Raman spectroscopy is promising as a noninvasive tool for cancer diagnosis. A superficial Raman probe might improve the classification of bladder cancer, because information is gained solely from... Show moreRaman spectroscopy is promising as a noninvasive tool for cancer diagnosis. A superficial Raman probe might improve the classification of bladder cancer, because information is gained solely from the diseased tissue and irrelevant information from deeper layers is omitted. We compared Raman measurements of a superficial to a nonsuperficial probe, in bladder cancer diagnosis. Two-hundred sixteen Raman measurements and biopsies were taken in vivo from at least one suspicious and one unsuspicious bladder location in 104 patients. A Raman classification model was constructed based on histopathology, using a principal-component fed linear-discriminant-analysis and leave-one-person-out cross-validation. The diagnostic ability measured in area under the receiver operating characteristics curve was 0.95 and 0.80, the sensitivity was 90% and 85% and the specificity was 87% and 88% for the superficial and the nonsuperficial probe, respectively. We found inflammation to be a confounder and additionally we found a gradual transition from benign to low-grade to high-grade urothelial carcinoma. Raman spectroscopy provides additional information to histopathology and the diagnostic value using a superficial probe. Show less
This study aimed to determine the ability of single fiber reflectance (SFR) spectroscopy incorporated in endoscopic ultrasound fine needle biopsy (EUS-FNB) procedures in the pancreas to distinguish... Show moreThis study aimed to determine the ability of single fiber reflectance (SFR) spectroscopy incorporated in endoscopic ultrasound fine needle biopsy (EUS-FNB) procedures in the pancreas to distinguish benign and malignant pancreatic tissue in patient with pancreatic masses suspected for malignancy. Methods: This study was designed as a prospective observational single center study and included consecutive adult patients, who were scheduled for EUS-FNB of a solid pancreatic mass suspected for pancreatic ductal adenocarcinoma (PDAC). In total, seven optical parameters, derived from the absorption acquired spectra, were analyzed: blood volume fraction (BVF), microvascular saturation, average vessel diameter, bilirubin concentration (BIL), Mie amplitude, Mie slope and Rayleigh amplitude. Results: Forty-five patients with a suspicious pancreatic lesion undergoing EUS-FNB were included, of which most of the patients (N=34) were ultimately diagnosed with PDAC. Finally, 27 out of 45 (60.0%) patients were used for the final analysis of the optical parameters. The median (IQR) BVF differed significantly in benign compared to malignant tissue (0.86 [0.30-2.03] and 4.49 [1.28-15.47]; p=0.046). Combining BVF and BIL to a new parameter (Theta) improved the discrimination between PDAC and benign pancreatic tissue (p=0.026). The area under the curve of Theta was 0.84, resulting in a 92.8%, 75.0%, 97.5%, 50.0% and 91.3% sensitivity, specificity, positive predictive value, negative predictive value and diagnostic accuracy for detection of PDAC. Conclusion: Differentiation between PDAC and benign pancreatic tissue using SFR spectroscopy during EUS-FNB procedures is promising. Future work should focus on comparing the diagnostic performance combining SFR spectroscopy with EUS-FNB and EUS-FNB alone. Show less
This study aimed to determine the ability of single fiber reflectance (SFR) spectroscopy incorporated inendoscopic ultrasound fine needle biopsy (EUS-FNB) procedures in the pancreas to distinguish... Show moreThis study aimed to determine the ability of single fiber reflectance (SFR) spectroscopy incorporated inendoscopic ultrasound fine needle biopsy (EUS-FNB) procedures in the pancreas to distinguish benignand malignant pancreatic tissue in patient with pancreatic masses suspected for malignancy.Methods: This study was designed as a prospective observational single center study and includedconsecutive adult patients, who were scheduled for EUS-FNB of a solid pancreatic mass suspected forpancreatic ductal adenocarcinoma (PDAC). In total, seven optical parameters, derived from theabsorption acquired spectra, were analyzed: blood volume fraction (BVF), microvascular saturation,average vessel diameter, bilirubin concentration (BIL), Mie amplitude, Mie slope and Rayleigh amplitude.Results: Forty-five patients with a suspicious pancreatic lesion undergoing EUS-FNB were included, ofwhich most of the patients (N=34) were ultimately diagnosed with PDAC. Finally, 27 out of 45 (60.0%)patients were used for the final analysis of the optical parameters. The median (IQR) BVF differedsignificantly in benign compared to malignant tissue (0.86 [0.30-2.03] and 4.49 [1.28-15.47]; p=0.046).Combining BVF and BIL to a new parameter (θ) improved the discrimination between PDAC and benignpancreatic tissue (p=0.026). The area under the curve of θ was 0.84, resulting in a 92.8%, 75.0%, 97.5%,50.0% and 91.3% sensitivity, specificity, positive predictive value, negative predictive value and diagnosticaccuracy for detection of PDAC.Conclusion: Differentiation between PDAC and benign pancreatic tissue using SFR spectroscopy duringEUS-FNB procedures is promising. Future work should focus on comparing the diagnostic performancecombining SFR spectroscopy with EUS-FNB and EUS-FNB alone. Show less
This thesis focuses on the X-ray spectral analysis of merging galaxy clusters and the plasma code development for future high-resolution X-ray spectroscopy observations. This work deepens in two... Show moreThis thesis focuses on the X-ray spectral analysis of merging galaxy clusters and the plasma code development for future high-resolution X-ray spectroscopy observations. This work deepens in two different aspects of these merging clusters still under debate: one, the study of the thermal (X-ray shocks) component and its correlation with the non-thermal (radio shocks/relics) component, and two, their metal enrichment history. The first one is crucial to understand how the shocks propagate and heat the ICM as well as to determine the physical association between these two components. The second one aims to contribute to a better knowledge of the metals origin, evolution and distribution in merging clusters, which can reveal important information on the dynamical history of the mergers. Show less
We report on an experimental and theoretical investigation of the importance of anharmonicity in the 3-μm CH stretching region of polycyclic aromatic hydrocarbon (PAH) molecules. We present mass... Show moreWe report on an experimental and theoretical investigation of the importance of anharmonicity in the 3-μm CH stretching region of polycyclic aromatic hydrocarbon (PAH) molecules. We present mass-resolved, high-resolution spectra of the gas-phase cold (∼4 K) linear PAH molecules naphthalene, anthracene, and tetracene. The measured IR spectra show a surprisingly high number of strong vibrational bands. For naphthalene, the observed bands are well separated and limited by the rotational contour, revealing the band symmetries. Comparisons are made to the harmonic and anharmonic approaches of the widely used Gaussian software. We also present calculated spectra of these acenes using the computational program SPECTRO, providing anharmonic predictions with a Fermi-resonance treatment that utilizes intensity redistribution. We demonstrate that the anharmonicity of the investigated acenes is strong, dominated by Fermi resonances between the fundamental and double combination modes, with triple combination bands as possible candidates to resolve remaining discrepancies. The anharmonic spectra as calculated with SPECTRO lead to predictions of the main bands that fall within 0.5% of the experimental frequencies. The implications for the aromatic infrared bands, specifically the 3-μm band, are discussed. Show less
Leeuwen-van Zaane, F. van; Gamm, U.A.; Driel, P.B.A.A. van; Snoeks, T.J.; Bruijn, H.S. de; Ploeg-van den Heuvel, A. van der; ... ; Robinson, D.J. 2014
