Abstract. Optical spectroscopic techniques, including Raman spectroscopy, have shown promise for in vivo cancer diagnostics in a variety of organs. In this study, the potential use of a home-made Raman spectral system with a millimeter order excitation laser spot size combined with a multivariate statistical analysis for the rapid detection and discrimination of nasopharyngeal cancer from normal nasopharyngeal tissue was evaluated. Raman scattering signals were acquired from 16 normal and 32 nasopharyngeal carcinoma tissue samples. Linear discriminant analysis (LDA) based on principal component analysis (PCA) and partial least squares (PLS) were employed to generate diagnostic algorithms for the classification of different nasopharyngeal tissue types. Spectral differences in Raman spectra between the two types of tissues were revealed; the normalized intensities of Raman peaks at 1,001, 1,207 and 1,658 cm -1 were more intense for nasopharyngeal carcinoma tissue compared to normal tissue, while Raman bands at 848, 936 and 1,446 cm -1 were stronger in normal nasopharyngeal samples. The PCA-LDA algorithm together with leave-one-out cross validation yields a diagnostic sensitivity of 81% and a specificity of 87%, while the PLS method coupled with subwindow permutation analysis improves the diagnostic sensitivity and specificity to 85 and 88%, respectively. Therefore, Raman spectroscopy combined with PCA-LDA/PLS demonstrated good potential for improving the clinical diagnosis of nasopharyngeal cancers.
IntroductionNasopharyngeal cancer is a squamous cell carcinoma that develops in the epithelial lining of the nasopharynx and has the highest incidence rates in East Asia, particularly in the Southeastern region of China, where the age-standardized incidence rate reaches 26.9/100,000 in males (1,2). Early diagnosis and adequate treatment of nasopharyngeal cancer is crucial to increase the survival rate of the patients. Current diagnostics rely on the visualization of gross morphological changes (e.g., irregularity, modularity and anatomical location) associated with neoplastic transformation, using routine white-light reflectance endoscopy. The definitive diagnosis and staging of patients with neoplastic diseases usually requires surgical removal of tissue for histological review. It is usually difficult to identify nasopharyngeal cancer in its early stages (3,4). Therefore, there is an urgent need to develop a fast and non-destructive technique to aid the clinical identification of early-stage nasopharyngeal cancer.A variety of optical imaging and spectroscopic techniques, including Raman spectroscopy, are currently being investigated with the aim to improve cancer diagnosis and treatment (5-7). These techniques have the potential to provide chemical as well as morphological information and are less invasive compared to the currently available diagnostic procedures. Raman spectroscopy is an inelastic light scattering technique capable of non-destructively providing detailed quantitative chemical information on tissues ...