We used a shifted-excitation Raman difference spectroscopy method for the ex
vivo classification of resected and formalin-fixed breast tissue samples as
normal (healthy) tissue, fibroadenoma, or invasive carcinoma. We analyzed 8 tissue samples
containing invasive carcinoma that were surrounded by normal tissue and 3 tissue samples
with fibroadenoma only. We made various measurement sites on various tissue samples, in
total 240 measurements for each type of tissue. Although the acquired raw spectra contain
enough information to clearly differentiate between normal and tumor (fibroadenoma and
invasive carcinoma) tissue, the differentiation between fibroadenoma and invasive
carcinoma was possible only after the shifted-excitation Raman difference spectroscopy
isolation of pure Raman spectra from the heavily fluorescence interfered raw spectra. We
used 784 and 785 nm as excitation wavelengths for the shifted-excitation Raman difference
spectroscopy method. The differences in the obtained pure Raman spectra are assigned to
the different chemical compositions of normal breast tissue, fibroadenoma, and invasive
breast carcinoma. Principal component analysis and linear discriminant analysis showed
excellent classification results in the Raman shift range between 1000 and 1800
cm−1. Invasive breast carcinoma was identified with 99.15% sensitivity, and
the absence of invasive carcinoma was identified with 90.40% specificity. Tumor tissue in
tumor-containing tissue was identified with 100% sensitivity, and the absence of tumor in
no-tumor containing tissue was identified with 100% specificity. As gold standard for the
determination of the sensitivity and the specificity, we considered the conventional
histopathological classification. In summary, shifted-excitation Raman difference
spectroscopy could be potentially very useful to support histopathological diagnosis in
breast pathology.