title: Large field, high resolution full-field optical coherence tomography: a pre-clinical study of human breast tissue and cancer assessment.
abstract: We present a benchmark pilot study in which high-resolution Full-Field Optical Coherence Tomography (FF-OCT) was used to image human breast tissue and is evaluated to assess its ability to aid the pathologist's management of intra-operative diagnoses. FF-OCT imaging safety was investigated and agreement between FF-OCT and routinely prepared histopathological images was evaluated. The compact setup used for this study provides 1 mm3 resolution and 200 mm imaging depth, and a 2.25 cm2 specimen is scanned in about 7 minutes. 75 breast specimens were imaged from 22 patients (21 women, 1 man) with a mean age of 58 (range: 25-83). Pathologists blind diagnosed normal/benign or malignant tissue based on FF-OCT images alone, diagnosis from histopathology followed for comparison. The contrast in the FF-OCT images is generated by intrinsic tissue scattering properties, meaning that no tissue staining or preparation is required. Major architectural features and tissue structures of benign breast tissue, including adipocytes, fibrous stroma, lobules and ducts were characterized. Subsequently, features resulting from pathological modification were characterized and a diagnosis decision tree was developed. Using FF-OCT images, two breast pathologists were able to distinguish normal/benign tissue from lesional with a sensitivity of 94% and 90%, and specificity of 75% and 79% respectively.
authors.affiliation: Institut Langevin ESPCI ParisTech, Paris, France. kate.grieve@espci.fr.
authors.forename: Osnath
authors.initials: O
authors.lastname: Assayag
authors.forename: Martine
authors.initials: M
authors.lastname: Antoine
authors.forename: Brigitte
authors.initials: B
authors.lastname: Sigal-Zafrani
authors.forename: Michael
authors.initials: M
authors.lastname: Riben
authors.forename: Fabrice
authors.initials: F
authors.lastname: Harms
authors.forename: Adriano
authors.initials: A
authors.lastname: Burcheri
authors.forename: Kate
authors.initials: K
authors.lastname: Grieve
authors.forename: Eugénie
authors.initials: E
authors.lastname: Dalimier
authors.forename: Bertrand
authors.initials: B
authors.lastname: Le Conte de Poly
authors.forename: Claude
authors.initials: C
authors.lastname: Boccara
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D018567:Breast Neoplasms, Male / Q000175:diagnosis*; D018270:Carcinoma, Ductal, Breast / Q000175:diagnosis*; D002285:Carcinoma, Intraductal, Noninfiltrating / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D041623:Tomography, Optical Coherence