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bmdo technologies for biomedical applications - MDA Technology

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ton migration, which is safe, noninvasive, inexpensive, and potentiallymore sensitive and accurate than other imaging techniques.To detect abnormal breast tissue, the handheld laser diode instrumentsends near-infrared light through the tissue to determine its optical properties.As light propagates through tissue, the researchers measure howmany photons were scattered or absorbed. These data can then be interpretedto yield tissue hemoglobin levels, blood volume, and water content.With this in<strong>for</strong>mation, certain diagnoses can be made.For example, a great deal of scattering might signal high cell density, a signof cancer. Malignant tumors also may absorb more light because they containmore hemoglobin than normal tissue. Fluid-filled cysts should havelower than usual scattering, because the density of fluid is lower than thatof normal tissue.Laser Tweezers and Scissors. Beckman’s director, Michael Berns, Ph.D.,and Tromberg have collaborated to develop devices such as laser tweezersand scissors that can be used to immobilize and manipulate cells and theircontents. Berns’s early interest in chromosome cutting has led to the abilityto optically cut lengths of DNA and selectively amplify these sequences.Currently, molecular biologists use a variety of wet chemistry techniques toenzymatically cut DNA (with restriction endonucleases derived frommicrobes). The laser scissors device, if cost-effective, is a cleaner, moredirect alternative to endonuclease cutting; moreover, restriction endonucleasescan be used at only a limited set of four- to eight-nucleotidesequences in the genome. The laser tweezer, scissors, and the free electronlaser based microscope are basic research tools at present.VENTURES OR PRODUCT AVAILABILITYPhotofrin, manufactured by QLT Photopharmaceuticals (Vancouver, BC)was approved <strong>for</strong> treating late-stage esophageal cancer in late 1996 and isbeing used in a number of clinical centers, including BLI, <strong>for</strong> PDT. PDT <strong>for</strong>noncancerous conditions such as endometrial hyperplasia is also beingassessed, as well as novel photosensitive drugs.Through a collaboration with the Chao Family Clinical Cancer ResearchCenter (Orange, CA), Tromberg is testing the tissue spectrometer’s abilityto differentiate between normal and abnormal tissue. He and John Butler,M.D., have gathered and analyzed data on about 30 patients. Theresearchers are now correlating these data to such conventional techniquesas mammography and histopathology.Tromberg says that the results look promising at this point: the data correctlypredicted a fluid-filled cyst in one patient and a fibrous tumor inanother. He anticipates more extensive clinical trials within two years.Ultimately, he hopes the research will result in a needle-free breast cancerdetection device to complement, not replace, mammography. Tromberg’steam received a patent <strong>for</strong> frequency-domain photon migration in 1992.81CONTACTBeckman Laser InstituteBruce Tromberg, Ph.D.1002 Health Sciences Road EastIrvine, CA 92715Telephone: (714) 856-6996Facsimile: (714) 856-8413Email: bjtrombe@bli.uci.eduWWW: http://bli.uci.eduBMDO Technologies <strong>for</strong> Biomedical ApplicationsChapter 3 - Intervention TechnologiesSection B - Treatment

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