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胆囊疾病的临床快速诊断红外光谱新方法研究

Fourier Transform Mid-infrared Spectroscopy(FTIR) Used for the Rapid Intraoperative Diagnosis of Gallbladder Diseases

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【作者】 徐怡庄赵莹凌晓锋杨丽敏徐智周孝思张元福龚蓉晔潘庆华王冰冰石景森徐端夫吴瑾光

【Author】 XU Yi-Zhuang1*, ZHAO Ying2, LING Xiao-Feng3, YANG Li-Min1, XU Zhi3, ZHOU Xiao-Si3, ZHANG Yuan-Fu1, GONG Rong-Ye4, PAN Qing-Hua5, WANG Bing-Bing1, SHI Jing-Sen6, XU Duan-Fu2, WU Jin-Guang1(1. The State Key Laboratory of Rare Earth Materials and Applications, College of Chemistry and Molecular Engineering, Peking University, Beijing 100871, China; 2. Institute of Chemistry, Chinese Academy of Sciences, Beijing 100080, China; 3. Department of Surgery, Third Hospital, Peking University, Beijing 100083, China; 4. Beijing Second Optical Instrument Factory, Beijing Rayleigh Analytical Instrument Corp., Beijing 100015, China;5. Department of Oncology Surgery, First Hospital of Xi’an Jiaotong University, Xi′an 710061, China; 6. Hangzhou Teachers College and Second People Hospital of Hangzhou, Hangzhou 310015, China)

【机构】 北京大学化学与分子工程学院 稀土材料化学及应用国家重点实验室中国科学院化学研究所北京大学第三医院普通外科北京大学化学与分子工程学院稀土材料化学及应用国家重点实验室北京第二光学仪器厂杭州师范学院及其附属医院西安交通大学第一医院普通外科北京100871北京100080北京100083北京100015杭州310015西安710061

【摘要】 研究了衰减全反射(ATR)红外光谱法快速检测胆囊癌的灵敏度和特异性,结果表明,正常组织和胆囊癌组织的红外光谱存在一系列差别,减法光谱技术有助于判别胆囊炎和胆囊癌.统计分析结果表明,此方法灵敏度为100%(6/6),特异性为97%(39/40),准确率为97%(45/46),说明中红外ATR光谱法是一种可快速、无创检测胆囊癌组织的新方法.

【Abstract】 Identification of gallbladder cancer rapidly at the time of surgery would allow the appropriate resection to be completed at the original surgery. The aim of this study was to assess the sensitivity and specificity of FTIR in the rapid detection of gallbladder cancer, via an attenuated total reflection(ATR) accessory with a ZnSe window. This allowed the edges of the surgically resected specimens to be examined rapidly. The results indicate that there are a series of differences between the spectra of normal and malignant tissues, and subtraction technique is helpful to identify cholecystitis and gallbladder cancer. Compared with pathological diagnosis results, one benign specimen was classified as a malignant and 6/6 malignant specimens and 39 cases of benign specimens were correctly classified. The sensitivity was 100%(6/6), specificity 97%(39/40), and accuracy was 97%(45/46). We can conclude that mid-infrared ATR FTIR spectroscopy is highly accurate and rapidly allows appropriately tailored resection at the time of initial surgery.

【基金】 国家重点基础研究发展规划项目(批准号:2002CCA01900);国家自然科学基金(批准号:30371604和50203001);教育部博士学科点基金资助.
  • 【文献出处】 高等学校化学学报 ,Chemical Journal of Chinese Universities , 编辑部邮箱 ,2007年04期
  • 【分类号】R445.7
  • 【被引频次】12
  • 【下载频次】197
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