A new approach for clinical translation of infrared spectroscopy: exploitation of the signature of glioblastoma for general brain tumor recognition

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

Abstract

Purpose: Infrared (IR) spectroscopy has the potential for tumor delineation in neurosurgery. Previous research showed that IR spectra of brain tumors are generally characterized by reduced lipid-related and increased protein-related bands. Therefore, we propose the exploitation of these common spectral changes for brain tumor recognition. Methods: Attenuated total reflection IR spectroscopy was performed on fresh specimens of 790 patients within minutes after resection. Using principal component analysis and linear discriminant analysis, a classification model was developed on a subset of glioblastoma (n = 135) and non-neoplastic brain (n = 27) specimens, and then applied to classify the IR spectra of several types of brain tumors. Results: The model correctly classified 82% (517/628) of specimens as “tumor” or “non-tumor”, respectively. While the sensitivity was limited for infiltrative glioma, this approach recognized GBM (86%), other types of primary brain tumors (92%) and brain metastases (92%) with high accuracy and all non-tumor samples were correctly identified. Conclusion: The concept of differentiation of brain tumors from non-tumor brain based on a common spectroscopic tumor signature will accelerate clinical translation of infrared spectroscopy and related technologies. The surgeon could use a single instrument to detect a variety of brain tumor types intraoperatively in future clinical settings. Our data suggests that this would be associated with some risk of missing infiltrative regions or tumors, but not with the risk of removing non-tumor brain.

Details

Original languageEnglish
Pages (from-to)57–66
Number of pages10
JournalJournal of neuro-oncology
Volume161
Issue number1
Publication statusPublished - 2022
Peer-reviewedYes

External IDs

Scopus 85143682302
PubMed 36509907
WOS 000898477500001
ORCID /0000-0002-5726-386X/work/142249118
ORCID /0000-0003-0554-2178/work/142249875
ORCID /0000-0002-0633-0321/work/147674466
ORCID /0000-0002-7625-343X/work/150881372
ORCID /0000-0001-5084-1180/work/173988681

Keywords

Sustainable Development Goals

Keywords

  • Brain tumor, Delineation, Infrared spectroscopy, Intraoperative, Spectroscopy, Fourier Transform Infrared/methods, Brain/pathology, Humans, Spectrophotometry, Infrared/methods, Glioblastoma/surgery, Brain Neoplasms/diagnosis, Glioma/pathology