Three-dimensional optical coherence tomography for optical biopsy of lymph nodes and assessment of metastatic disease

John, Renu and Adie, S G and Chaney, E J and Marjanovic, M and Tangella, K V and Boppart, S A (2013) Three-dimensional optical coherence tomography for optical biopsy of lymph nodes and assessment of metastatic disease. Annals of Surgical Oncology, 20 (11). pp. 3685-2693. ISSN 1068-9265

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Abstract

Background: Numerous techniques have been developed for localizing lymph nodes before surgical resection and for their histological assessment. Nondestructive high-resolution transcapsule optical imaging of lymph nodes offers the potential for in situ assessment of metastatic involvement, potentially during surgical procedures. Methods: Three-dimensional optical coherence tomography (3-D OCT) was used for imaging and assessing resected popliteal lymph nodes from a preclinical rat metastatic tumor model over a 9-day time-course study after tumor induction. The spectral-domain OCT system utilized a center wavelength of 800 nm, provided axial and transverse resolutions of 3 and 12 μm, respectively, and performed imaging at 10,000 axial scans per second. Results: OCT is capable of providing high-resolution label-free images of intact lymph node microstructure based on intrinsic optical scattering properties with penetration depths of ~1-2 mm. The results demonstrate that OCT is capable of differentiating normal, reactive, and metastatic lymph nodes based on microstructural changes. The optical scattering and structural changes revealed by OCT from day 3 to day 9 after the injection of tumor cells into the lymphatic system correlate with inflammatory and immunological changes observed in the capsule, precortical regions, follicles, and germination centers found during histopathology. Conclusions: We report for the first time a longitudinal study of 3-D transcapsule OCT imaging of intact lymph nodes demonstrating microstructural changes during metastatic infiltration. These results demonstrate the potential of OCT as a technique for intraoperative, real-time in situ 3-D optical biopsy of lymph nodes for the intraoperative staging of cancer

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IITH Creators:
IITH CreatorsORCiD
John, Renuhttps://orcid.org/0000-0003-3254-2472
Item Type: Article
Subjects: Biomedical Engineering
Divisions: Department of Biomedical Engineering
Depositing User: Team Library
Date Deposited: 30 Jan 2015 06:38
Last Modified: 05 Dec 2017 04:24
URI: http://raiith.iith.ac.in/id/eprint/1332
Publisher URL: https://doi.org/10.1245/s10434-012-2434-z
OA policy: http://www.sherpa.ac.uk/romeo/issn/1068-9265/
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