Abstract
Purpose
Current practice for diagnosing nasopharyngeal carcinoma (NPC) is based on invasive tissue biopsy. This study aims to explore the feasibility of using Raman spectroscopy to differentiate cancerous and non-cancerous nasopharyngeal tissue smears, expecting to realize minimal invasive diagnosis using smears from in vivo mucosa tissue by Raman spectroscopy.
Methods
Biopsy tissue smears were acquired from 74 patients with pathologically diagnosed nasopharyngeal diseases and measured using confocal Raman spectroscopy.
Results
Both fingerprint region and high wavenumber Raman spectra were acquired with distinguish features. Multivariate statistical analysis was used to differentiate cancerous and non-cancerous groups, achieving a diagnostic sensitivity of 87.2 and specificity of 85.7 % for differentiating NPC from nasopharyngeal non-cancerous smears.
Conclusions
This work indicates that the method has a unique advantage in microanalysis for tissue smears which may provide a promising minimal invasive (or noninvasive) diagnosing tool for cancer diagnosis.
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References
Bergholt MS, Lin K, Zheng W, Lau DPC, Huang ZW (2012) In vivo, real-time, transnasal, image-guided Raman endoscopy: defining spectral properties in the nasopharynx and larynx. J Biomed Opt 7:077002. doi:10.1117/1.JBO.17.7.077002
Bergholt MS, Zheng W, Huang Z (2013) Development of a multiplexing fingerprint and high wavenumber Raman spectroscopy technique for real-time in vivo tissue Raman measurements at endoscopy. J Biomed Opt 18:030502. doi:10.1117/1.JBO.18.3.030502
Chauhan P, Chaudhary R, Agrawal B, Jain P, Bais PS (2013) Comparison of throat and nasopharyngeal swab specimens for molecular diagnosis of mycoplasma pneumoniae. IOSR J Dental Med Sci 8(2):66–69
Chen Y, Zheng X, Chen G, He C, Zhu W, Feng S, Xi G, Chen R, Lan F, Zeng H (2012) Immunoassay for LMP1 in nasopharyngeal tissue based on surface-enhanced Raman scattering. Int J Nanomed 7:73–82. doi:10.2147/IJN.S26854
Choi J, Choo J, Chung H, Gweon DG, Park J, Kim HJ, Park S, Oh CH (2005) Direct observation of spectral differences between normal and basal cell carcinoma (BCC) tissues using confocal Raman microscopy. Biopolymers 77:264–272. doi:10.1002/bip.20236
Chowdary MVP, Kalyan Kumar K, Mathew S, Rao L, Krishna CM, Kurien J (2009) Biochemical correlation of Raman spectra of normal, benign and malignant breast tissues: a spectral deconvolution study. Biopolymers 91:539–546. doi:10.1002/bip.21171
Christensen E, Bofin A, Guðmundsdóttir I, Skogvoll E (2008) Cytological diagnosis of basal cell carcinoma and actinic keratosis, using Papanicolaou and May–Grünwald–Giemsa stained cutaneous tissue smear. Cytopathology 19:316–322. doi:10.1111/j.1365-2303.2007.00483.x
Duraipandian S, Zheng W, Ng J (2012) Simultaneous fingerprint and high-wavenumber confocal Raman spectroscopy enhances early detection of cervical precancer in vivo. Anal Chem 84(14):5913–5919
Duraipandian S, Zheng W, Ng J, Low J, Ilancheran A, Huang Z (2013) Non-invasive analysis of hormonal variations and effect of postmenopausal Vagifem treatment on women using in vivo high wavenumber confocal Raman spectroscopy. Analyst 138:4120–4128. doi:10.1039/C3AN00526G
Feng S, Chen R, Lin J, Pan J, Chen G, Li Y, Cheng M, Huang Z, Chen J, Zeng H (2010) Nasopharyngeal cancer detection based on blood plasma surface-enhanced Raman spectroscopy and multivariate analysis. Biosens Bioelectron 25:2414–2419. doi:10.1016/j.bios.2010.03.033
Gould PV, Saikali S (2012) A comparison of digitized frozen section and smear preparations for intraoperative neurotelepathology. Anal Cell Pathol 35:85–91. doi:10.3233/ACP-2011-0026
Guze K, Pawluk HC, Short M, Zeng H, Lorch J, Norris C, Sonis S (2014) Pilot study: Raman spectroscopy in differentiating premalignant and malignant oral lesions from normal mucosa and benign lesions in humans. Head Neck 37:511–517. doi:10.1002/hed.23629
Heikkinen T, Marttila J, Salmi AA, Ruuskanen O (2002) Nasal swab versus nasopharyngeal aspirate for isolation of respiratory viruses. J Clin Microbiol 40:4337–4339. doi:10.1128/JCM.40.11.4337-4339.2002
Hildesheim A, Levine PH (1993) Etiology of nasopharyngeal carcinoma: a review. Epidemiol Rev 15:466–485
Huang Z, McWilliams A, Lui H, McLean DI, Lam S, Zeng H (2003) Near-infrared Raman spectroscopy for optical diagnosis of lung cancer. Int J Cancer 107:1047–1052. doi:10.1002/ijc.11500
Huang N, Short M, Zhao J, Wang H, Lui H, Korbelik M, Zeng H (2011a) Full range characterization of the Raman spectra of organs in a murine model. Opt Express 19:22892–22909. doi:10.1364/OE.19.022892
Huang Z, Chen X, Chen Y, Chen J, Dou M, Feng S, Zeng H, Chen R (2011b) Raman spectroscopic characterization and differentiation of seminal plasma. J Biomed Opt 16:110501. doi:10.1117/1.3650310
Huang W, Wu SS, Chen MW, Sun LQ, Li YZ, Huang MZ, Huang SH, Xv ZH, Chen R, Zeng HS (2015) Study of both fingerprint and high wavenumber Raman spectroscopy of pathological nasopharyngeal tissues. J Raman Spectrosc 46:537–544. doi:10.1002/jrs.4684
Jastrzebska M, Zalewska-Rejdak J, Wrzalik R, Kocot A, Barwiński B, Mróz I, Cwalina B (2005) Dimethyl suberimidate cross-linked pericardium tissue: Raman spectroscopic and atomic force microscopy investigations. J Mol Struct 744:789–795. doi:10.1016/j.molstruc.2004.11.040
Jemal A, Bray F, Center MM, Ferlay J, Ward E, Forman D (2011) Global cancer statistics. Ca Cancer J Clin 61:69–90. doi:10.3322/caac.20107
Kamemoto LE, Misra AK, Sharma SK, Goodman MT, Luk H, Dykes AC, Acosta T (2010) Near-infrared micro-raman spectroscopy for in vitro detection of cervical cancer. Appl Spectrosc 64:255–261. doi:10.1366/000370210790918364
Li L, Chen Q-Y, Li Y-Y, Wang Y-F, Yang Z-F, Zhong N-S (2013a) Comparison among nasopharyngeal swab, nasal wash, and oropharyngeal swab for respiratory virus detection in adults with acute pharyngitis. BMC Infect Dis 13:281. doi:10.1186/1471-2334-13-281
Li YZ, Pan JJ, Chen GN, Li C, Lin SJ, Shao YH, Feng SY, Huang ZF, Xie SS, Zeng HS (2013b) Micro-Raman spectroscopy study of cancerous and normal nasopharyngeal tissues. J Biomed Opt 18:027003. doi:10.1117/1.JBO.18.2.027003
Lin D, Lin J, Wu Y, Feng S, Li Y, Yu Y, Xi G, Zeng H, Chen R (2011) Investigation on the interactions of lymphoma cells with paclitaxel by Raman spectroscopy. J Spectrosc 25:23–32. doi:10.3233/SPE-2011-0497
Lo KW, To KF, Huang DP (2004) Focus on nasopharyngeal carcinoma. Cancer Cell 5:423–428. doi:10.1016/S1535-6108(04)00119-9
Lui H, Zhao J, McLean D, Zeng H (2012) Real-time Raman spectroscopy for in vivo skin cancer diagnosis. Cancer Res 72:2491–2500. doi:10.1158/0008-5472.CAN-11-4061
Mo J, Zheng W, Low JJ, Ng J, Ilancheran A (2009) High wavenumber Raman spectroscopy for in vivo detection of cervical dysplasia. Anal Chem 81(21):8908–8915
Movasaghi Z, Rehman S, Rehman IU (2007) Raman spectroscopy of biological tissues. Appl Spectrosc Rev 42:493–541. doi:10.1080/05704920701551530
Raniero L, García-Flores AF, Jalkanen KJ, Canevari RA, Bitar RA (2011) High-wavenumber FT-Raman spectroscopy for in vivo and ex vivo measurements of breast cancer. Theoret Chem Acc 130(4–6):1231–1238
Resau JH, Albright CD (1986) Contact smear cytologic preparations of organ culture explant tissue. Virchows Arch B 52:15–24. doi:10.1007/BF02889946
Stone N, Stavroulaki P, Kendall C, Birchall M, Barr H (2000) Raman spectroscopy for early detection of laryngeal malignancy: preliminary results. Aryngoscope 110:1756–1763
Wang Y, Spencer P (2002) Analysis of acid—treated dentin smear debris and smear layers using confocal Raman microspectroscopy. J Biomed Mater Res 60:300–308. doi:10.1002/jbm.10108
Wei WI, Sham JS (2005) Nasopharyngeal carcinoma. Lancet 365:2041–2054. doi:10.1016/S0140-6736(05)66698-6
Yoshizaki T, Ito M, Murono S, Wakisaka N, Kondo S, Endo K (2012) Current understanding and management of nasopharyngeal carcinoma. Auris Nasus Larynx 39:137–144. doi:10.1016/j.anl.2011.02.012
Zhao J, Lui H, McLean DI, Zeng H (2007) Automated autofluorescence background subtraction algorithm for biomedical raman spectroscopy. Appl Spectrosc 61:1225–1232
Acknowledgments
This work was supported by the Program for Changjiang Scholars and Innovative Research Team in University (IRT1115) and the National Natural Science Foundation of China (Nos. 61210016, 61178090, 61178083, and 81301253), National Natural Science Foundation of Fujian China (No. 2014J01227), the Project of Science Foundation of Ministry of Health and United Fujian Provincial Health and Education Project for Tackling the Key Research (No. WKJ-FJ-01), the Project of Fujian Provincial Education Department (No. JB13022), the Science and Technology Planning Project of Fuzhou (NO. 2011-S-66-5), Project Supported by the Natural Science Foundation of Fujian Province (2015J01499) and the Canadian Institutes of Health Research International Scientific Exchange Program.
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Liqing Sun and Zhihong Xu have contributed equally to this work.
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Sun, L., Xu, Z., Huang, W. et al. Preliminary study of differentiating smears from cancerous and non-cancerous nasopharyngeal tissue using confocal Raman spectroscopy. J Cancer Res Clin Oncol 142, 823–831 (2016). https://doi.org/10.1007/s00432-015-2082-3
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DOI: https://doi.org/10.1007/s00432-015-2082-3