2015
DOI: 10.1039/c4an02036g
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Spectropathology for the next generation: Quo vadis?

Abstract: Although the potential of vibrational spectroscopy for biomedical applications has been well demonstrated, translation into clinical practice has been relatively slow. This Editorial assesses the challenges facing the field and the potential way forward. While many technological challenges have been addressed to date, considerable effort is still required to gain acceptance of the techniques among the medical community, standardise protocols, extend to a clinically relevant scale, and ultimately assess the hea… Show more

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Cited by 113 publications
(96 citation statements)
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“…The preclinical investigation is based on both in vitro models and in vivo experiments in various animal species [54]. However, due to regulatory developments in the EU [55], there is currently much promotion of the development of in vitro models, which can accurately indicate in vivo results [56,57]. In addition to ethical considerations and the 3Rs principle [58], animal drug testing has certain limitations.…”
Section: Tracking Of Doxorubicin In Vitromentioning
confidence: 99%
“…The preclinical investigation is based on both in vitro models and in vivo experiments in various animal species [54]. However, due to regulatory developments in the EU [55], there is currently much promotion of the development of in vitro models, which can accurately indicate in vivo results [56,57]. In addition to ethical considerations and the 3Rs principle [58], animal drug testing has certain limitations.…”
Section: Tracking Of Doxorubicin In Vitromentioning
confidence: 99%
“…Pérez-Guaita et al [62] more recently evaluated the use of permutation testing, commonly used in metabolomics [63] and proteomics [64], which employs a random reallocation of class labels in order to establish the statistical significance of a cross-validation figure of merit of a classifier. Ultimately, however, the validation of the integrated techniques of spectroscopy and multivariate classifiers will have to comply with the rigours of the clinical environment, including large scale blind datasets and randomised trials [1]. In terms of post processing of multivariate spectral data, for diagnostics the primary emphasis to date has been on unsupervised classification.…”
Section: Discussionmentioning
confidence: 99%
“…Due to its unique chemical fingerprinting capability at the molecular level, vibrational spectroscopy can play a significant role in a new paradigm of histopathology, cytology, biopsy targeting, surgical targets, treatment monitoring and drug studies. However, translation into the clinical environment has been slow, and although the challenges facing the translation to realistic clinical applications are manifold, including those associated with large scale clinical trials, health economics and acceptance by the medical community [1], there remains a considerable amount of issues relating to the fundamental process of recording reliable spectra from complex, chemically and physically inhomogeneous samples and extracting reliable information from heterogeneous sample sets which may be influenced by a multitude of confounding factors. The development of reliable data (pre-and post-) processing and data mining techniques has thus been identified as a rate determining step in the maturation of vibrational spectroscopic techniques towards real applications, in vitro, ex vivo and in vivo.…”
Section: Introductionmentioning
confidence: 99%
“…These techniques have been applied to biological samples, including tissue in vivo [1], excised tissue ex vivo, tissue sections ex vivo [2], blood [3] and serum [4] ex vivo, and single cells [5] in vitro, in which signals from biomolecules such as proteins, lipids and DNA/RNA are observed and used to characterise samples. [6] In particular, the application of IR and Raman spectroscopy for label free disease diagnosis is being extensively studied in the biomedical vibrational spectroscopy field. Extensive research has been invested into the potential for increased objectivity and automation in histopathology and cytology with a movement towards spectral pathology as the ultimate goal.…”
Section: Introductionmentioning
confidence: 99%
“…Extensive research has been invested into the potential for increased objectivity and automation in histopathology and cytology with a movement towards spectral pathology as the ultimate goal. [6] Standard clinical practice requires analysis of haematoxylin & eosin (H&E) stained tissue sections by a pathologist for disease diagnosis. Attempts are being made to move towards more automated disease diagnosis in tissue sections, and cytology samples, using vibrational spectroscopy.…”
Section: Introductionmentioning
confidence: 99%