4.6 Article

Identifying non-muscle-invasive and muscle-invasive bladder cancer based on blood serum surface-enhanced Raman spectroscopy

Journal

BIOMEDICAL OPTICS EXPRESS
Volume 10, Issue 7, Pages 3533-3544

Publisher

Optica Publishing Group
DOI: 10.1364/BOE.10.003533

Keywords

-

Funding

  1. National Natural Science Foundation of China [61605025]
  2. Fund for Innovative Research Groups of the National Natural Science Foundation of China [71621061]
  3. Science and Technology Foundation of National Defense Key Laboratory [61424080209]
  4. Program for Innovation Talents in Universities of Liaoning Province [LR2016031]
  5. Ningbo Natural Science Foundation [2018A610365]
  6. Fundamental Research Funds for the Central Universities [N171902001, N171904006]
  7. 111 Project [B16009]

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The assessment of the muscle invasion of bladder cancer typically plays a crucial role in therapeutic decision-making and has significant impacts on the recurrence rate and survival rate. Although histopathology is sufficiently accurate and usually served as the gold standard for bladder cancer diagnosis. it is imasive, time-consuming, and requires intensive sample preparation by a well-trained pathologist to achieve an optimal diagnosis. Therefore, a fast and noninvasive method to accurately identify non-muscle-invasive bladder cancer (NMIBC) and muscle-invasive bladder cancer (MIBC) is in demand. In this study, the SERS technique combined with the PLS-LDA method based on a small amount of blood serum samples is employed to distinguish healthy volunteers, NMIBC, and MIBC patients. According to the results, the overall diagnostic accuracy is 93.3%. The diagnostic accuracies arc 97.8% and 93.2% for healthy versus bladder cancer groups and NMIBC versus MIBC groups, respectively. Therefore, the proposed method has demonstrated excellent performance on accurately identifying muscle invasion of bladder cancer, which can assist timely diagnosis and proper treatment for bladder cancer patients. (C) 2019 Optical Society of America under the terms of the OSA Open Access Publishing Agreement

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