光学学报, 2009, 29 (10): 2860, 网络出版: 2009-10-19   

采用氧合血红蛋白吸收带的漫反射光谱比率R540/R575检测人胃癌

Gastric Cancer Detection Using Diffuse Reflectance Spectral Ratio R540/R575 of Oxygenated Hemoglobin Bands
作者单位
1 华南师范大学 激光生命科学研究所,激光生命科学教育部重点实验室,广东 广州 510631
2 广东药学院第一附属医院胃肠外科,广东 广州 510224
3 福建师范大学 医学光电科学与技术教育部重点实验室,福建 福州 350007
4 中山大学第一附属医院眼科,广东 广州 510080
5 中山大学第一附属医院心胸外科,广东 广州 510080
摘要
采用氧合血红蛋白吸收带的平均漫反射光谱比率(R540/R575)对离体的人正常胃、未分化胃腺癌、胃鳞状细胞癌和低分化胃腺癌的上皮粘膜组织进行鉴别诊断。实验采用带积分球附件的分光光度计测量组织样品在400 nm-600 nm的漫反射光谱。实验结果表明,在相同的波长范围内,人的未分化胃腺癌、胃鳞状细胞癌和低分化胃腺癌的上皮粘膜组织的漫反射光的强度较人正常胃的上皮粘膜组织的漫反射光强度要显著地低的,尤其是在氧合血红蛋白的吸收带540 nm和575 nm波长处,人正常胃、未分化胃腺癌、胃鳞状细胞癌和低分化胃腺癌的上皮粘膜组织的平均漫反射光谱比率分别是(94.2±2.4)%,(109±3.0)%,(103±2.8)%和(98.6±2.6)%。
Abstract
Differential diagnosis of epithelial tissues of normal human gastric,undifferentiated gastric adenocarcinoma,gastric squamous cell carcinomas,and poorly differentiated gastric adenocarcinoma were studied using the mean diffuse reflectance spectral ratio (R540/R575) of the oxygenated hemoglobin absorption bands. Exvivo diffuse reflectance spectra in the 400 nm to 600nm region was measured from surgically removed gastric lesions using a spectrophotometer with an integrating sphere attachment. The results showed that the reflectance spectral intensity of the malignant tissues was lower than that of human normal gastric tissues and showed dips at 540 nm and 575 nm owing to absorption from oxygenated hemoglobin. Measurements carried out,the diffuse reflectance spectral ratio for epithelial tissues of normal human gastric,undifferentiated gastric adenocarcinoma,gastric squamous cell carcinomas,and poorly differentiated gastric adenocarcinoma were (94.2±2.4)%,(109±3.0)%,(103±2.8)% and (98.6±2.6)% respectively.
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李兰权, 魏华江, 何博华, 郭周义, 杨洪钦, 谢树森, 陈雪梅, 李力波, 巫国勇, 鲁建军. 采用氧合血红蛋白吸收带的漫反射光谱比率R540/R575检测人胃癌[J]. 光学学报, 2009, 29(10): 2860. Li Lanquan, Wei Huajiang, He Bohua, Guo Zhouyi, Yang Hongqin, Xie Shusen, Chen Xuemei, Li Libo, Wu Guoyong, Lu Jianjun. Gastric Cancer Detection Using Diffuse Reflectance Spectral Ratio R540/R575 of Oxygenated Hemoglobin Bands[J]. Acta Optica Sinica, 2009, 29(10): 2860.

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