• Journal of Innovative Optical Health Sciences
  • Vol. 12, Issue 2, 1950007 (2019)
Alexey Pavlov1, Ekaterina Borisova1、2、*, Olga Pavlova1, Ilana Agranovich1, Alexander Khorovodov1, Andrey Terskov1, Aysel Mamedova1, Maria Klimova1, Latchezar Avramov2, and Oxana Semyachkina-Glushkovskaya1
Author Affiliations
  • 1Saratov State University, 83 Astrakhanskaya Str., Saratov 410012, Russia
  • 2Institute of Electronics, Bulgarian Academy of Sciences, Tsarigradsko Chaussee Blvd. 72, Sofia 1784, Bulgaria
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    DOI: 10.1142/s179354581950007x Cite this Article
    Alexey Pavlov, Ekaterina Borisova, Olga Pavlova, Ilana Agranovich, Alexander Khorovodov, Andrey Terskov, Aysel Mamedova, Maria Klimova, Latchezar Avramov, Oxana Semyachkina-Glushkovskaya. Photodynamic diagnostics of early gastric cancer: Complexity measures of gastric microcirculation and new model of metastatic adenocarcinoma of rat stomach[J]. Journal of Innovative Optical Health Sciences, 2019, 12(2): 1950007 Copy Citation Text show less

    Abstract

    The detection of early gastric cancer that often develops asymptomatically is crucial for improving patient survival. The photodynamic diagnosis (PDD) of gastric cancer using 5-aminolevulinic acid/protoporphyrin IX (5-ALA/PpIX) has been reported in several studies. However, the selectivity of PDD of gastric tumor is poor with often false-positive results that require the development of new methods to improve PDD for early gastric cancer. Therefore, a measure of the complexity of gastric microcirculation (multi-scale entropy, MSE) and the detrended fluctuation analysis (DFA) were applied as additional tools to detect early gastric cancer in rats.In this experimental study, we used our original model of metastatic adenocarcinoma in the stomach of a rat. To induce a gastric tumor, we used a long-term combination (for 9 months, which is 1/2 of the life of rats) of two natural factors, such as chronic stress (overpopulation being typical for modern cities) and the daily presence of nitrites in food and drinks, which are common ingredients added to processed meat and fish to help preserve food. Our results clearly show that both methods, namely, PDD using 5-ALA/PpIX and complexity/correlation analysis, can detect early gastric cancer, which was confirmed by histological analysis. Pre-cancerous areas in the stomach were detected as an intermediate fluorescent signal or MSE level between normal and malignant lesions of the stomach. However, in some cases, PDD with 5-ALA/PpIX produced a false-positive fluorescence of exogenous fluorophores due to its accumulation in benign and inflammatory areas of the mucosa. This fact indicates that the PDD itself is not sufficient for the correct diagnosis of gastric cancer, and the use of additional characteristics, e.g., complexity measures or scaling exponents, can significantly improve the diagnostic accuracy of PDD of gastric cancer that should be confirmed in further clinical studies and applications.
    Alexey Pavlov, Ekaterina Borisova, Olga Pavlova, Ilana Agranovich, Alexander Khorovodov, Andrey Terskov, Aysel Mamedova, Maria Klimova, Latchezar Avramov, Oxana Semyachkina-Glushkovskaya. Photodynamic diagnostics of early gastric cancer: Complexity measures of gastric microcirculation and new model of metastatic adenocarcinoma of rat stomach[J]. Journal of Innovative Optical Health Sciences, 2019, 12(2): 1950007
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