding whether to perform axillary lymph node dissection (ALND) in breast cancer surgery. As ALND is associated with potentially severe long term morbidity, the accuracy of lymph node assessment is imperative in avoiding unnecessary ALND. The mechanical properties of malignant lymph nodes are often distinct from those of normal nodes. A method to image the micro-scale mechanical properties of lymph nodes could, thus, provide diagnostic information to aid in the assessment of lymph node involvement in metastatic cancer. In this study, we scan axillary lymph nodes, freshly excised from breast cancer patients, with optical coherence micro-elastography (OCME), a method of imaging micro-scale mechanical strain, to assess its potential for the intraoperative assessment of lymph node involvement.
Twenty-six fresh, unstained lymph nodes were imaged from 15 patients undergoing mastectomy or breast-conserving surgery with axillary clearance. Lymph node specimens were bisected to allow imaging of the internal face of each node. Co-located OCME and optical coherence tomography (OCT) scans were taken of each sample, and the results compared to standard post-operative hematoxylin-and-eosin-stained histology.
The optical backscattering signal provided by OCT alone may not provide reliable differentiation by inspection between benign and malignant lymphoid tissue. Alternatively, OCME highlights local changes in tissue strain that correspond to malignancy and are distinct from strain patterns in benign lymphoid tissue. The mechanical contrast provided by OCME complements the optical contrast provided by OCT and aids in the differentiation of malignant tumor from uninvolved lymphoid tissue.
The combination of OCME and OCT images represents a promising method for the identification of malignant lymphoid tissue. This method shows potential to provide intraoperative assessment of lymph node involvement, thus, preventing unnecessary removal of uninvolved tissues and improving patient outcomes.
Url:
DOI: 10.1186/s12885-016-2911-z
PubMed: 27829404
PubMed Central: 5103493
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Investigation of optical coherence micro-elastography as a method to visualize micro-architecture in human axillary lymph nodes</title><author><name sortKey="Kennedy, Kelsey M" sort="Kennedy, Kelsey M" uniqKey="Kennedy K" first="Kelsey M." last="Kennedy">Kelsey M. Kennedy</name><affiliation><nlm:aff id="Aff1">Optical+Biomedical Engineering Laboratory, School of Electrical, Electronic & Computer Engineering, The University of Western Australia, 35 Stirling Highway, Perth, WA 6009 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6009 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Chin, Lixin" sort="Chin, Lixin" uniqKey="Chin L" first="Lixin" last="Chin">Lixin Chin</name><affiliation><nlm:aff id="Aff1">Optical+Biomedical Engineering Laboratory, School of Electrical, Electronic & Computer Engineering, The University of Western Australia, 35 Stirling Highway, Perth, WA 6009 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6009 Australia</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">BRITElab, Harry Perkins Institute of Medical Research, QEII Medical Centre, 6 Verdun St, Nedlands, Perth, WA 6009 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6009 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Wijesinghe, Philip" sort="Wijesinghe, Philip" uniqKey="Wijesinghe P" first="Philip" last="Wijesinghe">Philip Wijesinghe</name><affiliation><nlm:aff id="Aff1">Optical+Biomedical Engineering Laboratory, School of Electrical, Electronic & Computer Engineering, The University of Western Australia, 35 Stirling Highway, Perth, WA 6009 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6009 Australia</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">BRITElab, Harry Perkins Institute of Medical Research, QEII Medical Centre, 6 Verdun St, Nedlands, Perth, WA 6009 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6009 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Mclaughlin, Robert A" sort="Mclaughlin, Robert A" uniqKey="Mclaughlin R" first="Robert A." last="Mclaughlin">Robert A. 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Sampson</name><affiliation><nlm:aff id="Aff1">Optical+Biomedical Engineering Laboratory, School of Electrical, Electronic & Computer Engineering, The University of Western Australia, 35 Stirling Highway, Perth, WA 6009 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6009 Australia</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff5">Centre for Microscopy, Characterisation & Analysis, The University of Western Australia, 35 Stirling Highway, Perth, WA 6009 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6009 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Saunders, Christobel M" sort="Saunders, Christobel M" uniqKey="Saunders C" first="Christobel M." last="Saunders">Christobel M. Saunders</name><affiliation><nlm:aff id="Aff6">School of Surgery, The University of Western Australia, 35 Stirling Highway, Perth, WA 6009 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6009 Australia</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff7">Breast Clinic, Royal Perth Hospital, 197 Wellington Street, Perth, WA 6000 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6000 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Kennedy, Brendan F" sort="Kennedy, Brendan F" uniqKey="Kennedy B" first="Brendan F." last="Kennedy">Brendan F. Kennedy</name><affiliation><nlm:aff id="Aff1">Optical+Biomedical Engineering Laboratory, School of Electrical, Electronic & Computer Engineering, The University of Western Australia, 35 Stirling Highway, Perth, WA 6009 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6009 Australia</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">BRITElab, Harry Perkins Institute of Medical Research, QEII Medical Centre, 6 Verdun St, Nedlands, Perth, WA 6009 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6009 Australia</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">27829404</idno><idno type="pmc">5103493</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5103493</idno><idno type="RBID">PMC:5103493</idno><idno type="doi">10.1186/s12885-016-2911-z</idno><date when="2016">2016</date><idno type="wicri:Area/Pmc/Corpus">000C39</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000C39</idno><idno type="wicri:Area/Pmc/Curation">000C38</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000C38</idno><idno type="wicri:Area/Pmc/Checkpoint">000862</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000862</idno><idno type="wicri:Area/Ncbi/Merge">008992</idno><idno type="wicri:Area/Ncbi/Curation">008992</idno><idno type="wicri:Area/Ncbi/Checkpoint">008992</idno><idno type="wicri:Area/Main/Merge">000F36</idno><idno type="wicri:Area/Main/Curation">000F34</idno><idno type="wicri:Area/Main/Exploration">000F34</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Investigation of optical coherence micro-elastography as a method to visualize micro-architecture in human axillary lymph nodes</title><author><name sortKey="Kennedy, Kelsey M" sort="Kennedy, Kelsey M" uniqKey="Kennedy K" first="Kelsey M." last="Kennedy">Kelsey M. Kennedy</name><affiliation><nlm:aff id="Aff1">Optical+Biomedical Engineering Laboratory, School of Electrical, Electronic & Computer Engineering, The University of Western Australia, 35 Stirling Highway, Perth, WA 6009 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6009 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Chin, Lixin" sort="Chin, Lixin" uniqKey="Chin L" first="Lixin" last="Chin">Lixin Chin</name><affiliation><nlm:aff id="Aff1">Optical+Biomedical Engineering Laboratory, School of Electrical, Electronic & Computer Engineering, The University of Western Australia, 35 Stirling Highway, Perth, WA 6009 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6009 Australia</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">BRITElab, Harry Perkins Institute of Medical Research, QEII Medical Centre, 6 Verdun St, Nedlands, Perth, WA 6009 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6009 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Wijesinghe, Philip" sort="Wijesinghe, Philip" uniqKey="Wijesinghe P" first="Philip" last="Wijesinghe">Philip Wijesinghe</name><affiliation><nlm:aff id="Aff1">Optical+Biomedical Engineering Laboratory, School of Electrical, Electronic & Computer Engineering, The University of Western Australia, 35 Stirling Highway, Perth, WA 6009 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6009 Australia</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">BRITElab, Harry Perkins Institute of Medical Research, QEII Medical Centre, 6 Verdun St, Nedlands, Perth, WA 6009 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6009 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Mclaughlin, Robert A" sort="Mclaughlin, Robert A" uniqKey="Mclaughlin R" first="Robert A." last="Mclaughlin">Robert A. Mclaughlin</name><affiliation><nlm:aff id="Aff1">Optical+Biomedical Engineering Laboratory, School of Electrical, Electronic & Computer Engineering, The University of Western Australia, 35 Stirling Highway, Perth, WA 6009 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6009 Australia</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff3">Australian Research Council Centre of Excellence for Nanoscale BioPhotonics, School of Medicine, Faculty of Health Sciences, University of Adelaide, Adelaide, SA 5005 Australia</nlm:aff><wicri:noCountry code="subfield">SA 5005 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Latham, Bruce" sort="Latham, Bruce" uniqKey="Latham B" first="Bruce" last="Latham">Bruce Latham</name><affiliation><nlm:aff id="Aff4">PathWest, Fiona Stanley Hospital, Robin Warren Drive, Murdoch, WA 6150 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6150 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Sampson, David D" sort="Sampson, David D" uniqKey="Sampson D" first="David D." last="Sampson">David D. Sampson</name><affiliation><nlm:aff id="Aff1">Optical+Biomedical Engineering Laboratory, School of Electrical, Electronic & Computer Engineering, The University of Western Australia, 35 Stirling Highway, Perth, WA 6009 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6009 Australia</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff5">Centre for Microscopy, Characterisation & Analysis, The University of Western Australia, 35 Stirling Highway, Perth, WA 6009 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6009 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Saunders, Christobel M" sort="Saunders, Christobel M" uniqKey="Saunders C" first="Christobel M." last="Saunders">Christobel M. Saunders</name><affiliation><nlm:aff id="Aff6">School of Surgery, The University of Western Australia, 35 Stirling Highway, Perth, WA 6009 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6009 Australia</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff7">Breast Clinic, Royal Perth Hospital, 197 Wellington Street, Perth, WA 6000 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6000 Australia</wicri:noCountry></affiliation></author><author><name sortKey="Kennedy, Brendan F" sort="Kennedy, Brendan F" uniqKey="Kennedy B" first="Brendan F." last="Kennedy">Brendan F. Kennedy</name><affiliation><nlm:aff id="Aff1">Optical+Biomedical Engineering Laboratory, School of Electrical, Electronic & Computer Engineering, The University of Western Australia, 35 Stirling Highway, Perth, WA 6009 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6009 Australia</wicri:noCountry></affiliation><affiliation><nlm:aff id="Aff2">BRITElab, Harry Perkins Institute of Medical Research, QEII Medical Centre, 6 Verdun St, Nedlands, Perth, WA 6009 Australia</nlm:aff><wicri:noCountry code="subfield">WA 6009 Australia</wicri:noCountry></affiliation></author></analytic><series><title level="j">BMC Cancer</title><idno type="eISSN">1471-2407</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Evaluation of lymph node involvement is an important factor in detecting metastasis and deciding whether to perform axillary lymph node dissection (ALND) in breast cancer surgery. As ALND is associated with potentially severe long term morbidity, the accuracy of lymph node assessment is imperative in avoiding unnecessary ALND. The mechanical properties of malignant lymph nodes are often distinct from those of normal nodes. A method to image the micro-scale mechanical properties of lymph nodes could, thus, provide diagnostic information to aid in the assessment of lymph node involvement in metastatic cancer. In this study, we scan axillary lymph nodes, freshly excised from breast cancer patients, with optical coherence micro-elastography (OCME), a method of imaging micro-scale mechanical strain, to assess its potential for the intraoperative assessment of lymph node involvement.</p></sec><sec><title>Methods</title><p>Twenty-six fresh, unstained lymph nodes were imaged from 15 patients undergoing mastectomy or breast-conserving surgery with axillary clearance. Lymph node specimens were bisected to allow imaging of the internal face of each node. Co-located OCME and optical coherence tomography (OCT) scans were taken of each sample, and the results compared to standard post-operative hematoxylin-and-eosin-stained histology.</p></sec><sec><title>Results</title><p>The optical backscattering signal provided by OCT alone may not provide reliable differentiation by inspection between benign and malignant lymphoid tissue. Alternatively, OCME highlights local changes in tissue strain that correspond to malignancy and are distinct from strain patterns in benign lymphoid tissue. The mechanical contrast provided by OCME complements the optical contrast provided by OCT and aids in the differentiation of malignant tumor from uninvolved lymphoid tissue.</p></sec><sec><title>Conclusion</title><p>The combination of OCME and OCT images represents a promising method for the identification of malignant lymphoid tissue. This method shows potential to provide intraoperative assessment of lymph node involvement, thus, preventing unnecessary removal of uninvolved tissues and improving patient outcomes.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Overgaard, J" uniqKey="Overgaard J">J Overgaard</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Weigelt, B" uniqKey="Weigelt B">B Weigelt</name></author><author><name sortKey="Peterse, Jl" uniqKey="Peterse J">JL Peterse</name></author><author><name sortKey="Van Veer, Lj" uniqKey="Van Veer L">LJ van’t Veer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lyman, Gh" uniqKey="Lyman G">GH Lyman</name></author><author><name sortKey="Temin, S" uniqKey="Temin S">S Temin</name></author><author><name sortKey="Edge, Sb" uniqKey="Edge S">SB Edge</name></author><author><name sortKey="Newman, La" uniqKey="Newman L">LA 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Kirk</name></author><author><name sortKey="Kennedy, Bf" uniqKey="Kennedy B">BF Kennedy</name></author><author><name sortKey="Sampson, Dd" uniqKey="Sampson D">DD Sampson</name></author><author><name sortKey="Mclaughlin, Ra" uniqKey="Mclaughlin R">RA McLaughlin</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list></list><tree><noCountry><name sortKey="Chin, Lixin" sort="Chin, Lixin" uniqKey="Chin L" first="Lixin" last="Chin">Lixin Chin</name><name sortKey="Kennedy, Brendan F" sort="Kennedy, Brendan F" uniqKey="Kennedy B" first="Brendan F." last="Kennedy">Brendan F. Kennedy</name><name sortKey="Kennedy, Kelsey M" sort="Kennedy, Kelsey M" uniqKey="Kennedy K" first="Kelsey M." last="Kennedy">Kelsey M. Kennedy</name><name sortKey="Latham, Bruce" sort="Latham, Bruce" uniqKey="Latham B" first="Bruce" last="Latham">Bruce Latham</name><name sortKey="Mclaughlin, Robert A" sort="Mclaughlin, Robert A" uniqKey="Mclaughlin R" first="Robert A." last="Mclaughlin">Robert A. Mclaughlin</name><name sortKey="Sampson, David D" sort="Sampson, David D" uniqKey="Sampson D" first="David D." last="Sampson">David D. Sampson</name><name sortKey="Saunders, Christobel M" sort="Saunders, Christobel M" uniqKey="Saunders C" first="Christobel M." last="Saunders">Christobel M. Saunders</name><name sortKey="Wijesinghe, Philip" sort="Wijesinghe, Philip" uniqKey="Wijesinghe P" first="Philip" last="Wijesinghe">Philip Wijesinghe</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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