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The investigated samples were cutaneous tumours ex vivo, obtained after surgical removal and kept in a formalin solution and histological sections from biopsy tissue samples, which were routinely processed for histological analysis. Comparative spectral data for benign, dysplastic nevi and pigmented malignant melanoma lesions, as well as for nonmelanoma skin tumour – basal cell carcinoma, squamous cell carcinoma and benign non-melanin pigmented pathologies – heamangioma and seboreic veruca are presented in the current report.
Fluorescence spectra obtained reveal statistically significant differences between the different benign, dysplastic and malignant lesions by the level of emission intensity, as well by spectral shape, which are fingerprints applicable for differentiation algorithms. In reflectance and absorption modes the most significant differences are related to the influence of skin pigments – melanin and hemoglobin, less pronounced is the influence of structural proteins, such as collagen and keratin. Transmission spectroscopy mode gives complementary optical properties information about the tissue samples investigated to that one of reflectance and absorption spectroscopy.
Here, we present the model dependent on the data of our optical phantoms fabricated and measured in our previous preliminary study. The ambiguity between the modeling and the thermal measurements depend on lack of accurate knowledge of material's thermal properties and some exact parameters of the laser beam. Those parameters were varied in the simulation, to provide an overview of possible parameters' ranges and the magnitude of thermal response.
Fluorescence spectra obtained reveal statistically significant differences between the different benign, dysplastic and malignant lesions by the level of emission intensity, as well by spectral shape, which are fingerprints applicable for differentiation algorithms. In reflectance mode the most significant differences are related to the influence of skin pigments – melanin and hemoglobin. Transmission spectroscopy mode gave complementary optical properties information about the tissue samples investigated to that one of reflectance and absorption spectroscopy.
Using autofluorescence detection of skin lesions we obtain very good diagnostic performance for distinguishing of nonmelanoma lesions. Using diffuse reflectance and transmission spectroscopy we obtain significant tool for pigmented pathologies differentiation, but it is a tool with moderate sensitivity for non-melanoma lesions detection. One could rapidly increase the diagnostic accuracy of the received combined “optical biopsy” method when several spectral detection techniques are applied in common algorithm for lesions’ differentiation.
Specific spectral features observed in each type of lesion investigated on micro and macro level would be presented and discussed. Correlation between the spectral data received and the microscopic features observed would be discussed in the report.
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