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10.1038/s41551-016-0027

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suck abstract from ncbi


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pmid28955599
      Nat+Biomed+Eng 2017 ; 1 (ä): ä
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  • Rapid intraoperative histology of unprocessed surgical specimens via fibre-laser-based stimulated Raman scattering microscopy #MMPMID28955599
  • Orringer DA ; Pandian B ; Niknafs YS ; Hollon TC ; Boyle J ; Lewis S ; Garrard M ; Hervey-Jumper SL ; Garton HJL ; Maher CO ; Heth JA ; Sagher O ; Wilkinson DA ; Snuderl M ; Venneti S ; Ramkissoon SH ; McFadden KA ; Fisher-Hubbard A ; Lieberman AP ; Johnson TD ; Xie XS ; Trautman JK ; Freudiger CW ; Camelo-Piragua S
  • Nat Biomed Eng 2017[]; 1 (ä): ä PMID28955599 show ga
  • Conventional methods for intraoperative histopathologic diagnosis are labour- and time-intensive, and may delay decision-making during brain-tumour surgery. Stimulated Raman scattering (SRS) microscopy, a label-free optical process, has been shown to rapidly detect brain-tumour infiltration in fresh, unprocessed human tissues. Here, we demonstrate the first application of SRS microscopy in the operating room by using a portable fibre-laser-based microscope and unprocessed specimens from 101 neurosurgical patients. We also introduce an image-processing method - stimulated Raman histology (SRH) - which leverages SRS images to create virtual haematoxylin-and-eosin-stained slides, revealing essential diagnostic features. In a simulation of intraoperative pathologic consultation in 30 patients, we found a remarkable concordance of SRH and conventional histology for predicting diagnosis (Cohen's kappa, ? > 0.89), with accuracy exceeding 92%. We also built and validated a multilayer perceptron based on quantified SRH image attributes that predicts brain-tumour subtype with 90% accuracy. Our findings provide insight into how SRH can now be used to improve the surgical care of brain tumour patients.
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