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篇名 Photodynamic Diagnosis Using Photofrin® for Induced Malignant Oral Lesions in an Animal Model
作者 Muh-Shi Lin, Sally M H Cheng, Pei-Shu Hwang, Cheng-Jen Chang
卷期/出版年月 39卷1期 (2006/2)
頁次 9-18
摘要 Objective: The prognosis of patients suffering from oral cancer can be improved by early diagnosis. Exact demarcation of tumor margins could contribute to optimal results in surgical excision and reconstruction. Therefore, this study evaluates Photofrin® with protoporphyrin IX (PPXI) fluorescence as a new diagnostic procedure for the detection of oral neoplasms in animal models. The aim of this study is to assess these parameters, which can be extended to clinical applications for human oral neoplasms. Methods: Fourteen male Golden Syrian hamsters were included in this study. 0.5% D.M.B.A (9,10 dimethyl1-1, 2-benzanethracene), was brushed onto the cheek pouches bilaterally daily for 2 weeks. Hamsters with oral neoplasms received 2.5mg/kg Photofrin® intravenously. After a period of 3 hours, the neoplasms underwent fluorescence illumination ( ex = 380-420 nm). A quantitative analysis of the fluorescence contrast between the neoplastic and surrounding tissues was performed using the RGB Mode (Red, Green, Blue) and the GS (Gray Scale). Statistical analysis was performed by means of ANOVA test for multiple comparisons. Results: Analysis of the 14 hamsters 28 biopsies revealed that 4 (14%) displayed squamous hyperplasia (1 mild, 3 severe) and 24 (86%) displayed squamous cell carcinoma. The sensitivity of neoplastic tissue evaluated using the RGB and GS modes combined reached 92% in the macroscopic study, and 93% in the microscopic study. The specificity of neoplastic tissue evaluated using the RGB and GS modes combined reached 95% in the macroscopic study, and 97% in the microscopic study. The difference between healthy tissue and the lesions as a group is statistically significant. Conclusions: Light-induced fluorescence detection using Photofrin® provides a sensitive technique for the early identification of malignant neoplasms in the oral cavity of our animal models.
關鍵詞 Photofrin®, photodynamic diagnosis, oral neoplasms, hamster
分類 Original Article

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