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Fluorescence spectroscopy on paraffin-preserved human liver samples to classify several grades of fibrosis.
Roa-Tort, Karen; Rivera-Fernández, Josué D; de la Rosa-Vázquez, José M; Escobedo, Galileo; Stolik, Suren; Valor, Alma; Fabila-Bustos, Diego A.
Afiliação
  • Roa-Tort K; Laboratorio de Biofotónica, ESIME Zacatenco, Instituto Politécnico Nacional, Ciudad de México, Mexico.
  • Rivera-Fernández JD; Laboratorio de Biofotónica, ESIME Zacatenco, Instituto Politécnico Nacional, Ciudad de México, Mexico.
  • de la Rosa-Vázquez JM; Laboratorio de Biofotónica, ESIME Zacatenco, Instituto Politécnico Nacional, Ciudad de México, Mexico. Electronic address: jos_delarosa@yahoo.com.mx.
  • Escobedo G; Laboratorio de Proteómica y Metabolómica, División de Investigación, Hospital General de México "Dr. Eduardo Liceaga", Ciudad de México 06726, Mexico.
  • Stolik S; Laboratorio de Biofotónica, ESIME Zacatenco, Instituto Politécnico Nacional, Ciudad de México, Mexico.
  • Valor A; Laboratorio de Biofotónica, ESIME Zacatenco, Instituto Politécnico Nacional, Ciudad de México, Mexico.
  • Fabila-Bustos DA; Laboratorio de Biofotónica, ESIME Zacatenco, Instituto Politécnico Nacional, Ciudad de México, Mexico; Laboratorio de Espectroscopia, UPIIH, Instituto Politécnico Nacional, Ciudad del Conocimiento y la Cultura, San Agustín Tlaxiaca, Hidalgo, Mexico.
Spectrochim Acta A Mol Biomol Spectrosc ; 242: 118737, 2020 Dec 05.
Article em En | MEDLINE | ID: mdl-32745938
Nowadays, it is well established that biopsy is the gold standard for medical diagnosis of liver disease; however, recent studies have shown numerous discrepancies in biopsy assessment, even when it is evaluated by senior pathologists. Fluorescence spectroscopy is a tool that has been of utility in the diagnosis of different diseases based on biopsy analysis. Thus, fluorescence study of liver samples with five different degrees of fibrosis is presented. Paraffin-preserved human liver tissue was provided on white plastic cassettes by the Hospital General de Mexico "Dr. Eduardo Liceaga". Specimens were diagnosed by two independent-senior pathologists in a double-blind test and classified into five different groups: F0, F1, F2, F3, and F4, according to the METAVIR scale for liver fibrosis. Fluorescence spectroscopy measurements were performed using three different excitation wavelengths: 385, 405, and 450 nm. Besides, diffuse reflectance spectroscopy (DRS) measurements were taken with white light to determine morphological changes in the tissue and to compare the results with medical diagnosis. The spectral analysis at excitation wavelengths of 385 nm and 405 nm showed poor correlation with medical diagnosis. Likewise, in order to discard all possible error-sources involved in the measurements, an exhaustive study was carried out; it included the determination of the fluorescence noise produced by paraffin, cassette, and the tissue itself. At 450 nm excitation wavelength, no fluorescence by the cassette was detected and noise-subtraction methods were not required, this allows a high correlation of hepatic fibrosis stages between pathological diagnosis and spectroscopic analysis. For this excitation wavelength, 89.87% correlation with DRS measurements and 82.00% with medical diagnosis were obtained. This work demonstrates that fluorescence spectroscopy using 450 nm excitation wavelength might work as a complementary tool to grade hepatic fibrosis in human liver specimens.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Parafina / Fígado Tipo de estudo: Clinical_trials / Diagnostic_studies Limite: Humans País/Região como assunto: Mexico Idioma: En Revista: Spectrochim Acta A Mol Biomol Spectrosc Assunto da revista: BIOLOGIA MOLECULAR Ano de publicação: 2020 Tipo de documento: Article País de afiliação: México País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Parafina / Fígado Tipo de estudo: Clinical_trials / Diagnostic_studies Limite: Humans País/Região como assunto: Mexico Idioma: En Revista: Spectrochim Acta A Mol Biomol Spectrosc Assunto da revista: BIOLOGIA MOLECULAR Ano de publicação: 2020 Tipo de documento: Article País de afiliação: México País de publicação: Reino Unido