Literature DB >> 25449147

Dual optical modality endoscopic imaging of cancer development in the mouse colon.

Molly R Keenan1, Sarah J Leung, Photini S Rice, R Andrew Wall, Jennifer K Barton.   

Abstract

BACKGROUND AND
OBJECTIVE: We utilize a miniature, dual-modality endoscope that combines fluorescence-based surface magnifying chromoendoscopy (SMC) and optical coherence tomography (OCT) to follow the anatomical changes that occur during adenoma development in the mouse colon.
MATERIALS AND METHODS: Twenty-five mice were treated with the carcinogen azoxymethane (AOM) to induce tumor development in the distal colon, or were treated with saline as control, and were imaged over six months. OCT detects adenoma number with high sensitivity and specificity and can measure lesion size. In methylene blue-lavaged colons, SMC detects changes in the colonic crypts. SMC images of control mouse colons exhibit reticulated patterns of crypts of equal size, forming either a dot or honeycomb pattern.
RESULTS: Images of AOM-treated colons show mild crypt irregularities even in grossly normal tissue. Images of small to medium adenoma exhibit larger crypts, more intense signal, and irregular spacing whereas those of large adenoma have heterogeneous, intense signal and loss of crypt structure.
CONCLUSIONS: The combination of OCT and SMC permits the detection of neoplastic events from the earliest stages of crypt irregularities before gross tissue changes are noted, through to measuring the growth of protruding adenoma.
© 2014 Wiley Periodicals, Inc.

Entities:  

Keywords:  Chromoendoscopy; magnifying endoscopy; methylene blue; optical coherence tomography; pit pattern

Mesh:

Substances:

Year:  2014        PMID: 25449147      PMCID: PMC4304897          DOI: 10.1002/lsm.22307

Source DB:  PubMed          Journal:  Lasers Surg Med        ISSN: 0196-8092            Impact factor:   4.025


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