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10.1126/scitranslmed.aab0195

http://scihub22266oqcxt.onion/10.1126/scitranslmed.aab0195
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C4900155!4900155!26468325
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suck abstract from ncbi


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pmid26468325      Sci+Transl+Med 2015 ; 7 (309): 309ra163
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  • Detection of human brain tumor infiltration with quantitative stimulated Raman scattering microscopy #MMPMID26468325
  • Ji M; Lewis S; Camelo-Piragua S; Ramkissoon SH; Snuderl M; Venneti S; Fisher-Hubbard A; Garrard M; Fu D; Wang AC; Heth JA; Maher CO; Sanai N; Johnson TD; Freudiger CW; Sagher O; Xie XS; Orringer DA
  • Sci Transl Med 2015[Oct]; 7 (309): 309ra163 PMID26468325show ga
  • Differentiating tumor from normal brain is a major barrier to achieving optimal outcome in brain tumor surgery. New imaging techniques for visualizing tumor margins during surgery are needed to improve surgical results. We recently demonstrated the ability of stimulated Raman scattering (SRS) microscopy, a non-destructive, label-free optical method, to reveal glioma infiltration in animal models. Here we show that SRS reveals human brain tumor infiltration in fresh, unprocessed surgical specimens from 22 neurosurgical patients. SRS detects tumor infiltration in near-perfect agreement with standard hematoxylin and eosin light microscopy (?=0.86). The unique chemical contrast specific to SRS microscopy enables tumor detection by revealing quantifiable alterations in tissue cellularity, axonal density and protein:lipid ratio in tumor-infiltrated tissues. To ensure that SRS microscopic data can be easily used in brain tumor surgery, without the need for expert interpretation, we created a classifier based on cellularity, axonal density and protein:lipid ratio in SRS images capable of detecting tumor infiltration with 97.5% sensitivity and 98.5% specificity. Importantly, quantitative SRS microscopy detects the spread of tumor cells, even in brain tissue surrounding a tumor that appears grossly normal. By accurately revealing tumor infiltration, quantitative SRS microscopy holds potential for improving the accuracy of brain tumor surgery.
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