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Towards a field-compatible optical Spectroscopic device for cervical cancer screening in resource-limited settings: effects of calibration and pressureVivide Tuan-Chyan Chang, Delson Merisier, Bing Yu, David K. Walmer, and Nirmala Ramanujam »View Author Affiliations
Vivide Tuan-Chyan Chang,1,*
Delson Merisier,2
Bing Yu,1
David K. Walmer,2,3
and Nirmala Ramanujam1
1Department of Biomedical Engineering, Duke University, Box 90281, Durham, North Carolina 27708, USA 2Family Health Ministries, Leogane, Haiti 3Department of Gynecology and Obstetrics, Duke University Medical Center, Box 3084, Durham, North Carolina 27710, USA *Corresponding author: vivide.chang@duke.edu |
Optics Express, Vol. 19, Issue 19, pp. 17908-17924 (2011)
http://dx.doi.org/10.1364/OE.19.017908
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Abstract
Quantitative optical spectroscopy has the potential to provide an effective low cost, and portable solution for cervical pre-cancer screening in resource-limited communities. However, clinical studies to validate the use of this technology in resource-limited settings require low power consumption and good quality control that is minimally influenced by the operator or variable environmental conditions in the field. The goal of this study was to evaluate the effects of two sources of potential error: calibration and pressure on the extraction of absorption and scattering properties of normal cervical tissues in a resource-limited setting in Leogane, Haiti. Our results show that self-calibrated measurements improved scattering measurements through real-time correction of system drift, in addition to minimizing the time required for post-calibration. Variations in pressure (tested without the potential confounding effects of calibration error) caused local changes in vasculature and scatterer density that significantly impacted the tissue absorption and scattering properties Future spectroscopic systems intended for clinical use, particularly where operator training is not viable and environmental conditions unpredictable, should incorporate a real-time self-calibration channel and collect diffuse reflectance spectra at a consistent pressure to maximize data integrity.
© 2011 OSA
OCIS Codes
(060.2280) Fiber optics and optical communications : Fiber design and fabrication
(170.4440) Medical optics and biotechnology : ObGyn
(170.6510) Medical optics and biotechnology : Spectroscopy, tissue diagnostics
ToC Category:
Medical Optics and Biotechnology
History
Original Manuscript: March 16, 2011
Revised Manuscript: May 30, 2011
Manuscript Accepted: June 9, 2011
Published: August 29, 2011
Virtual Issues
Vol. 6, Iss. 10 Virtual Journal for Biomedical Optics
Citation
Vivide Tuan-Chyan Chang, Delson Merisier, Bing Yu, David K. Walmer, and Nirmala Ramanujam, "Towards a field-compatible optical Spectroscopic device for cervical cancer screening in resource-limited settings: effects of calibration and pressure," Opt. Express 19, 17908-17924 (2011)
http://www.opticsinfobase.org/oe/abstract.cfm?URI=oe-19-19-17908
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- S. Kennedy, J. Geradts, T. Bydlon, J. Q. Brown, J. Gallagher, M. Junker, W. Barry, N. Ramanujam, and L. Wilke, “Optical breast cancer margin assessment: an observational study of the effects of tissue heterogeneity on optical contrast,” Breast Cancer Res.12(6), R91 (2010). [CrossRef] [PubMed]
- K. Vishwanath, W. T. Barry, M. Dewhirst, and N. Ramanujam, “Using optical spectroscopy to longitudinally monitor physiological changes within solide tumors,” Neoplasia11(9), 899–900 (2009).
- R. Sankaranarayanan, P. Basu, R. S. Wesley, C. Mahe, N. Keita, C. C. G. Mbalawa, R. Sharma, A. Dolo, S. S. Shastri, M. Nacoulma, M. Nayama, T. Somanathan, E. Lucas, R. Muwonge, L. Frappart, D. M. Parkin, and IARC Multicentre Study Group on Cervical Cancer Early Detection, “Accuracy of visual screening for cervical neoplasia: Results from an IARC multicentre study in India and Africa,” Int. J. Cancer110(6), 907–913 (2004). [CrossRef] [PubMed]
- V. T.-C. Chang, S. M. Bean, P. S. Cartwright, and N. Ramanujam, “Visible light optical spectroscopy is sensitive to neovascularization in the dysplastic cervix,” J. Biomed. Opt.15(5), 057006–057009 (2010). [CrossRef] [PubMed]
- V. T. C. Chang, P. S. Cartwright, S. M. Bean, G. M. Palmer, R. C. Bentley, and N. Ramanujam, “Quantitative physiology of the precancerous cervix in vivo through optical spectroscopy,” Neoplasia11(4), 325–332 (2009). [PubMed]
- J. E. Bender, K. Vishwanath, L. K. Moore, J. Q. Brown, V. T. Chang, G. M. Palmer, and N. Ramanujam, “A robust Monte Carlo model for the extraction of biological absorption and scattering in vivo,” IEEE Trans. Biomed. Eng.56(4), 960–968 (2009). [CrossRef] [PubMed]
- B. Yu, H. Fu, T. Bydlon, J. E. Bender, and N. Ramanujam, “Diffuse reflectance spectroscopy with a self-calibrating fiber optic probe,” Opt. Lett.33(16), 1783–1785 (2008). [CrossRef] [PubMed]
- J. A. Freeberg, J. L. Benedet, C. MacAulay, L. A. West, and M. Follen, “The performance of fluorescence and reflectance spectroscopy for the in vivo diagnosis of cervical neoplasia; point probe versus multispectral approaches,” Gynecol. Oncol.107(1Suppl 1), S248–S255 (2007). [CrossRef] [PubMed]
- V. T. C. Chang, P. S. Cartwright, S. M. Bean, G. M. Palmer, R. C. Bentley, and N. Ramanujam, “Quantitative physiology of the precancerous cervix in vivo through optical spectroscopy,” Neoplasia11(4), 325–332 (2009). [PubMed]
- R. Hornung, T. H. Pham, K. A. Keefe, M. W. Berns, Y. Tadir, and B. J. Tromberg, “Quantitative near-infrared spectroscopy of cervical dysplasia in vivo,” Hum. Reprod.14(11), 2908–2916 (1999). [CrossRef] [PubMed]
- R. Reif, M. S. Amorosino, K. W. Calabro, O. A’Amar, S. K. Singh, and I. J. Bigio, “Analysis of changes in reflectance measurements on biological tissues subjected to different probe pressures,” J. Biomed. Opt.13(1), 010502–010503 (2008). [CrossRef] [PubMed]
- D. C. Walker, B. H. Brown, A. D. Blackett, J. J. Tidy, and R. H. Smallwood, “A study of the morphological parameters of cervical squamous epithelium,” Physiol. Meas.24(1), 121–135 (2003). [CrossRef] [PubMed]
- M. E. Soler, L. Gaffikin, and P. D. Blumenthal, “Cervical cancer screening in developing countries,” Prim. Care Update Ob Gyns7(3), 118–123 (2000). [CrossRef] [PubMed]
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- T. M. Bydlon, S. A. Kennedy, L. M. Richards, J. Q. Brown, B. Yu, M. K. Junker, J. Gallagher, J. Geradts, L. G. Wilke, and N. Ramanujam, “Performance metrics of an optical spectral imaging system for intra-operative assessment of breast tumor margins,” Opt. Express18(8), 8058–8076 (2010). [CrossRef] [PubMed]
- J. Q. Brown, L. G. Wilke, J. Geradts, S. A. Kennedy, G. M. Palmer, and N. Ramanujam, “Quantitative optical spectroscopy: a robust tool for direct measurement of breast cancer vascular oxygenation and total hemoglobin content in vivo,” Cancer Res.69(7), 2919–2926 (2009). [CrossRef] [PubMed]
- T. DeSantis, N. Chakhtoura, L. Twiggs, D. Ferris, M. Lashgari, L. Flowers, M. Faupel, S. Bambot, S. Raab, and E. Wilkinson, “Spectroscopic imaging as a triage test for cervical disease: a prospective multicenter clinical trial,” J. Low. Genit. Tract Dis.11(1), 18–24 (2007). [CrossRef] [PubMed]
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- V. Chang, D. Merisier, B. Yu, D. Walmer, and N. Ramanujam, “Calibration schemes of a field-compatible optical spectroscopic system to quantify neovascular changes in the dysplastic cervix,” Proc. SPIE7891, 78910A (2011). [CrossRef]
- T. M. Bydlon, S. A. Kennedy, L. M. Richards, J. Q. Brown, B. Yu, M. K. Junker, J. Gallagher, J. Geradts, L. G. Wilke, and N. Ramanujam, “Performance metrics of an optical spectral imaging system for intra-operative assessment of breast tumor margins,” Opt. Express18(8), 8058–8076 (2010). [CrossRef] [PubMed]
- B. Yu, H. Fu, T. Bydlon, J. E. Bender, and N. Ramanujam, “Diffuse reflectance spectroscopy with a self-calibrating fiber optic probe,” Opt. Lett.33(16), 1783–1785 (2008). [CrossRef] [PubMed]
- L. C. Zeferino and S. F. Derchain, “Cervical cancer in the developing world,” Best Pract. Res. Clin. Obstet. Gynaecol.20(3), 339–354 (2006). [CrossRef] [PubMed]
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- J. R. Mourant, T. J. Bocklage, T. M. Powers, H. M. Greene, K. L. Bullock, L. R. Marr-Lyon, M. H. Dorin, A. G. Waxman, M. M. Zsemlye, and H. O. Smith, “In vivo light scattering measurements for detection of precancerous conditions of the cervix,” Gynecol. Oncol.105(2), 439–445 (2007). [CrossRef] [PubMed]
Am. J. Obstet. Gynecol.
- T. C. Wright, L. S. Massad, C. J. Dunton, M. Spitzer, E. J. Wilkinson, D. Solomon, and 2006 American Society for Colposcopy and Cervical Pathology-sponsored Consensus Conference, “2006 consensus guidelines for the management of women with cervical intraepithelial neoplasia or adenocarcinoma in situ,” Am. J. Obstet. Gynecol.197(4), 340–345 (2007). [CrossRef] [PubMed]
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Anal. Quant. Cytol. Histol.
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Ann. Diagn. Pathol.
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Appl. Opt.
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Appl. Spectrosc.
- K. Vishwanath, K. Chang, D. Klein, Y. F. Deng, V. Chang, J. E. Phelps, and N. Ramanujam, “Portable, fiber based, diffuse reflectance spectroscopy systems for estimating tissue optical properties,” Appl. Spectrosc.65(2), 206–215 (2011). [CrossRef]
Best Pract. Res. Clin. Obstet. Gynaecol.
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Biomed. Opt. Express
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Biophys. J.
- D. Arifler, I. Pavlova, A. Gillenwater, and R. Richards-Kortum, “Light scattering from collagen fiber networks: micro-optical properties of normal and neoplastic stroma,” Biophys. J.92(9), 3260–3274 (2007). [CrossRef] [PubMed]
Breast Cancer Res.
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Cancer
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Cancer Res.
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Comput. Methods Programs Biomed.
- L. Wang, S. L. Jacques, and L. Zheng, “MCML--Monte Carlo modeling of light transport in multi-layered tissues,” Comput. Methods Programs Biomed.47(2), 131–146 (1995). [CrossRef] [PubMed]
Gynecol. Oncol.
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Hum. Reprod.
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IEEE J. Sel. Top. Quantum Electron.
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IEEE Trans. Biomed. Eng.
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Int. J. Cancer
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Int. J. Gynecol. Cancer
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J. Biomed. Opt.
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- B. Yu, H. L. Fu, and N. Ramanujam, “Instrument independent diffuse reflectance spectroscopy,” J. Biomed. Opt.16(1), 011010 (2011). [CrossRef] [PubMed]
- K. Vishwanath, D. Klein, K. Chang, T. Schroeder, M. W. Dewhirst, and N. Ramanujam, “Quantitative optical spectroscopy can identify long-term local tumor control in irradiated murine head and neck xenografts,” J. Biomed. Opt.14(5), 054051 (2009). [CrossRef] [PubMed]
- R. Reif, M. S. Amorosino, K. W. Calabro, O. A’Amar, S. K. Singh, and I. J. Bigio, “Analysis of changes in reflectance measurements on biological tissues subjected to different probe pressures,” J. Biomed. Opt.13(1), 010502–010503 (2008). [CrossRef] [PubMed]
- S. K. Chang, D. Arifler, R. Drezek, M. Follen, and R. Richards-Kortum, “Analytical model to describe fluorescence spectra of normal and preneoplastic epithelial tissue: comparison with Monte Carlo simulations and clinical measurements,” J. Biomed. Opt.9(3), 511–522 (2004). [CrossRef] [PubMed]
J. Low. Genit. Tract Dis.
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N. Engl. J. Med.
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Nat. Rev. Cancer
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Neoplasia
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Obstet. Gynecol.
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Opt. Express
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Opt. Lett.
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Pathol. Res. Pract.
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Physiol. Meas.
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Prim. Care Update Ob Gyns
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Proc. SPIE
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Salud Publica Mex.
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2011, Yu, J. Biomed. Opt.
- B. Yu, H. L. Fu, and N. Ramanujam, “Instrument independent diffuse reflectance spectroscopy,” J. Biomed. Opt.16(1), 011010 (2011). [CrossRef] [PubMed]
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- K. Vishwanath, W. T. Barry, M. Dewhirst, and N. Ramanujam, “Using optical spectroscopy to longitudinally monitor physiological changes within solide tumors,” Neoplasia11(9), 899–900 (2009).
- K. Vishwanath, D. Klein, K. Chang, T. Schroeder, M. W. Dewhirst, and N. Ramanujam, “Quantitative optical spectroscopy can identify long-term local tumor control in irradiated murine head and neck xenografts,” J. Biomed. Opt.14(5), 054051 (2009). [CrossRef] [PubMed]
- J. E. Bender, K. Vishwanath, L. K. Moore, J. Q. Brown, V. T. Chang, G. M. Palmer, and N. Ramanujam, “A robust Monte Carlo model for the extraction of biological absorption and scattering in vivo,” IEEE Trans. Biomed. Eng.56(4), 960–968 (2009). [CrossRef] [PubMed]
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