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Published ahead of print on February 11, 2005, doi:10.1164/rccm.200501-046OC
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American Journal of Respiratory and Critical Care Medicine Vol 171. pp. 1178-1184, (2005)
© 2005 American Thoracic Society
doi: 10.1164/rccm.200501-046OC

Original Article

Measurement of Hypoxia-related Parameters in Bronchial Mucosa by Use of Optical Spectroscopy

Martin P. L. Bard, Arjen Amelink, Vincent Noordhoek Hegt, Wilfried J. Graveland, Henricus J. C. M. Sterenborg, Henk C. Hoogsteden and Joachim G. J. V. Aerts

Department of Respiratory Diseases, Center for Optical Diagnostics and Therapy; Departments of Radiation Oncology and Statistics, Erasmus Medical Centre Rotterdam; and Departments of Pathology and Respiratory Diseases, Sint Franciscus Hospital, Rotterdam, the Netherlands

Correspondence and requests for reprints should be addressed to Joachim Aerts, M.D., Ph.D., Department of Respiratory Diseases, Sint Franciscus Hospital, Kleiweg 500, Rotterdam 3045 PM, the Netherlands. E-mail: j.aerts{at}sfg.nl

Rationale: Tumor hypoxia has both prognostic and therapeutic consequences for solid tumors. We developed a novel noninvasive technique, differential path-length spectroscopy (DPS), which allows the measurement of hypoxia-related parameters in the superficial microvasculature of tissue. Objectives: The aim of this study was to measure the microvascular oxygenation of histologically normal endobronchial mucosa and of neoplastic lesions during bronchoscopy using DPS. Methods: Sixty-four patients with known or suspected malignancies of the lung were studied. One hundred and five endobronchial lesions (38 histologically normal, 37 metaplastic/mild dysplastic lesions, and 30 invasive carcinomas) were detected by white and/or autofluorescence bronchoscopy and measured using DPS. Results: We observed that bronchial tumors are characterized by a lower blood oxygen saturation and a higher blood content than normal mucosa. No differences were observed between normal and metaplastic/mild dysplastic mucosa. Conclusion: DPS is a new optical technique allowing the noninvasive study of endobronchial tumor hypoxia.

Key Words: cancer • hypoxia • lung • optical spectroscopy • premalignant




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