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Copyright ©2011 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Clin Oncol. Jan 10, 2011; 2(1): 50-63
Published online Jan 10, 2011. doi: 10.5306/wjco.v2.i1.50
Role of optical spectroscopy using endogenous contrasts in clinical cancer diagnosis
Quan Liu
Quan Liu, Division of Bioengineering, School of Chemical and Biomedical Engineering, Nanyang Technological University, N1.3-B2-06, 70 Nanyang Drive, Singapore 637457, Singapore
Author contributions: Liu Q wrote this review alone.
Correspondence to: Quan Liu, PhD, Division of Bioengineering, School of Chemical and Biomedical Engineering, Nanyang Technological University, N1.3-B2-06, 70 Nanyang Drive, Singapore 637457, Singapore. quanliu@ntu.edu.sg
Telephone: +65-65138298 Fax: +65-67911761
Received: August 6, 2010
Revised: October 17, 2010
Accepted: October 24, 2010
Published online: January 10, 2011
Abstract

Optical spectroscopy has been intensively studied for cancer management in the past two decades. This review paper first introduces the background of optical spectroscopy for cancer management, which includes the advantages of optical techniques compared to other established techniques, the principle of optical spectroscopy and the typical setup of instrumentation. Then the recent progress in optical spectroscopy for cancer diagnosis in the following organs is reviewed: the brain, breast, cervix, lung, stomach, colon, prostate and the skin. Reviewed papers were selected from the PubMed database with keywords combining the terms of individual optical spectroscopy techniques and cancers. The primary focus is on the in vivo applications of optical spectroscopy in clinical studies. Ex vivo studies are also included for some organs to highlight special applications or when there are few in vivo results in the literature. Practical considerations of applying optical spectroscopy in clinical settings such as the speed, cost, complexity of operation, accuracy and clinical value are discussed. A few commercially available clinical instruments that are based on optical spectroscopy techniques are presented. Finally several technical challenges and standard issues are discussed and firm conclusions are made.

Keywords: Cancer diagnosis, Clinical oncology, Endogenous contrasts, Optical spectroscopy, Review