Objective
This study investigated the capability of spectral parameters, extracted using frequency domain analysis of photoacoustic (PA) signals, to differentiate between malignant, benign and normal thyroid tissue.
Methods
We acquired multiwavelength PA images of the freshly excised thyroid specimens, collected from 50 patients who underwent thyroidectomy after being diagnosed with suspected thyroid lesion. A thyroid cytopathologist marked histology slides of each tissue specimen. These marked histology slides were used as ground truth to identify the region of interests (ROI) corresponding to malignant, benign and normal thyroid tissue. Three spectral parameters, namely slope, midband fit and intercept were extracted from PA signals corresponding to different ROIs.
Results
Spectral parameters were extracted from a total of total of 65 ROIs. According to the ground truth, 12 out of 65 ROIs belonged to malignant thyroid, 28 out of 65 ROIs belonged to benign thyroid and 25 out of 65 ROIs belonged to normal thyroid. Besides slope, the other two spectral parameters and grayscale PA image pixel values were found to be significantly different (p < 0.05) between malignant and normal thyroid. Between benign and normal thyroid, all three spectral parameters and PA pixel values were significantly different (p < 0.05).
Conclusion
Preliminary results of our ex vivo human thyroid study show that the spectral parameters extracted from radio frequency PA signals as well as the pixel value of 2D PA images can be used for differentiating between malignant, benign and normal thyroid tissue.