Optical Skin Depth Profiling for Precise Cancer Boundary Detection
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Solution Overview
Problem
Mohs surgery for skin cancer often requires multiple invasive procedures due to uncertainty in cancer boundary detection, leading to unnecessary removal of healthy tissue and inefficiency.
Innovation Solution
A non-invasive method using an optical probe to transmit pulses of light, generate intrinsic tissue signals, and process them to create a depth profile for precise disease identification without tissue removal, employing technologies like second harmonic generation and autofluorescence microscopy.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Reliability
If Mohs surgery is performed with traditional histological analysis, then cancer can be removed with high cure rate, but multiple surgeries are required and healthy tissue is unnecessarily removed
Solution Approach 1:
The patent applies preliminary action by performing optical imaging and depth profile analysis before surgery to identify cancer boundaries in advance. This allows the surgeon to know the exact extent of cancer infiltration beforehand, enabling precise surgical planning and avoiding multiple surgeries by ensuring complete removal in a single procedure.
Solution Approach 2:
The patent replaces the traditional mechanical histological analysis system (tissue removal, sectioning, staining, microscopic examination) with an optical imaging system that uses light pulses to generate depth profiles and identify cancer boundaries non-invasively, eliminating the need for multiple surgical procedures.
2Reliability
If Mohs surgery is performed with traditional histological analysis, then cancer can be detected, but the process is inefficient and costly
Solution Approach 1:
The optical imaging system performs cancer detection and boundary mapping before surgery, allowing the surgeon to proceed directly to excision without intraoperative histological processing. This preliminary detection eliminates time-consuming tissue preparation steps and improves surgical efficiency while maintaining detection accuracy.
Solution Approach 2:
The patent substitutes the inefficient mechanical histological processing system with a rapid optical imaging system that provides immediate depth profile analysis, significantly reducing the time from tissue sampling to cancer detection while maintaining high accuracy.
3Measurement precision
If traditional histological preparation is used, then tissue can be analyzed microscopically, but the process takes approximately one hour
Solution Approach 1:
The patent replaces the time-consuming mechanical histological preparation and microscopic analysis system with an optical imaging system that uses light pulse transmission and depth profile generation to achieve comparable or superior tissue analysis precision in a fraction of the time, eliminating the one-hour waiting period.
4Ease of operation
If surgeons draw boundaries around visible lesions, then surgery can be performed, but cancer boundaries are not determined with certainty
Solution Approach 1:
The patent replaces the subjective visual boundary drawing method with an objective optical imaging system that generates depth profiles to precisely map cancer boundaries based on tissue optical properties, providing certain and accurate boundary determination while maintaining ease of surgical execution.
Applied Scientific Principles
This section explains which scientific principles are used to turn an abstract innovation direction into a practical engineering solution.
Function Achieved in This Case
Enables rapid, precise detection of skin cancer boundaries in real-time, reducing the need for multiple surgeries and minimizing tissue removal, thus improving patient comfort and surgical efficiency.
Implementation Method 1
employing technologies like second harmonic generation and autofluorescence microscopy
Implementation Method 2
employing technologies like second harmonic generation and autofluorescence microscopy
Data Source
AI summary
In some aspects, the present disclosure provides methods for identifying a disease in an epithelial tissue of a subject. Methods for identifying a disease in an epithelial tissue comprise the generation of a depth profile of the epithelial tissue using signals generated from the tissue by pulses of light directed towards a surface of the epithelial tissue. In some aspects, the present disclosure provides apparatuses consistent with the methods herein.


