Browsing by Author "Hutchings, J."

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    Advancing the clinical application of Raman spectroscopic diagnosis of oesophageal pre-malignancies
    (Cranfield University, 2009-01) Hutchings, J.; Stone, Nicholas; Kendall, Catherine; Barr, H.
    Raman spectroscopy is a technique that utilises inelastic scattering processes to provide a biochemical fingerprint that has been shown to successfully discriminate oesophageal pathologies. The aim of this study was to develop Raman spectroscopy as a clinical tool; both in vivo for ‘targeted biopsy’, and in ex vivo for ‘automated histopathology’. Two different Raman probes were evaluated and compared and tissue classification models generated ex vivo. A preliminary classification model of a novel single collection fibre probe demonstrated potential for the probe design. Both probes were shown to discriminate three different oesophageal pathology groups. A cross-validated tissue classification model (88 samples) discriminated normal, Barrett’s and neoplasia with an overall accuracy of 86.5% with a sensitivity of 83.3-89.5% and specificity of 89.2-97.1%. A novel rapid Raman mapping technique was evaluated. It was shown that sufficient biochemical information for pathology diagnosis could be extracted from low signal to noise ratio data using multivariate analysis providing the dataset was sufficiently large, thus demonstrating the feasibility of automated histopathology in a clinically realistic time frame. Furthermore, it was demonstrated that high spatial resolution imaging was not necessarily required for automated histopathology using novel interpretation of multivariate techniques. A tissue classification model generated from two rapid Raman maps containing separated substrate, normal, HGD, luminescence and fibrous connective tissue with an overall training performance of 97.5% Problems limiting clinical implementation of Raman techniques were investigated and methods of overcoming devised.
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    Towards objective endoscopic diagnosis of Barrett's associated early neoplasia using fibre-optic Raman Spectroscopy
    (Cranfield University, 2012-08) Almond, Laurence Maximilian; Kendall, Catherine; Hutchings, J.; Morgan, Sarah; Barr, H.
    This translational research evaluates a novel, custom-built Raman probe for potential application as an in vivo diagnostic tool in the oesophagus. Raman spectroscopy (RS) is a well established analytical technique which is capable of probing the biochemical changes associated with neoplastic progression in oesophageal tissue. RS relies on measurement of subtle inelastic scattering signals following monochromatic laser excitation. Clinical utilisation of RS within hollow organs requires accurate collection and transmission of signal through fibre-optic cables. This research aims to evaluate the ability of a custom built fibre-optic Raman probe, in conjunction with multivariate classification models, to differentiate between benign and neoplastic oesophageal pathologies ex vivo. The need for spectral stability and reproducibility are addressed, as are difficulties associated with multisystem reliability. In addition, the biochemical basis of spectral classification is evaluated and discussed. Cont/d.