Open Access
11 September 2019 Optical biopsy identification and grading of gliomas using label-free visible resonance Raman spectroscopy
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Abstract

Glioma is one of the most refractory types of brain tumor. Accurate tumor boundary identification and complete resection of the tumor are essential for glioma removal during brain surgery. We present a method based on visible resonance Raman (VRR) spectroscopy to identify glioma margins and grades. A set of diagnostic spectral biomarkers features are presented based on tissue composition changes revealed by VRR. The Raman spectra include molecular vibrational fingerprints of carotenoids, tryptophan, amide I/II/III, proteins, and lipids. These basic in situ spectral biomarkers are used to identify the tissue from the interface between brain cancer and normal tissue and to evaluate glioma grades. The VRR spectra are also analyzed using principal component analysis for dimension reduction and feature detection and support vector machine for classification. The cross-validated sensitivity, specificity, and accuracy are found to be 100%, 96.3%, and 99.6% to distinguish glioma tissues from normal brain tissues, respectively. The area under the receiver operating characteristic curve for the classification is about 1.0. The accuracies to distinguish normal, low grade (grades I and II), and high grade (grades III and IV) gliomas are found to be 96.3%, 53.7%, and 84.1% for the three groups, respectively, along with a total accuracy of 75.1%. A set of criteria for differentiating normal human brain tissues from normal control tissues is proposed and used to identify brain cancer margins, yielding a diagnostic sensitivity of 100% and specificity of 71%. Our study demonstrates the potential of VRR as a label-free optical molecular histopathology method used for in situ boundary line judgment for brain surgery in the margins.

CC BY: © The Authors. Published by SPIE under a Creative Commons Attribution 4.0 Unported License. Distribution or reproduction of this work in whole or in part requires full attribution of the original publication, including its DOI.
Yan Zhou, Cheng-Hui Liu, Binlin Wu, Xinguang Yu, Gangge Cheng, Ke Zhu, Kai Wang, Chunyuan Zhang, Mingyue Zhao, Rui Zong, Lin Zhang, Lingyan Shi, and Robert R. Alfano "Optical biopsy identification and grading of gliomas using label-free visible resonance Raman spectroscopy," Journal of Biomedical Optics 24(9), 095001 (11 September 2019). https://doi.org/10.1117/1.JBO.24.9.095001
Received: 1 March 2019; Accepted: 26 July 2019; Published: 11 September 2019
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CITATIONS
Cited by 54 scholarly publications.
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KEYWORDS
Tissues

Raman spectroscopy

Brain

Tumors

Proteins

Biopsy

Cancer

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