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- W1973435986 abstract "This research investigated the feasibility of using time-dependent diffuse reflectance spectroscopy to differentiatepediatric epileptic brain tissue from normal brain tissue. The optical spectroscopic technique monitored the dynamicoptical properties of the cerebral cortex that are associated with its physiological, morphological, and compositionalcharacteristics. Due to the transient irregular epileptic discharge activity within the epileptic brain tissue it washypothesized that the lesion would express abnormal dynamic optical behavior that would alter normal dynamicbehavior. Thirteen pediatric epilepsy patients and seven pediatric brain tumor patients (normal controls) were recruitedfor this clinical study. Dynamic optical properties were obtained from the cortical surface intraoperatively using a timedependentdiffuse reflectance spectroscopy system. This system consisted of a fiber-optic probe, a tungsten-halogen lightsource, and a spectrophotometer. It acquired diffuse reflectance spectra with a spectral range of 204 nm to 932 nm at arate of 33 spectra per second for approximately 12 seconds. Biopsy samples were taken from electrophysiologicallyabnormal cortex and evaluated by a neuropathologist, which served as a gold standard for lesion classification. For dataanalysis, spectral intensity changes of diffuse reflectance in the time domain at two different wavelengths from eachinvestigated site were compared. Negative correlation segment, defined by the periods where the intensity changes at thetwo wavelengths were opposite in their slope polarity, were extracted. The total duration of correlation, referredto as the negative correlation time index, was calculated by integrating the correlation segments. The negativecorrelation time indices from all investigated sites were sub-grouped according to the corresponding histologicalclassifications. The difference between the mean indices of two subgroups was evaluated by standard t-test. Thesecomparison and calculation procedures were carried out for all possible wavelength combinations between 400 nm and800 nm with 2 nm increments. The positive group consisted of seven pathologically abnormal test sites, and the negativegroup consisted of 13 normal test sites from non-epileptic tumor patients. A standard t-test showed significant differencebetween correlation time indices from the two groups at the wavelength combinations of 700-760 nm versus550-580 nm. An empirical discrimination algorithm based on the correlation time indices in this range produced100% sensitivity and 85% specificity. Based on these results time-dependent diffuse reflectance spectroscopy withoptimized data analysis methods differentiates epileptic brain tissue from normal brain tissue adequately, therefore canbe utilized for surgical guidance, and may enhance the surgical outcome of pediatric epilepsy surgery." @default.
- W1973435986 created "2016-06-24" @default.
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- W1973435986 date "2009-05-01" @default.
- W1973435986 modified "2023-09-23" @default.
- W1973435986 title "Differentiating pediatric epileptic brain tissue from normal brain tissue by using time-dependent diffuse reflectance spectroscopy in vivo: comprehensive data analysis method in the time domain" @default.
- W1973435986 doi "https://doi.org/10.1117/12.818767" @default.
- W1973435986 hasPublicationYear "2009" @default.
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