In the past few decades, the applications of terahertz (THz) spectroscopy and imaging technology have seen significant developments in the fields of biology, medical diagnosis, food safety, and nondestructive testing. Label-free diagnosis of malignant tumours has been obtained and also achieved significant development in THz biomedical imaging. This review mainly presents the research status and prospects of several common continuous-wave (CW) THz medical imaging systems and applications of THz medical imaging in biological tissues. Here, we first introduce the properties of THz waves and how these properties play a role in biomedical imaging. Then, we analyse both the advantages and disadvantages of the CW THz imaging methods and the progress of these methods in THz biomedical imaging in recent ten years. Finally, we summarise the obstacles in the way of the application of THz bio-imaging application technology in clinical detection, which need to be investigated and overcome in the future.

Surgical removal is the primary treatment for liver cancer, but frequent recurrence caused by residual malignant tissue remains an important challenge, as recurrence leads to high mortality. It is unreliable to distinguish tumors from normal tissues merely under visual inspection. Hyperspectral imaging (HSI) has been proved to be a promising technology for intra-operative use by capturing the spatial and spectral information of tissue in a fast, non-contact and label-free manner. In this work, we investigated the feasibility of HSI for liver tumor delineation on surgical specimens using a multi-task U-Net framework. Measurements are performed on 19 patients and a dataset of 36 specimens was collected with corresponding pathological results serving as the ground truth. The developed framework can achieve an overall sensitivity of 94.48% and a specificity of 87.22%, outperforming the baseline SVM method by a large margin. In particular, we propose to add explanations on the well-trained model from the spatial and spectral dimensions to show the contribution of pixels and spectral channels explicitly. On that basis, a novel saliency-weighted channel selection method is further proposed to select a small subset of 5 spectral channels which provide essentially as much information as using all 224 channels. According to the dominant channels, the absorption difference of hemoglobin and bile content in the normal and malignant tissues seems to be promising markers that could be further exploited.

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