The ability to discern malignant from benign tissue in excised human breast specimens in Breast Conservation Surgery (BCS) was evaluated using single frequency terahertz radiation. Terahertz (THz) images of the specimens in reflection mode were obtained by employing a gas laser source and mechanical scanning. The images were correlated with optical histological micrographs of the same specimens, and a mean discrimination of 73% was found for five out of six samples using Receiver Operating Characteristic (ROC) analysis. The system design and characterization is discussed in detail. The initial results are encouraging but further development of the technology and clinical evaluation is needed to evaluate its feasibility in the clinical environment.
The ability to discern malignant from benign tissue in excised human breast specimens in Breast Conservation Surgery (BCS) was evaluated using single frequency terahertz radiation. Terahertz (THz) images of the specimens in reflection mode were obtained by employing a gas laser source and mechanical scanning. The images were correlated with optical histological micrographs of the same specimens, and a mean discrimination of 73% was found for five out of six samples using Receiver Operating Characteristic (ROC) analysis. The system design and characterization is discussed in detail. The initial results are encouraging but further development of the technology and clinical evaluation is needed to evaluate its feasibility in the clinical environment.
Abstract-In search of underwater locomotion methods as alternatives to propellers, systems relying on the propagation of waves along a fin have already been designed and evaluated by several scientists. Considerable effort has been undertaken to optimise their efficiency both by fluid dynamic analysis and experiments on physical prototypes. One drawback of the systems hitherto has been their electro-mechanical complexity in that they required many actuators and refined control strategies to generate the desired fin undulation. Our approach has been to translate the result of these optimisations into a simpler, purely mechanical model relying on the principle of camshafts to achieve a similar undulatory fin motion. The goal was to evaluate whether this type of propulsion system is feasible and whether it was a viable alternative to propellers in Autonomous Underwater Vehicles. The prototype built during the project, CUTTLEFIN, reached comparable speeds to other undulating robot solutions. Force measurements also showed that the thrust produced is in qualitative accordance to a simplified fluid dynamics model. This makes the camshaft approach a promising option for generating an undulating wave in a membrane-based fin propulsion system, if one is willing to pay the price of lower flexibility compared to current dexterously actuated solutions.
In breast conservation surgery, surgeons attempt to remove malignant tissue along with a surrounding margin of healthy tissue. Subsequent pathological analysis determines if those margins are clear of malignant tissue, a process that typically requires at least one day. Only then can it be determined whether a follow-up surgery is necessary. This possibility of re-excision is undesirable in terms of reducing patient morbidity, emotional stress and healthcare.
It has been shown that terahertz (THz) images of breast specimens can accurately differentiate between breast carcinoma, normal fibroglandular tissue, and adipose tissue. That study employed the Time-Domain Spectroscopy (TDS) technique. We are instead developing a new technique, Frequency-Domain Terahertz Imaging (FDTI).
In this joint project between UMass/Amherst and UMass Medical School/Worcester (UMMS), we are investigating the feasibility of the FDTI technique for THz reflection imaging of breast cancer margins. Our system, which produces mechanically scanned images of size 2cm × 2cm, uses a THz gas laser. The system is calibrated with mixtures of water and ethanol and reflection coefficients as low as 1% have been measured. Images from phantoms and specimens cut from breast cancer lumpectomies at UMMS will be presented. Finally, there will be a discussion of a possible transition of this FDTI setup to a compact and inexpensive CMOS THz camera for use in the operating room.
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