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High-Resolution ENT Video Endoscope with Superior Image Quality Equivalent to that of Gastric Video Endoscopes
摘要： Background and study aims: To assess the usability of high resolution fiberscope which has equivalent image quality to that of the esophageal and gastric video endoscopes. Patients and methods: Image resolution of this endoscope was estimated by the United States Air Force (USAF) resolution test chart. Clinical application was done between January and December 2010 and transnasal observation of the larynx and hypopharynx were performed during this period. These examinations were done for screening and follow-up for patients with hypopharyngeal and laryngeal disorders. Results: This endoscope could distinguish features on a scale of nearly 20 μm, and abnormal vascular patterns on the mucosal surface characteristic of carcinomas were clearly observed under a conventional light source. In addition, these changes on the mucosal surface became more apparent with use of the i-SCAN?. Nevertheless, the handling of this video endoscope was similar to that of popular ENT video endoscopes, and all patients tolerated its use well. Conclusion: This new device may dramatically improve pharyngolaryngeal examination in ENT clinics.
关键词： Narrow-band imaging,Intraepithelial papillary capillary loops,Early diagnosis,Video endoscope
更新于2025-09-23 15:22:29
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Improving clinical diagnosis of early-stage cutaneous melanoma based on Raman spectroscopy
摘要： BACKGROUND: Clinical diagnosis of early melanoma (Breslow thickness less than 0.8 mm) is crucial to disease-free survival. However, it is subjective and can be exceedingly difficult, leading to missed melanomas, or unnecessary excision of benign pigmented skin lesions. An objective technique is needed to improve the diagnosis of early melanoma. METHODS: We have developed a method to improve diagnosis of (thin) melanoma, based on Raman spectroscopy. In an ex vivo study in a tertiary referral (pigmented lesions) centre, high-wavenumber Raman spectra were collected from 174 freshly excised melanocytic lesions suspicious for melanoma. Measurements were performed on multiple locations within the lesions. A diagnostic model was developed and validated on an independent data set of 96 lesions. RESULTS: Approximately 60% of the melanomas included in this study were melanomas in situ. The invasive melanomas had an average Breslow thickness of 0.89 mm. The diagnostic model correctly classified all melanomas (including in situ) with a specificity of 43.8%, and showed a potential improvement of the number needed to treat from 6.0 to 2.7, at a sensitivity of 100%. CONCLUSION: This work signifies an important step towards accurate and objective clinical diagnosis of melanoma and in particular melanoma with Breslow thickness <0.8 mm.
关键词： dermatology,Raman spectroscopy,early diagnosis,Breslow thickness,melanoma
更新于2025-09-23 15:21:21
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Efficacy of light based detection systems for early detection of oral cancer and oral potentially malignant disorders: Systematic review
摘要： Background: Earlier detection of oral squamous cell carcinoma (OSCC) and oral potentially malignant disorders (OPMD) is essential for dental professionals to improve patient survival rates. The aim of this systematic review is to to evaluate the effectiveness of devices that utilise the principles of chemiluminescence and tissue autofluorescence as adjuncts in the detection of OSCC and OPMD. Material and Methods: The electronic retrieval systems and databases searched for relevant articles were PubMed [MEDLINE] and Science direct. The search was for limited articles published in English or with an English abstract and articles published during the period from January 2005 to April 2014. Clinical trials utilized ViziLite, Microlux TM/DL and Visual Enhanced Light scope (VELscope) for early detection of OPMD and OSCC. Results: Twenty primary studies published satisfied our criteria for selection - 10 utilised chemiluminescence and 10 tissue autofluorescence. Senstivity of Vizilite for detecting OSCC nad OPMD ranged from 77.1 % to 100% and specificity was low that ranged from 0% to 27.8%.Most have shown that chemiluminescence increases the brightness and margins of oral mucosal white lesions and thus assist in identification of mucosal lesions not considered under Conventional visual examination. However, it preferentially detects leukoplakia and may fail to spot red patches. Clinical trials demonstrated that sensitivity of VELscope in detecting malignancy and OPMD ranged from 22 % to 100 % and specificity ranged from 16 % to 100%. Most studies concluded that VELscope can help the experienced clinician to find oral precursor malignant lesions. But it couldnot differentiate between dysplasia and benign inflammatory conditions. Conclusions: Both devices are simple, non-invasive test of the oral mucosa but are suited for clinicians with sufficient experience and training. More clinical trials in future should be conducted to establish optical imaging as an efficacious adjunct tool in early diagnosis of OSCC and OPMD.
关键词： Oral cancer,early diagnosis,potentially malignant disorders,VELscope,chemiluminescence,ViziLite plus,tissue autofluorescence
更新于2025-09-19 17:15:36
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Common Aspects Influencing the Translocation of SERS to Biomedicine
摘要： This review overviews the impact in biomedicine of surface enhanced Raman scattering motivated by the great potential we believe this technique has. We present the advantages and limitations of this technique relevant to bioanalysis in vitro and in vivo and how this technique goes beyond the state of the art of traditional analytical, labelling and healthcare diagnostic technologies.
关键词： early diagnosis,Biomedicine,nanoparticles,hybrid plasmonic platforms,bioanalytes,Surface-enhanced Raman Scattering (SERS),multiplexed bioanalysis,biosensors
更新于2025-09-10 09:29:36
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Streptavidin-conjugated gold nanoclusters as ultrasensitive fluorescent sensors for early diagnosis of HIV infection
摘要： We have engineered streptavidin-labeled fluorescent gold nanoclusters to develop a gold nanocluster immunoassay (GNCIA) for the early and sensitive detection of HIV infection. We performed computational simulations on the mechanism of interaction between the nanoclusters and the streptavidin protein via in silico studies and showed that gold nanoclusters enhance the binding to the protein, by enhancing interaction between the Au atoms and the specific active site residues, compared to other metal nanoclusters. We also evaluated the role of glutathione conjugation in binding to gold nanoclusters with streptavidin. As proof of concept, GNCIA achieved a sensitivity limit of detection of HIV-1 p24 antigen in clinical specimens of 5 pg/ml, with a detection range up to1000 pg/ml in a linear dose-dependent manner. GNCIA demonstrated a threefold higher sensitivity and specificity compared to enzyme-linked immunosorbent assay for the detection of HIV p24 antigen. The specificity of the immunoassay was 100% when tested with plasma samples negative for HIV-1 p24 antigen and positive for viruses such as hepatitis B virus, hepatitis C virus, and dengue. GNCIA could be developed into a universal labeling technology using the relevant capture and detector antibodies for the specific detection of antigens of various pathogens in the future.
关键词： HIV infection,immunoassay,gold nanoclusters,early diagnosis,fluorescent sensors
更新于2025-09-10 09:29:36
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The diagnosis of nasopharyngeal carcinoma by optical coherence tomography (OCT)
摘要： We have attempted to explore the intrinsic differences in the optical properties of the nasopharyngeal carcinoma (NPC) and normal tissue by optical coherence tomography (OCT). OCT imaging of normal tissue provided three layers of epithelium, lamina propria, and the brighter interface of basement membrane; while carcinomas disrupted the layered construction embedded in signal-poor images. The morphologies were consistent with histological findings. Sensitivity and specificity were 90% and 100%, respectively. This pilot study demonstrates that NPC could be diagnosed by visualization, which implies that OCT might be potentially used to differentiate normal from NPC tissue in the early stage as an invasive biopsy.
关键词： morphology,NPC,OCT,early diagnosis
更新于2025-09-09 09:28:46