Diffuse optical spectroscopy measurements of healing in breast tissue after core biopsy: case study

• Published in: Journal of Biomedical Optics Vol. 14; no. 1; pp. 014024 - 014029
• Main Authors: Tanamai, Wendy, Chen, Cynthia, Siavoshi, Sara, Cerussi, Albert, Hsiang, David, Butler, John, Tromberg, Bruce
• Format: Journal Article
• Language: English
• Published: United States 01.01.2009
• Subjects: Biopsy; Breast; Breast - metabolism; Breast - pathology; breast cancer; Breast Neoplasms - metabolism; Breast Neoplasms - pathology; Cancer; Diffusion; Female; frequency-domain photon migration; Hemoglobins - analysis; hormonal response; Humans; Image contrast; Lipids; Lipids - analysis; menstrual cycle; near-infrared (NIR); Patients; photon migration; Spectroscopy; Spectroscopy, Near-Infrared - methods; tissue spectroscopy; Water - analysis; Wound Healing; Young Adult
• ISSN: 1083-3668; 1560-2281
• DOI: 10.1117/1.3028012

Diffuse optical spectroscopy (DOS) has been used to monitor and predict the effects of neoadjuvant (i.e., presurgical) chemotherapy in breast cancer patients in several pilot studies. Because patients with suspected breast cancers undergo biopsy prior to treatment, it is important to understand how biopsy trauma influences DOS measurements in the breast. The goal of this study was to measure the effects of a standard core breast biopsy on DOS measurements of tissue deoxyhemoglobin, hemoglobin, water, and bulk lipid concentrations. We serially monitored postbiopsy effects in the breast tissue in a single subject ( -old premenopausal female) with a fibroadenoma. A baseline measurement and eight weekly postbiopsy measurements were taken with a handheld DOS imaging instrument. Our instrument used frequency domain photon migration combined with broadband steady-state spectroscopy to characterize tissues via quantitative measurements of tissue absorption and reduced scattering coefficients from . The concentrations of significant near-infrared (NIR) absorbers were mapped within a area over the biopsied region. A 2-D image of a contrast function called the tissue optical index was generated and revealed that a minimum of postbiopsy was required to return TOI levels in the biopsied area to their prebiopsy levels. Changes in the TOI images of the fibroadenoma also reflected the progression of the patient's menstrual cycle. DOS could therefore be useful in evaluating both wound-healing response and the effects of hormone and hormonal therapies .