title: Sensitivity of Raman spectroscopy to normal patient variability.
abstract: Many groups have used Raman spectroscopy for diagnosing cervical dysplasia; however, there have been few studies looking at the effect of normal physiological variations on Raman spectra. We assess four patient variables that may affect normal Raman spectra: Race/ethnicity, body mass index (BMI), parity, and socioeconomic status. Raman spectra were acquired from a diverse population of 75 patients undergoing routine screening for cervical dysplasia. Classification of Raman spectra from patients with a normal cervix is performed using sparse multinomial logistic regression (SMLR) to determine if any of these variables has a significant effect. Results suggest that BMI and parity have the greatest impact, whereas race/ethnicity and socioeconomic status have a limited effect. Incorporating BMI and obstetric history into classification algorithms may increase sensitivity and specificity rates of disease classification using Raman spectroscopy. Studies are underway to assess the effect of these variables on disease.
authors: Vanderbilt University, Department of Biomedical Engineering, Nashville, Tennessee 37235, USA.
authors: Elizabeth
authors: E
authors: Vargis
authors: Teresa
authors: T
authors: Byrd
authors: Quinisha
authors: Q
authors: Logan
authors: Dineo
authors: D
authors: Khabele
authors: Anita
authors: A
authors: Mahadevan-Jansen
mesh_terms: D000328:Adult; D000465:Algorithms; D015992:Body Mass Index; D005260:Female; D006801:Humans; D016015:Logistic Models; D015233:Models, Statistical; D010298:Parity; D044469:Racial Groups; D015203:Reproducibility of Results; D012959:Socioeconomic Factors; D013059:Spectrum Analysis, Raman / Q000379:methods* / Q000592:standards; D002578:Uterine Cervical Dysplasia / Q000175:diagnosis*; D014626:Vaginal Smears