title: Accuracy of in vivo multimodal optical imaging for detection of oral neoplasia.
abstract: If detected early, oral cancer is eminently curable. However, survival rates for oral cancer patients remain low, largely due to late-stage diagnosis and subsequent difficulty of treatment. To improve clinicians' ability to detect early disease and to treat advanced cancers, we developed a multimodal optical imaging system (MMIS) to evaluate tissue in situ, at macroscopic and microscopic scales. The MMIS was used to measure 100 anatomic sites in 30 patients, correctly classifying 98% of pathologically confirmed normal tissue sites, and 95% of sites graded as moderate dysplasia, severe dysplasia, or cancer. When used alone, MMIS classification accuracy was 35% for sites determined by pathology as mild dysplasia. However, MMIS measurements correlated with expression of candidate molecular markers in 87% of sites with mild dysplasia. These findings support the ability of noninvasive multimodal optical imaging to accurately identify neoplastic tissue and premalignant lesions. This in turn may have considerable impact on detection and treatment of patients with oral cancer and other epithelial malignancies.
authors.affiliation: Department of Bioengineering, Rice University, Houston, TX 77030, USA.
authors.forename: Mark C
authors.initials: MC
authors.lastname: Pierce
authors.forename: Richard A
authors.initials: RA
authors.lastname: Schwarz
authors.forename: Vijayashree S
authors.initials: VS
authors.lastname: Bhattar
authors.forename: Sharon
authors.initials: S
authors.lastname: Mondrik
authors.forename: Michelle D
authors.initials: MD
authors.lastname: Williams
authors.forename: J Jack
authors.initials: JJ
authors.lastname: Lee
authors.forename: Rebecca
authors.initials: R
authors.lastname: Richards-Kortum
authors.forename: Ann M
authors.initials: AM
authors.lastname: Gillenwater
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003952:Diagnostic Imaging; D005260:Female; D005336:Fiber Optic Technology; D005453:Fluorescence; D006801:Humans; D008875:Middle Aged; D009061:Mouth Mucosa / Q000473:pathology*; D009062:Mouth Neoplasms / Q000175:diagnosis*; D011230:Precancerous Conditions / Q000175:diagnosis*; D012680:Sensitivity and Specificity