Performance characteristics of fluorescence endoscope in detection of head and neck cancers.

作者: Boonchu Kulapaditharom , Vipa Boonkitticharoen

DOI: 10.1177/000348940111000109

关键词:

摘要: Laser-induced fluorescence endoscopy (LIFE) is a noninvasive method for detecting early cancers in hollow organs. A laser-induced endoscope that was designed lung imaging investigated its effectiveness comparison to white light (WLE) localizing head and neck cancers. total of 196 images from 98 sites 56 patients were graded into 5 levels normal definitely abnormal. cutoff level differentiate abnormal chosen receiver operating characteristic curve. On this basis, LIFE (sensitivity, 92.86%; specificity, 78.57%) observed be more effective reliable than WLE 67.86%; 70%) locating neoplastic foci precancerous lesions. Nevertheless, helpful presenting anatomic details. The reliability varied site site. It excelled examination the oropharynx 100%; 96.20%), but less lesions nasopharynx 66.70%; 75.00%). In standardizing test, interobserver variation assessed, good agreement image interpretation confirmed by statistical analysis. conclusion, found an tool

参考文章(17)
David L Sackett, R Brian Haynes, Peter Tugwell, Clinical Epidemiology: A Basic Science for Clinical Medicine ,(1991)
Vali A Papadimitrakopoulou, Dong M Shin, Waun K Hong, None, Molecular and cellular biomarkers for field cancerization and multistep process in head and neck tumorigenesis Cancer and Metastasis Reviews. ,vol. 15, pp. 53- 76 ,(1996) , 10.1007/BF00049487
Boonchu Kulapaditharom, Vipa Boonkitticharoen, Laser-Induced Fluorescence Imaging in Localization of Head and Neck Cancers Annals of Otology, Rhinology, and Laryngology. ,vol. 107, pp. 241- 246 ,(1998) , 10.1177/000348949810700310
Leonard Leibovici, Nili Schoenfeld, Henry A. Yehoshua, Rivka Mamet, Erica Rakowsky, Asher Shindel, Abraham Atsmon, Activity of porphobilinogen deaminase in peripheral blood mononuclear cells of patients with metastatic cancer. Cancer. ,vol. 62, pp. 2297- 2300 ,(1988) , 10.1002/1097-0142(19881201)62:11<2297::AID-CNCR2820621106>3.0.CO;2-7
David M. Harris, Jay Werkhaven, Endogenous porphyrin fluorescence in tumors. Lasers in Surgery and Medicine. ,vol. 7, pp. 467- 472 ,(1987) , 10.1002/LSM.1900070605
Yang Yuanlong, Ye Yanming, Li Fuming, Li Yufen, Ma Paozhong, Characteristic autofluorescence for cancer diagnosis and its origin Lasers in Surgery and Medicine. ,vol. 7, pp. 528- 532 ,(1987) , 10.1002/LSM.1900070617
Jianan Qu, Calum MacAulay, Stephen Lam, Branko Palcic, Optical properties of normal and carcinomatous bronchial tissue. Applied Optics. ,vol. 33, pp. 7397- 7405 ,(1994) , 10.1364/AO.33.007397
A.M. Kluftinger, N.L. Davis, N.F. Quenville, S. Lam, J. Hung, B. Palcic, Detection of squamous cell cancer and pre-cancerous lesions by imaging of tissue autofluorescence in the hamster cheek pouch model. Surgical Oncology-oxford. ,vol. 1, pp. 183- 188 ,(1992) , 10.1016/0960-7404(92)90032-G
N. Ramanujam, M.F. Mitchell, A. Mahadevan, S. Thomsen, E. Silva, R. Richards-Kortum, Fluorescence Spectroscopy: A Diagnostic Tool for Cervical Intraepithelial Neoplasia (CIN) Gynecologic Oncology. ,vol. 52, pp. 31- 38 ,(1994) , 10.1006/GYNO.1994.1007
M Panjehpour, BF Overholt, T Vo-Dinh, RC Haggitt, DH Edwards, FP Buckley, Endoscopic fluorescence detection of high-grade dysplasia in Barrett's esophagus Gastroenterology. ,vol. 111, pp. 93- 101 ,(1996) , 10.1053/GAST.1996.V111.PM8698231