We describ e a system capable of measuring spatially resolved reectance spectra from 380 to 950 nm and¯uorescence excitation emission m atrices from 330 to 500 nm excitation and 380 to 700 nm emission in vivo. System performance was compared to that of a standard scanning spectro¯uorimeter. This``FastEEM``system was used to interrogate human normal and neoplastic oral cavity mucosa in vivo. Measurem ents were m ade through a ® ber-optic probe and req uire 4 min total m easurement tim e. We present a method based on autocorrelation vectors to identify excitation and em ission wavelengths where the spectra of norm al and pathologic tissues differ most. The FastEEM system provides a tool with which to study the relative diagnostic ability of changes in absorption, scattering, and¯uorescence properties of tissue.
There is no satisfactory mechanism to detect premalignant lesions in the upper aero‐digestive tract. Fluorescence spectroscopy has potential to bridge the gap between clinical examination and invasive biopsy; however, optimal excitation wavelengths have not yet been determined. The goals of this study were to determine optimal excitation–emission wavelength combinations to discriminate normal and precancerous/cancerous tissue, and estimate the performance of algorithms based on fluorescence. Fluorescence excitation–emission matrices (EEM) were measured in vivo from 62 sites in nine normal volunteers and 11 patients with a known or suspected premalignant or malignant oral cavity lesion. Using these data as a training set, algorithms were developed based on combinations of emission spectra at various excitation wavelengths to determine which excitation wavelengths contained the most diagnostic information. A second validation set of fluorescence EEM was measured in vivo from 281 sites in 56 normal volunteers and three patients with a known or suspected premalignant or malignant oral cavity lesion. Algorithms developed in the training set were applied without change to data from the validation set to obtain an unbiased estimate of algorithm performance. Optimal excitation wavelengths for detection of oral neoplasia were 350, 380 and 400 nm. Using only a single emission wavelength of 472 nm, and 350 and 400 nm excitation, algorithm performance in the training set was 90% sensitivity and 88% specificity and in the validation set was 100% sensitivity, 98% specificity. These results suggest that fluorescence spectroscopy can provide a simple, objective tool to improve in vivo identification of oral cavity neoplasia.
There is no satisfactory mechanism to detect premalignant lesions in the upper aero-digestive tract. Fluorescence spectroscopy has potential to bridge the gap between clinical examination and invasive biopsy; however, optimal excitation wavelengths have not yet been determined. The goals of this study were to determine optimal excitation-emission wavelength combinations to discriminate normal and precancerous/cancerous tissue, and estimate the performance of algorithms based on fluorescence. Fluorescence excitation-emission matrices (EEM) were measured in vivo from 62 sites in nine normal volunteers and 11 patients with a known or suspected premalignant or malignant oral cavity lesion. Using these data as a training set, algorithms were developed based on combinations of emission spectra at various excitation wavelengths to determine which excitation wavelengths contained the most diagnostic information. A second validation set of fluorescence EEM was measured in vivo from 281 sites in 56 normal volunteers and three patients with a known or suspected premalignant or malignant oral cavity lesion. Algorithms developed in the training set were applied without change to data from the validation set to obtain an unbiased estimate of algorithm performance. Optimal excitation wavelengths for detection of oral neoplasia were 350, 380 and 400 nm. Using only a single emission wavelength of 472 nm, and 350 and 400 nm excitation, algorithm performance in the training set was 90% sensitivity and 88% specificity and in the validation set was 100% sensitivity, 98% specificity. These results suggest that fluorescence spectroscopy can provide a simple, objective tool to improve in vivo identification of oral cavity neoplasia.
A method of determining phosphorus by furnace atomic non-thermal excitation spectrometry (FANES) has been developed. The phosphorus is introduced into the FANES source as a solution of sodium dihydrogen phosphate. The measurements are carried out at 213.5/213.6 and 253.3E53.5 nm, the transition at 213.5/213.6 nm being the more sensitive one. The thermal and chemical conditions were optimised, the best chemical modifier being La3+ ions as they stabilise phosphate ions as LaP04. Using the optimum amount of lanthanum (2 pg) the pre-treatment temperatures could be increased considerably (300 to 800°C at normal pressure and 350 to 400°C at low pressure). The best detection limit obtained is 90 pg of phosphorus, which is an improvement by a factor of 60 in comparison with the best values obtained with commercially available electrothermal atomisation atomic absorption spectrometric (ETAAS) instruments. Examples for real analyses with associated matrix interferences are given.
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