Abstract:In vivo trans-rectal near-infrared (NIR) optical tomography is conducted on a tumor-bearing canine prostate with the assistance of trans-rectal ultrasound (TRUS). The canine prostate tumor model is made possible by a unique round cell neoplasm of dogs, transmissible venereal tumor (TVT) that can be transferred from dog to dog regardless of histocompatibility. A characterized TVT cell line was homogenized and passed twice in subcutaneous tissue of NOD/SCID mice. Following the second passage, the tumor was recov… Show more
“…It is also apparent that optimizing the probe design for this specific clinical application is critical in order to achieve personalized treatment delivery, and is likely different from the design for whole prostate tomography as used for cancer detection [24].…”
Section: Discussionmentioning
confidence: 99%
“…The experimentally tested configuration was originally designed for whole prostate imaging [23][24][25]. With its large field of view, lesion monitoring is relatively insensitive to probe placement.…”
Section: Optimal Clinical Configurationmentioning
confidence: 99%
“…The phantom experiments carried out for cross-validation with the simulations used a CW-TRDOT system that has been previously reported by Piao and colleagues [24] for in vivo canine prostate cancer imaging studies. The source and detector fibers are mounted on a near-flatface substrate attached to a cylindrical 2 cm diameter ultrasound probe.…”
Section: Dot Experimentsmentioning
confidence: 99%
“…Of particular relevance here is a system that combined continuous-wave (CW) transrectal diffuse optical tomography (CW-TRDOT) with twodimensional (2-D) TRUS for prostate cancer detection and quantification, based on the tumor having higher optical absorption than normal prostate in the NIR [23][24][25]. Tumor imaging was successfully demonstrated in a canine prostate cancer model [24] using this system. In the context of thermal therapy, the tissue optical scattering typically increases by 2-to 5-fold upon coagulation due to changes in tissue cell density and protein denaturation, as shown in several studies [26][27][28][29][30].…”
Section: Introductionmentioning
confidence: 99%
“…A variety of DOT systems have been reported for functional imaging or tumor detection, including in the breast [18][19][20] and brain [21,22]. Of particular relevance here is a system that combined continuous-wave (CW) transrectal diffuse optical tomography (CW-TRDOT) with twodimensional (2-D) TRUS for prostate cancer detection and quantification, based on the tumor having higher optical absorption than normal prostate in the NIR [23][24][25]. Tumor imaging was successfully demonstrated in a canine prostate cancer model [24] using this system.…”
Near-infrared interstitial photothermal therapy (PTT) is currently undergoing clinical trials as an alternative to watchful waiting or radical treatments in patients with low/intermediate-risk focal prostate cancer. Currently, magnetic resonance imaging (MRI)-based thermography is used to monitor thermal energy delivery and determine indirectly the completeness of the target tumor destruction while avoiding damage to adjacent normal tissues, particularly the rectal wall. As an alternative, transrectal diffuse optical tomography (TRDOT) is being developed to image directly the photocoagulation boundary based on the changes in tissue optical properties, particularly scattering. An established diffusion-theory finite-element software platform was used to perform forward simulations to determine the sensitivity of changes in the optical signal resulting from a growing coagulated lesion with optical scattering contrast, for varying light source-detector separations in both longitudinal and transverse imaging geometries. The simulations were validated experimentally in tissue-simulating phantoms using an existing continuous-wave TRDOT system, in a configuration that is representative of one potential intended clinical use. This provides critical guidance for the optimum design of the transrectal applicator probe, in terms of achieving maximum sensitivity to the presence of the coagulation boundary and, consequently, the highest accuracy in determining the boundary location relative to the rectal wall.Keywords: focal prostate cancer; interstitial photothermal therapy; diffuse optical tomography Zusammenfassung: Die interstitielle photothermische Therapie im Nahinfrarotbereich wird derzeit in klinischen Studien als Alternative zum ‚Watchful Waiting' (beobachtendes Abwarten) bzw. zur radikalen Behandlung von Patienten mit Prostatakrebs der Niedrig-und Mittelrisikogruppe untersucht. Derzeit wird die MR-Thermografie eingesetzt, um die Deposition der thermischen Energie zu überwachen und indirekt die vollständige Tumorzerstö-rung bei gleichzeitiger Vermeidung einer Schädigung des angrenzenden gesunden Gewebes, insbesondere der Rektumwand, zu überprüfen. Als Alternative wurde das Verfahren der transrektalen diffusen optischen Tomographie (TRDOT) entwickelt, mit dem Ziel, die Grenzen der Photokoagulation direkt anhand der Veränderungen in den optischen Gewebeeigenschaften, insbesondere der Streuung, darzustellen. Eine etablierte Software-Plattform auf Basis der Diffusionstheorie und Finite-Elemente-Methode wurde zur Durchführung von Vorwärtssimulationen verwendet, um die Empfindlichkeit der Änderungen des optischen Signals in einer wachsenden Koagulationszone mit optischem Streukontrast zu bestimmen -sowohl für unterschiedliche Lichtquelle/Detektor-Abstände als auch in Längs-und Querausrichtung. Die Simulationen wurden mit einem vorhandenen kontinuierlich abstrahlenden TRDOT-System experimentell in Gewebephantomen validiert -und zwar in einer Konfiguration, die repräsentativ für eine potentielle klinische Anwendung ...
“…It is also apparent that optimizing the probe design for this specific clinical application is critical in order to achieve personalized treatment delivery, and is likely different from the design for whole prostate tomography as used for cancer detection [24].…”
Section: Discussionmentioning
confidence: 99%
“…The experimentally tested configuration was originally designed for whole prostate imaging [23][24][25]. With its large field of view, lesion monitoring is relatively insensitive to probe placement.…”
Section: Optimal Clinical Configurationmentioning
confidence: 99%
“…The phantom experiments carried out for cross-validation with the simulations used a CW-TRDOT system that has been previously reported by Piao and colleagues [24] for in vivo canine prostate cancer imaging studies. The source and detector fibers are mounted on a near-flatface substrate attached to a cylindrical 2 cm diameter ultrasound probe.…”
Section: Dot Experimentsmentioning
confidence: 99%
“…Of particular relevance here is a system that combined continuous-wave (CW) transrectal diffuse optical tomography (CW-TRDOT) with twodimensional (2-D) TRUS for prostate cancer detection and quantification, based on the tumor having higher optical absorption than normal prostate in the NIR [23][24][25]. Tumor imaging was successfully demonstrated in a canine prostate cancer model [24] using this system. In the context of thermal therapy, the tissue optical scattering typically increases by 2-to 5-fold upon coagulation due to changes in tissue cell density and protein denaturation, as shown in several studies [26][27][28][29][30].…”
Section: Introductionmentioning
confidence: 99%
“…A variety of DOT systems have been reported for functional imaging or tumor detection, including in the breast [18][19][20] and brain [21,22]. Of particular relevance here is a system that combined continuous-wave (CW) transrectal diffuse optical tomography (CW-TRDOT) with twodimensional (2-D) TRUS for prostate cancer detection and quantification, based on the tumor having higher optical absorption than normal prostate in the NIR [23][24][25]. Tumor imaging was successfully demonstrated in a canine prostate cancer model [24] using this system.…”
Near-infrared interstitial photothermal therapy (PTT) is currently undergoing clinical trials as an alternative to watchful waiting or radical treatments in patients with low/intermediate-risk focal prostate cancer. Currently, magnetic resonance imaging (MRI)-based thermography is used to monitor thermal energy delivery and determine indirectly the completeness of the target tumor destruction while avoiding damage to adjacent normal tissues, particularly the rectal wall. As an alternative, transrectal diffuse optical tomography (TRDOT) is being developed to image directly the photocoagulation boundary based on the changes in tissue optical properties, particularly scattering. An established diffusion-theory finite-element software platform was used to perform forward simulations to determine the sensitivity of changes in the optical signal resulting from a growing coagulated lesion with optical scattering contrast, for varying light source-detector separations in both longitudinal and transverse imaging geometries. The simulations were validated experimentally in tissue-simulating phantoms using an existing continuous-wave TRDOT system, in a configuration that is representative of one potential intended clinical use. This provides critical guidance for the optimum design of the transrectal applicator probe, in terms of achieving maximum sensitivity to the presence of the coagulation boundary and, consequently, the highest accuracy in determining the boundary location relative to the rectal wall.Keywords: focal prostate cancer; interstitial photothermal therapy; diffuse optical tomography Zusammenfassung: Die interstitielle photothermische Therapie im Nahinfrarotbereich wird derzeit in klinischen Studien als Alternative zum ‚Watchful Waiting' (beobachtendes Abwarten) bzw. zur radikalen Behandlung von Patienten mit Prostatakrebs der Niedrig-und Mittelrisikogruppe untersucht. Derzeit wird die MR-Thermografie eingesetzt, um die Deposition der thermischen Energie zu überwachen und indirekt die vollständige Tumorzerstö-rung bei gleichzeitiger Vermeidung einer Schädigung des angrenzenden gesunden Gewebes, insbesondere der Rektumwand, zu überprüfen. Als Alternative wurde das Verfahren der transrektalen diffusen optischen Tomographie (TRDOT) entwickelt, mit dem Ziel, die Grenzen der Photokoagulation direkt anhand der Veränderungen in den optischen Gewebeeigenschaften, insbesondere der Streuung, darzustellen. Eine etablierte Software-Plattform auf Basis der Diffusionstheorie und Finite-Elemente-Methode wurde zur Durchführung von Vorwärtssimulationen verwendet, um die Empfindlichkeit der Änderungen des optischen Signals in einer wachsenden Koagulationszone mit optischem Streukontrast zu bestimmen -sowohl für unterschiedliche Lichtquelle/Detektor-Abstände als auch in Längs-und Querausrichtung. Die Simulationen wurden mit einem vorhandenen kontinuierlich abstrahlenden TRDOT-System experimentell in Gewebephantomen validiert -und zwar in einer Konfiguration, die repräsentativ für eine potentielle klinische Anwendung ...
Continuous-wave Near-Infrared (NIR) optical spectroscopy has shown great diagnostic capability in the early tumor detection with advantages of low-cost, portable, non-invasive, and non-radiative. In this paper, Modified Lambert-Beer Theory is deployed to address the low-resolution issues of the NIR technique and to design the tumor detecting and imaging system. Considering that tumor tissues have features such as high blood flow and hypoxia, the proposed technique can detect the location, size, and other information of the tumor tissues by comparing the absorbance between pathological and normal tissues. Finally, the tumor tissues can be imaged through tomographic method. The simulation experiments prove that the proposed technique and designed system can efficiently detect the tumor tissues, achieving imaging precision within 1 mm. The work of the paper has shown great potential in the diagnosis of tumor close to body surface.
Abstract.Optoacoustic ͑OA͒ tomography has demonstrated utility in identifying blood-rich malignancies in breast tissue. We describe the development and characterization of a laser OA imaging system for the prostate ͑LOIS-P͒. The system consists of a fiber-coupled Q-switched laser operating at 757 nm, a commercial 128-channel ultrasonic probe, a digital signal processor, and software that uses the filtered radial back-projection algorithm for image reconstruction. The system is used to reconstruct OA images of a blood-rich lesion induced in vivo in a canine prostate. OA images obtained in vivo are compared to images acquired using ultrasound, the current gold standard for guiding biopsy of the prostate. Although key structural features such as the urethra could be identified with both imaging techniques, a bloody lesion representing a highly vascularized tumor could only be clearly identified in OA images. The advantages and limitations of both forward and backward illumination modes are also evaluated by collecting OA images of phantoms simulating blood vessels within tissue. System resolution is estimated to be 0.2 mm in the radial direction of the acoustic array. The minimum detectable pressure signal is 1.83 Pa. Our results encourage further development toward a dual-modality OA/ultrasonic system for prostate imaging and image-guided biopsy.
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