Measuring mucosal blood supply in vivo with a polarization-gating probe.
There has been significant interest in developing depth-selective optical interrogation of biological tissue in general and of superficial (e.g., mucosal) tissue in particular. We report an in vivo polarization-gating fiber-optic probe that obtains backscattering spectroscopic measurements from a range of near-surface depths (100-200 microm). The design and testing was performed with polarized light Monte Carlo simulations and in tissue model experiments. We used the probe to investigate mucosal changes in early carcinogenesis. Measurements performed in the colonic mucosa of 125 human subjects provide the first in vivo evidence that mucosal blood supply is increased early in carcinogenesis, not only in precancerous adenomatous lesions, but also in the histologically normal-appearing tissue surrounding these lesions. This effect was primarily limited to the mucosal microcirculation and was not present in the larger blood vessels located deeper in colonic tissue.
Turzhitsky
Vladimir M
VM
Biomedical Engineering Department, Northwestern University, 2145 Sheridan Road, Evanston, Illinois 60201, USA. v-turzhitsky@northwestern.edu
Gomes
Andrew J
AJ
Kim
Young L
YL
Liu
Yang
Y
Kromine
Alexey
A
Rogers
Jeremy D
JD
Jameel
Mohammed
M
Roy
Hemant K
HK
Backman
Vadim
V
D000465:Algorithms; D003106:Colon / Q000098:blood supply; D004867:Equipment Design; D006454:Hemoglobins / Q000737:chemistry; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology; D008027:Light; D015233:Models, Statistical; D008962:Models, Theoretical; D009010:Monte Carlo Method; D009092:Mucous Membrane / Q000098:blood supply*; D055095:Optics and Photonics; D019047:Phantoms, Imaging; D012542:Scattering, Radiation; D013053:Spectrophotometry / Q000379:methods
D006454:Hemoglobins