TY - JOUR
T1 - Comparison of photoacoustic imaging and histopathological examination in determining the dimensions of 52 human melanomas and nevi ex vivo
T2 - Biomedical Optics Express
AU - Hult, Jenny
AU - Merdasa, Aboma
AU - Pekar-Lukacs, Agnes
AU - Tordengren Stridh, Magne
AU - Khodaverdi, Azin
AU - Albinsson, John
AU - Gesslein, Bodil
AU - Dahlstrand, Ulf
AU - Engqvist, Linn
AU - Hamid, Yousef
AU - Larsson Albèr, Douglas
AU - Persson, Bertil
AU - Erlöv, Tobias
AU - Sheikh, Rafi
AU - Cinthio, Magnus
AU - Malmsjö, Malin
N1 - Funding Information:
Funding. Swedish Government Grant for Clinical Research; Skåne University Hospital (SUS) Research Grants; Skåne County Council Research Grants; Lund University Grant for Research Infrastructure; the Swedish Cancer Foundation; Crown Princess Margaret’s Foundation (KMA); Friends of the Visually Impaired Association in the county of Gävleborg; Foundation for the Visually Impaired in the County of Malmöhus; Lund Laser Center Research Grant; IngaBritt and Arne Lundberg’s Research Foundation; the Swedish Eye Foundation; the Cronqvist Foundation; the Swedish Medical Association.
Publisher Copyright:
© 2021 Optical Society of America under the terms of the OSA Open Access Publishing Agreement
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021
Y1 - 2021
N2 - Surgical excision followed by histopathological examination is the gold standard for the diagnosis and staging of melanoma. Reoperations and unnecessary removal of healthy tissue could be reduced if non-invasive imaging techniques were available for presurgical tumor delineation. However, no technique has gained widespread clinical use to date due to shallow imaging depth or the absence of functional imaging capability. Photoacoustic (PA) imaging is a novel technology that combines the strengths of optical and ultrasound imaging to reveal the molecular composition of tissue at high resolution. Encouraging results have been obtained from previous animal and human studies on melanoma, but there is still a lack of clinical data. This is the largest study of its kind to date, including 52 melanomas and nevi. 3D multiwavelength PA scanning was performed ex vivo, using 59 excitation wavelengths from 680 nm to 970 nm. Spectral unmixing over this broad wavelength range, accounting for the absorption of several tissue chromophores, provided excellent contrast between healthy tissue and tumor. Combining the results of spectral analysis with spatially resolved information provided a map of the tumor borders in greater detail than previously reported. The tumor dimensions determined with PA imaging were strongly correlated with those determined by histopathological examination for both melanomas and nevi.
AB - Surgical excision followed by histopathological examination is the gold standard for the diagnosis and staging of melanoma. Reoperations and unnecessary removal of healthy tissue could be reduced if non-invasive imaging techniques were available for presurgical tumor delineation. However, no technique has gained widespread clinical use to date due to shallow imaging depth or the absence of functional imaging capability. Photoacoustic (PA) imaging is a novel technology that combines the strengths of optical and ultrasound imaging to reveal the molecular composition of tissue at high resolution. Encouraging results have been obtained from previous animal and human studies on melanoma, but there is still a lack of clinical data. This is the largest study of its kind to date, including 52 melanomas and nevi. 3D multiwavelength PA scanning was performed ex vivo, using 59 excitation wavelengths from 680 nm to 970 nm. Spectral unmixing over this broad wavelength range, accounting for the absorption of several tissue chromophores, provided excellent contrast between healthy tissue and tumor. Combining the results of spectral analysis with spatially resolved information provided a map of the tumor borders in greater detail than previously reported. The tumor dimensions determined with PA imaging were strongly correlated with those determined by histopathological examination for both melanomas and nevi.
KW - Functional imaging
KW - Imaging techniques
KW - Magnetic resonance imaging
KW - Optical coherence tomography
KW - Photoacoustic imaging
KW - Positron emission tomography
UR - http://www.scopus.com/inward/record.url?scp=85108287733&partnerID=8YFLogxK
U2 - 10.1364/BOE.425524
DO - 10.1364/BOE.425524
M3 - Article
C2 - 34457401
SN - 2156-7085
VL - 12
SP - 4097
EP - 4114
JO - Biomedical Optics Express
JF - Biomedical Optics Express
IS - 7
ER -