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Imaging of human lymph nodes using optical coherence tomography: potential for staging cancer.

Identifieur interne : 005851 ( Main/Exploration ); précédent : 005850; suivant : 005852

Imaging of human lymph nodes using optical coherence tomography: potential for staging cancer.

Auteurs : Robert A. Mclaughlin [Australie] ; Loretta Scolaro ; Peter Robbins ; Saud Hamza ; Christobel Saunders ; David D. Sampson

Source :

RBID : pubmed:20233873

Descripteurs français

English descriptors

Abstract

Histologic assessment is the gold standard technique for the identification of metastatic involvement of lymph nodes in malignant disease, but can only be performed ex vivo and often results in the unnecessary excision of healthy lymph nodes, leading to complications such as lymphedema. Optical coherence tomography (OCT) is a high-resolution, near-IR imaging modality capable of visualizing microscopic features within tissue. OCT has the potential to provide in vivo assessment of tissue involvement by cancer. In this morphologic study, we show the capability of OCT to image nodal microarchitecture through an assessment of fresh, unstained ex vivo lymph node samples. Examples include both benign human axillary lymph nodes and nodes containing metastatic breast carcinoma. Through accurate correlation with the histologic gold standard, OCT is shown to enable differentiation of lymph node tissue from surrounding adipose tissue, reveal nodal structures such as germinal centers and intranodal vessels, and show both diffuse and well circumscribed patterns of metastatic node involvement.

DOI: 10.1158/0008-5472.CAN-09-4062
PubMed: 20233873


Affiliations:


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Le document en format XML

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<term>Carcinoma, Ductal, Breast (ultrastructure)</term>
<term>Female</term>
<term>Humans</term>
<term>Lymph Nodes (pathology)</term>
<term>Lymph Nodes (ultrastructure)</term>
<term>Lymphatic Metastasis</term>
<term>Neoplasm Staging (methods)</term>
<term>Neoplasms (blood supply)</term>
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<term>Métastase lymphatique</term>
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<term>Noeuds lymphatiques (ultrastructure)</term>
<term>Stade de la tumeur ()</term>
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<term>Carcinoma, Ductal, Breast</term>
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<div type="abstract" xml:lang="en">Histologic assessment is the gold standard technique for the identification of metastatic involvement of lymph nodes in malignant disease, but can only be performed ex vivo and often results in the unnecessary excision of healthy lymph nodes, leading to complications such as lymphedema. Optical coherence tomography (OCT) is a high-resolution, near-IR imaging modality capable of visualizing microscopic features within tissue. OCT has the potential to provide in vivo assessment of tissue involvement by cancer. In this morphologic study, we show the capability of OCT to image nodal microarchitecture through an assessment of fresh, unstained ex vivo lymph node samples. Examples include both benign human axillary lymph nodes and nodes containing metastatic breast carcinoma. Through accurate correlation with the histologic gold standard, OCT is shown to enable differentiation of lymph node tissue from surrounding adipose tissue, reveal nodal structures such as germinal centers and intranodal vessels, and show both diffuse and well circumscribed patterns of metastatic node involvement.</div>
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