CA2190374A1 - Optical method and apparatus for the diagnosis of cervical precancers using raman and fluorescence spectroscopies - Google Patents
Optical method and apparatus for the diagnosis of cervical precancers using raman and fluorescence spectroscopiesInfo
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- CA2190374A1 CA2190374A1 CA002190374A CA2190374A CA2190374A1 CA 2190374 A1 CA2190374 A1 CA 2190374A1 CA 002190374 A CA002190374 A CA 002190374A CA 2190374 A CA2190374 A CA 2190374A CA 2190374 A1 CA2190374 A1 CA 2190374A1
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- 238000000034 method Methods 0.000 title claims abstract 31
- 238000001069 Raman spectroscopy Methods 0.000 title claims abstract 5
- 230000003287 optical effect Effects 0.000 title claims 3
- 238000003745 diagnosis Methods 0.000 title claims 2
- 238000001506 fluorescence spectroscopy Methods 0.000 title abstract 3
- 230000005856 abnormality Effects 0.000 claims abstract 34
- 208000032124 Squamous Intraepithelial Lesions Diseases 0.000 claims abstract 16
- 238000005259 measurement Methods 0.000 claims abstract 16
- 238000002189 fluorescence spectrum Methods 0.000 claims abstract 9
- 230000005284 excitation Effects 0.000 claims abstract 7
- 238000000338 in vitro Methods 0.000 claims abstract 2
- 238000001727 in vivo Methods 0.000 claims abstract 2
- 238000001228 spectrum Methods 0.000 claims 45
- 239000000523 sample Substances 0.000 claims 31
- 230000005670 electromagnetic radiation Effects 0.000 claims 30
- 230000002159 abnormal effect Effects 0.000 claims 20
- 238000009826 distribution Methods 0.000 claims 19
- 238000005286 illumination Methods 0.000 claims 16
- 238000001237 Raman spectrum Methods 0.000 claims 14
- 238000004458 analytical method Methods 0.000 claims 14
- 238000007781 pre-processing Methods 0.000 claims 10
- 230000001131 transforming effect Effects 0.000 claims 7
- 239000011159 matrix material Substances 0.000 claims 6
- 206010058314 Dysplasia Diseases 0.000 claims 3
- 230000000875 corresponding effect Effects 0.000 claims 3
- IJGRMHOSHXDMSA-UHFFFAOYSA-N Atomic nitrogen Chemical compound N#N IJGRMHOSHXDMSA-UHFFFAOYSA-N 0.000 claims 2
- 238000011068 loading method Methods 0.000 claims 2
- 230000002596 correlated effect Effects 0.000 claims 1
- 229910052757 nitrogen Inorganic materials 0.000 claims 1
- 238000000513 principal component analysis Methods 0.000 claims 1
- 230000005855 radiation Effects 0.000 claims 1
- 230000001360 synchronised effect Effects 0.000 claims 1
- 238000012762 unpaired Student’s t-test Methods 0.000 claims 1
- 238000002405 diagnostic procedure Methods 0.000 abstract 2
- 230000035945 sensitivity Effects 0.000 abstract 2
- 206010061218 Inflammation Diseases 0.000 abstract 1
- 206010054949 Metaplasia Diseases 0.000 abstract 1
- 238000001574 biopsy Methods 0.000 abstract 1
- 230000004054 inflammatory process Effects 0.000 abstract 1
- 230000015689 metaplastic ossification Effects 0.000 abstract 1
- 238000002095 near-infrared Raman spectroscopy Methods 0.000 abstract 1
Classifications
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- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N21/00—Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
- G01N21/62—Systems in which the material investigated is excited whereby it emits light or causes a change in wavelength of the incident light
- G01N21/63—Systems in which the material investigated is excited whereby it emits light or causes a change in wavelength of the incident light optically excited
- G01N21/64—Fluorescence; Phosphorescence
- G01N21/6486—Measuring fluorescence of biological material, e.g. DNA, RNA, cells
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
- A61B5/0071—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence by measuring fluorescence emission
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
- A61B5/0075—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence by spectroscopy, i.e. measuring spectra, e.g. Raman spectroscopy, infrared absorption spectroscopy
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
- A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
- A61B5/0084—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for introduction into the body, e.g. by catheters
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/43—Detecting, measuring or recording for evaluating the reproductive systems
- A61B5/4306—Detecting, measuring or recording for evaluating the reproductive systems for evaluating the female reproductive systems, e.g. gynaecological evaluations
- A61B5/4318—Evaluation of the lower reproductive system
- A61B5/4331—Evaluation of the lower reproductive system of the cervix
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
- A61B5/7235—Details of waveform analysis
- A61B5/7264—Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems
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- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N21/00—Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
- G01N21/62—Systems in which the material investigated is excited whereby it emits light or causes a change in wavelength of the incident light
- G01N21/63—Systems in which the material investigated is excited whereby it emits light or causes a change in wavelength of the incident light optically excited
- G01N21/65—Raman scattering
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/0059—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence
- A61B5/0082—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes
- A61B5/0084—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for introduction into the body, e.g. by catheters
- A61B5/0086—Measuring for diagnostic purposes; Identification of persons using light, e.g. diagnosis by transillumination, diascopy, fluorescence adapted for particular medical purposes for introduction into the body, e.g. by catheters using infrared radiation
-
- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N21/00—Investigating or analysing materials by the use of optical means, i.e. using sub-millimetre waves, infrared, visible or ultraviolet light
- G01N21/62—Systems in which the material investigated is excited whereby it emits light or causes a change in wavelength of the incident light
- G01N21/63—Systems in which the material investigated is excited whereby it emits light or causes a change in wavelength of the incident light optically excited
- G01N21/65—Raman scattering
- G01N2021/653—Coherent methods [CARS]
- G01N2021/656—Raman microprobe
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
- G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
Abstract
A method and apparatus for detecting tissue abnormality, particularly precancerous cervical tissue, through fluorescence or Raman spectroscopy, or a combination of fluorescence and Raman spectroscopy. In vivo fluorescence measurements were followed by in vitro NIR Raman measurements on human cervical biopsies. Fluorescence spectra collected at 337, 380 and 460 nm excitation were used to develop a diagnostic method to differentiate between normal and dysplastic tissues. Using a fluorescence diagnostic method, a sensitivity and specificity of 80 % and 67 % were observed for differentiating squamous intraepithelial lesions (SILs) from all other tissues. In accordance with another aspect of the invention, using Raman scattering peaks observed at selected wavenumbers, SILs were separated from other tissues with a sensitivity and specificity of 88 % and 100 %. In addition, inflammation and metaplasia samples are correctly separated from the SILs.
Claims (37)
1. A method of detecting and quantifying tissue abnormality in a tissue sample, comprising:
illuminating said tissue sample with a first electromagnetic radiation wavelength selected to cause said tissue sample to produce a fluorescence intensity spectrum indicative of tissue abnormality;
detecting a first fluorescence intensity spectrum emitted from said tissue sample as a result of illumination with said first wavelength;
illuminating said tissue sample with a second electromagnetic radiation wavelength selected to cause said tissue sample to produce a fluorescence intensity spectrum indicative of a degree of tissue abnormality;
detecting a second fluorescence intensity spectrum emitted from said tissue sample as a result of illumination with said second wavelength;
calculating from said first fluorescence intensity spectrum, a probability that said tissue sample is normal or abnormal; and calculating from said second fluorescence intensity spectrum a degree of abnormality of said tissue sample.
illuminating said tissue sample with a first electromagnetic radiation wavelength selected to cause said tissue sample to produce a fluorescence intensity spectrum indicative of tissue abnormality;
detecting a first fluorescence intensity spectrum emitted from said tissue sample as a result of illumination with said first wavelength;
illuminating said tissue sample with a second electromagnetic radiation wavelength selected to cause said tissue sample to produce a fluorescence intensity spectrum indicative of a degree of tissue abnormality;
detecting a second fluorescence intensity spectrum emitted from said tissue sample as a result of illumination with said second wavelength;
calculating from said first fluorescence intensity spectrum, a probability that said tissue sample is normal or abnormal; and calculating from said second fluorescence intensity spectrum a degree of abnormality of said tissue sample.
2. The method of claim 1, each of said calculating steps comprising:
conducting principal component analysis of said first and second spectra, relative to a plurality of preprocessed spectra obtained from tissue samples of known diagnosis.
conducting principal component analysis of said first and second spectra, relative to a plurality of preprocessed spectra obtained from tissue samples of known diagnosis.
3. The method of claim 1, each of said calculating steps comprising:
normalizing said first and second spectra, relative to a maximum intensity within said spectra.
normalizing said first and second spectra, relative to a maximum intensity within said spectra.
4. The method of claim 3, each of said calculating steps further comprising:
mean-scaling said first and second spectra as a function of a mean intensity of said first and second spectra.
mean-scaling said first and second spectra as a function of a mean intensity of said first and second spectra.
5. A method of detecting tissue abnormality in a diagnostic tissue sample, comprising:
illuminating said tissue sample with an illumination wavelength of electromagnetic radiation selected to cause said tissue sample to emit a Raman spectrum comprising a plurality of wavelengths shifted from said illumination wavelength;
detecting a plurality of peak intensities of said Raman spectrum at wavelength shifts selected for their ability to distinguish normal tissue from abnormal tissue;
comparing each of said plurality of detected peak intensities at said wavelength shifts with intensities of a Raman spectrum from known normal tissue at corresponding wavelength shifts;
detecting abnormality of said tissue sample, as a function of said comparison.
illuminating said tissue sample with an illumination wavelength of electromagnetic radiation selected to cause said tissue sample to emit a Raman spectrum comprising a plurality of wavelengths shifted from said illumination wavelength;
detecting a plurality of peak intensities of said Raman spectrum at wavelength shifts selected for their ability to distinguish normal tissue from abnormal tissue;
comparing each of said plurality of detected peak intensities at said wavelength shifts with intensities of a Raman spectrum from known normal tissue at corresponding wavelength shifts;
detecting abnormality of said tissue sample, as a function of said comparison.
6. The method of claim 5, further comprising:
calculating a ratio between selected intensities of said Raman spectrum; and detecting abnormality of said tissue sample, as a function of said ratio
calculating a ratio between selected intensities of said Raman spectrum; and detecting abnormality of said tissue sample, as a function of said ratio
7. A method of detecting tissue abnormality in a diagnostic tissue sample, comprising:
illuminating said tissue sample with an illumination wavelength of electromagnetic radiation selected to cause said tissue sample to emit a Raman spectrum comprising a plurality of wavelengths shifted from said illumination wavelength;
detecting a plurality of peak intensities of said Raman spectrum at wavelength shifts selected by their ability to distinguish normal tissue from abnormal tissue;
calculating a ratio between at least two of said plurality of peak intensities; and detecting abnormality of said tissue sample, as a function of said ratio.
illuminating said tissue sample with an illumination wavelength of electromagnetic radiation selected to cause said tissue sample to emit a Raman spectrum comprising a plurality of wavelengths shifted from said illumination wavelength;
detecting a plurality of peak intensities of said Raman spectrum at wavelength shifts selected by their ability to distinguish normal tissue from abnormal tissue;
calculating a ratio between at least two of said plurality of peak intensities; and detecting abnormality of said tissue sample, as a function of said ratio.
8. The method of claim 7, further comprising:
calculating a second ratio between two of said plurality of peak intensities; and detecting a degree of tissue abnormality as a function of said second ratio.
calculating a second ratio between two of said plurality of peak intensities; and detecting a degree of tissue abnormality as a function of said second ratio.
9. A method of detecting tissue abnormality in a diagnostic tissue sample, comprising:
illuminating said tissue sample with electromagnetic radiation having a plurality of wavelengths, a first subset of said plurality of wavelengths having been selected to cause tissue to emit fluorescence spectra indicative of tissue abnormality, and a second set of said plurality of wavelengths having been selected to cause tissue to emit Raman spectra indicative of tissue abnormality;
detecting a fluorescence intensity spectrum from the tissue sample;
detecting a Raman spectrum from said tissue sample;
and assessing abnormality of said tissue sample as a function of said detected fluorescence spectrum and as a function of said detected Raman spectrum.
illuminating said tissue sample with electromagnetic radiation having a plurality of wavelengths, a first subset of said plurality of wavelengths having been selected to cause tissue to emit fluorescence spectra indicative of tissue abnormality, and a second set of said plurality of wavelengths having been selected to cause tissue to emit Raman spectra indicative of tissue abnormality;
detecting a fluorescence intensity spectrum from the tissue sample;
detecting a Raman spectrum from said tissue sample;
and assessing abnormality of said tissue sample as a function of said detected fluorescence spectrum and as a function of said detected Raman spectrum.
10. An apparatus for detecting and quantifying tissue abnormality in a tissue sample, comprising:
a controllable illumination source for emitting a plurality of electromagnetic radiation wavelengths selected to cause said tissue sample to produce fluorescence intensity spectra indicative of tissue abnormality;
an optical system coupled to said illumination source for applying said plurality of radiation wavelengths to a tissue sample;
a fluorescence intensity spectrum detecting device for detecting an intensity of fluorescence spectra emitted by said sample as a result of illumination by said plurality of electromagnetic radiation wavelengths;
a data processor, connected to said detecting device, for analyzing detected fluorescence spectra to calculate a probability that said sample is abnormal.
a controllable illumination source for emitting a plurality of electromagnetic radiation wavelengths selected to cause said tissue sample to produce fluorescence intensity spectra indicative of tissue abnormality;
an optical system coupled to said illumination source for applying said plurality of radiation wavelengths to a tissue sample;
a fluorescence intensity spectrum detecting device for detecting an intensity of fluorescence spectra emitted by said sample as a result of illumination by said plurality of electromagnetic radiation wavelengths;
a data processor, connected to said detecting device, for analyzing detected fluorescence spectra to calculate a probability that said sample is abnormal.
11. A Raman spectroscopy apparatus for detecting tissue abnormality in a tissue sample, comprising:
a controllable illumination device for generating at least one illumination wavelength of electromagnetic radiation selected to cause a tissue sample to emit a Raman spectrum including a plurality of wavelengths shifted from said illumination wavelength;
a Raman spectrum detector for detecting a plurality of peak intensities of said Raman spectrum at selected wavelength shifts; and a programmed computer connected to said Raman spectrum detector, programmed to compare each of said plurality of detected peak intensities with corresponding peak intensities of a Raman spectrum from known normal tissue, to detect tissue abnormality.
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a controllable illumination device for generating at least one illumination wavelength of electromagnetic radiation selected to cause a tissue sample to emit a Raman spectrum including a plurality of wavelengths shifted from said illumination wavelength;
a Raman spectrum detector for detecting a plurality of peak intensities of said Raman spectrum at selected wavelength shifts; and a programmed computer connected to said Raman spectrum detector, programmed to compare each of said plurality of detected peak intensities with corresponding peak intensities of a Raman spectrum from known normal tissue, to detect tissue abnormality.
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12. An apparatus for detecting and classifying tissue abnormality at a tissue site, comprising:
a first source of electromagnetic radiation of a first wavelength that excites different first fluorescence intensity spectra in normal and abnormal tissue;
a first receiver sensitive to the first fluorescence intensity spectra;
means coupled to the first receiver for calculating from the first fluorescence intensity spectra a first probability that the tissue site is normal or abnormal;
a second source of electromagnetic radiation of a second wavelength that excites different second fluorescence intensity spectra in tissues having different types of abnormality a second receiver sensitive to the second fluorescence intensity spectra;
means coupled to the second receiver and to the first probability calculating means for calculating from the second fluorescence intensity spectra a second probability that the tissue site is of a particular type of abnormality, when the first probability is indicative of abnormality at the tissue site;
and a tissue site probe coupled to the first and second sources and to the first and second receivers.
a first source of electromagnetic radiation of a first wavelength that excites different first fluorescence intensity spectra in normal and abnormal tissue;
a first receiver sensitive to the first fluorescence intensity spectra;
means coupled to the first receiver for calculating from the first fluorescence intensity spectra a first probability that the tissue site is normal or abnormal;
a second source of electromagnetic radiation of a second wavelength that excites different second fluorescence intensity spectra in tissues having different types of abnormality a second receiver sensitive to the second fluorescence intensity spectra;
means coupled to the second receiver and to the first probability calculating means for calculating from the second fluorescence intensity spectra a second probability that the tissue site is of a particular type of abnormality, when the first probability is indicative of abnormality at the tissue site;
and a tissue site probe coupled to the first and second sources and to the first and second receivers.
13. An apparatus as in claim 12 wherein the first probability calculating means comprises:
means for conducting a first principle component analysis of the first fluorescence intensity spectra; and means coupled to the first principle component analysis means for conducting a logistic discriminant analysis to obtain the first probability;
and wherein the second probability calculating means comprises:
means for conducting a second principle component analysis of the second fluorescence intensity spectra; and means coupled to the second principle component analysis means for conducting a logistic discriminant analysis to obtain the second probability.
means for conducting a first principle component analysis of the first fluorescence intensity spectra; and means coupled to the first principle component analysis means for conducting a logistic discriminant analysis to obtain the first probability;
and wherein the second probability calculating means comprises:
means for conducting a second principle component analysis of the second fluorescence intensity spectra; and means coupled to the second principle component analysis means for conducting a logistic discriminant analysis to obtain the second probability.
14. An apparatus as in claim 13 wherein:
the first probability calculating means further comprises means for normalizing the first fluorescence intensity spectra relative to respective maximum intensities thereof, prior to conducting the first principle component analysis in the first principle, component analysis means; and the second probability calculating means further comprises means for normalizing the second fluorescence intensity spectra relative to respective maximum intensities thereof, prior to conducting the second principle component analysis in the second principle component analysis means.
the first probability calculating means further comprises means for normalizing the first fluorescence intensity spectra relative to respective maximum intensities thereof, prior to conducting the first principle component analysis in the first principle, component analysis means; and the second probability calculating means further comprises means for normalizing the second fluorescence intensity spectra relative to respective maximum intensities thereof, prior to conducting the second principle component analysis in the second principle component analysis means.
15. An apparatus as in claim 13 wherein:
the first probability calculating means further comprises means for mean-scaling the first fluorescence intensity spectra as a function of a mean intensity thereof, prior to conducting the first principle component analysis in the first principle component analysis means; and the second probability calculating means further comprises means for mean-scaling the second fluorescence intensity spectra as a function of a mean intensity thereof, prior to conducting the second principle component analysis in the second principle component analysis means.
the first probability calculating means further comprises means for mean-scaling the first fluorescence intensity spectra as a function of a mean intensity thereof, prior to conducting the first principle component analysis in the first principle component analysis means; and the second probability calculating means further comprises means for mean-scaling the second fluorescence intensity spectra as a function of a mean intensity thereof, prior to conducting the second principle component analysis in the second principle component analysis means.
16. An apparatus as in claim 12 wherein:
the first and second sources comprise a pulsed nitrogen pumped dye laser respectively operated to generate pulses at the first wavelength having a power level, pulse duration, and repetition rate that excite the first fluorescence intensity spectra in normal and abnormal tissue, and to generate pulses at the second wavelength having a power level, pulse duration, and repetition rate that excite the second fluorescence intensity spectra in tissues having different types of abnormality;
and the first and second receivers comprise a polychromator coupled to an intensified diode array controlled by a multi-channel analyzer, respectively synchronized to the first and second sources.
the first and second sources comprise a pulsed nitrogen pumped dye laser respectively operated to generate pulses at the first wavelength having a power level, pulse duration, and repetition rate that excite the first fluorescence intensity spectra in normal and abnormal tissue, and to generate pulses at the second wavelength having a power level, pulse duration, and repetition rate that excite the second fluorescence intensity spectra in tissues having different types of abnormality;
and the first and second receivers comprise a polychromator coupled to an intensified diode array controlled by a multi-channel analyzer, respectively synchronized to the first and second sources.
17. An apparatus for detecting and classifying tissue abnormality at a tissue site, comprising:
a controllable illumination source for emitting a plurality of electromagnetic radiation wavelengths selected to cause tissue to produce fluorescence intensity spectra indicative of tissue abnormality;
an optical system coupled to the illumination source for applying the plurality of electromagnetic radiation wavelengths to the tissue site;
a fluorescence intensity spectrum detecting device for detecting an intensity of fluorescence spectra emitted by the tissue site as a result of illumination by the plurality of electromagnetic radiation wavelengths; and a first data processor coupled to the detecting device for calculating from the detected fluorescence intensity spectra a probability that the tissue site contains a particular type of abnormal tissue.
a controllable illumination source for emitting a plurality of electromagnetic radiation wavelengths selected to cause tissue to produce fluorescence intensity spectra indicative of tissue abnormality;
an optical system coupled to the illumination source for applying the plurality of electromagnetic radiation wavelengths to the tissue site;
a fluorescence intensity spectrum detecting device for detecting an intensity of fluorescence spectra emitted by the tissue site as a result of illumination by the plurality of electromagnetic radiation wavelengths; and a first data processor coupled to the detecting device for calculating from the detected fluorescence intensity spectra a probability that the tissue site contains a particular type of abnormal tissue.
18. A method for detecting and classifying tissue abnormality in a tissue site, comprising:
applying a plurality of electromagnetic radiation wavelengths to a tissue site to cause the tissue site to produce fluorescence intensity spectra indicative of tissue abnormality;
detecting an intensity of the fluorescence spectra emitted by said site as a result of illumination by said plurality of electromagnetic radiation wavelengths; and calculating from the detected fluorescence spectra a probability that said tissue site contains a particular type of abnormal tissue.
applying a plurality of electromagnetic radiation wavelengths to a tissue site to cause the tissue site to produce fluorescence intensity spectra indicative of tissue abnormality;
detecting an intensity of the fluorescence spectra emitted by said site as a result of illumination by said plurality of electromagnetic radiation wavelengths; and calculating from the detected fluorescence spectra a probability that said tissue site contains a particular type of abnormal tissue.
19. A method of detecting and classifying abnormal tissue at a tissue site of a patient, comprising:
applying electromagnetic radiation to the tissue site at a first wavelength that excites different fluorescence intensity spectra within a first wavelength range in normal and abnormal tissue;
applying electromagnetic radiation to the tissue site at a second wavelength that excites different fluorescence intensity spectra within a second wavelength range in tissues having different types of dysplasia;
obtaining measurements of fluorescence intensities from the first wavelength and second wavelength applying steps within the first and second wavelength ranges;
calculating from the measurements of fluorescence intensities a first probability that the tissue site is normal or abnormal and a second probability that the tissue site is of a particular type of dysplasia; and classifying the tissue site as normal or abnormal and if abnormal, as to as to type of dysplasia, in accordance with the first and second probabilities.
applying electromagnetic radiation to the tissue site at a first wavelength that excites different fluorescence intensity spectra within a first wavelength range in normal and abnormal tissue;
applying electromagnetic radiation to the tissue site at a second wavelength that excites different fluorescence intensity spectra within a second wavelength range in tissues having different types of dysplasia;
obtaining measurements of fluorescence intensities from the first wavelength and second wavelength applying steps within the first and second wavelength ranges;
calculating from the measurements of fluorescence intensities a first probability that the tissue site is normal or abnormal and a second probability that the tissue site is of a particular type of dysplasia; and classifying the tissue site as normal or abnormal and if abnormal, as to as to type of dysplasia, in accordance with the first and second probabilities.
20. A method as in claim 19 wherein the calculating step comprises:
preprocessing the measurements of fluorescence intensities within the first wavelength range to remove known and diagnostically immaterial variations therefrom;
applying a first set of orthogonal elements that account for diagnostically significant differences between different fluorescence intensity spectra within the first wavelength range of normal and abnormal tissue in a population inclusive of the patient, to the preprocessed measurements of fluorescence intensities within the first wavelength range, to obtain first scores for the tissue site;
calculating the first probability based on the first site scores;
preprocessing the measurements of fluorescence intensities within the second wavelength range to remove known and diagnostically immaterial variations therefrom;
applying a second set of orthogonal elements that account for diagnostically significant differences between different fluorescence intensity spectra within the second wavelength range of normal and abnormal tissue in a population inclusive of the patient, to the preprocessed measurements of fluorescence intensities within the second wavelength range, to obtain second scores for the tissue site;
and calculating the second probability based on the second site scores.
preprocessing the measurements of fluorescence intensities within the first wavelength range to remove known and diagnostically immaterial variations therefrom;
applying a first set of orthogonal elements that account for diagnostically significant differences between different fluorescence intensity spectra within the first wavelength range of normal and abnormal tissue in a population inclusive of the patient, to the preprocessed measurements of fluorescence intensities within the first wavelength range, to obtain first scores for the tissue site;
calculating the first probability based on the first site scores;
preprocessing the measurements of fluorescence intensities within the second wavelength range to remove known and diagnostically immaterial variations therefrom;
applying a second set of orthogonal elements that account for diagnostically significant differences between different fluorescence intensity spectra within the second wavelength range of normal and abnormal tissue in a population inclusive of the patient, to the preprocessed measurements of fluorescence intensities within the second wavelength range, to obtain second scores for the tissue site;
and calculating the second probability based on the second site scores.
21. A method as in claim 20 wherein:
the first set of orthogonal elements is a set of principal components;
the first scores for the orthogonal elements are principal component scores;
the second set of orthogonal elements is a set of principal components; and the second scores for the orthogonal elements are principal component scores.
the first set of orthogonal elements is a set of principal components;
the first scores for the orthogonal elements are principal component scores;
the second set of orthogonal elements is a set of principal components; and the second scores for the orthogonal elements are principal component scores.
22. A method as in claim 20 further comprising generating the first and second sets of orthogonal elements, wherein the step of generating the first set of orthogonal elements comprises:
selecting a training set comprising a plurality of subjects having a known distribution of normal and histo-pathological tissue types for tissue morphologically similar to the tissue site;
applying electromagnetic radiation at the first wavelength to the tissue of the training set;
measuring first training fluorescence intensities within the first wavelength range resulting from the step of applying electromagnetic radiation to the tissue of the training set;
preprocessing the first training fluorescence intensities to remove known and diagnostically immaterial variations therefrom; and transforming the normalized measurements of first training fluorescence intensities into the first set of orthogonal elements, wherein the first set of orthogonal elements is limited to diagnostically useful orthogonal elements that account for significant variations between the normalized measurements of first training fluorescence intensities in the normal and histo-pathological tissue types;
and wherein the step of generating the second set of orthogonal elements comprises:
applying electromagnetic radiation at the second wavelength to the tissue of the training set;
measuring second training fluorescence intensities within the second wavelength range resulting from the step of applying electromagnetic radiation to the tissue of the training set;
preprocessing the second training fluorescence intensities to remove known and diagnostically immaterial variations therefrom; and transforming the second normalized measurements of training fluorescence intensities into the second set of orthogonal elements, wherein the second set of orthogonal elements is limited to diagnostically useful orthogonal elements that account for significant variations between the normalized measurements of second training fluorescence intensities in the histo-pathological tissue types.
selecting a training set comprising a plurality of subjects having a known distribution of normal and histo-pathological tissue types for tissue morphologically similar to the tissue site;
applying electromagnetic radiation at the first wavelength to the tissue of the training set;
measuring first training fluorescence intensities within the first wavelength range resulting from the step of applying electromagnetic radiation to the tissue of the training set;
preprocessing the first training fluorescence intensities to remove known and diagnostically immaterial variations therefrom; and transforming the normalized measurements of first training fluorescence intensities into the first set of orthogonal elements, wherein the first set of orthogonal elements is limited to diagnostically useful orthogonal elements that account for significant variations between the normalized measurements of first training fluorescence intensities in the normal and histo-pathological tissue types;
and wherein the step of generating the second set of orthogonal elements comprises:
applying electromagnetic radiation at the second wavelength to the tissue of the training set;
measuring second training fluorescence intensities within the second wavelength range resulting from the step of applying electromagnetic radiation to the tissue of the training set;
preprocessing the second training fluorescence intensities to remove known and diagnostically immaterial variations therefrom; and transforming the second normalized measurements of training fluorescence intensities into the second set of orthogonal elements, wherein the second set of orthogonal elements is limited to diagnostically useful orthogonal elements that account for significant variations between the normalized measurements of second training fluorescence intensities in the histo-pathological tissue types.
23. A method as in claim 22 further comprising:
calculating first training scores for the first set of orthogonal elements from the first training fluorescence intensities;
generating first probability distributions of the first training scores for each of the normal and histo-pathological tissue types;
calculating second training scores for the second set of orthogonal elements from the second training fluorescence intensities; and generating second probability distributions of the second training scores for each of the histo-pathological tissue types; and obtaining prior probabilities based on the training set;
wherein the first probability calculating step comprises:
developing from the first probability distributions first conditional joint probabilities that the normal and histo-pathological tissue types of the training set will exhibit the first site scores; and calculating the first probability as posterior probabilities of normality and abnormality for the tissue site from the first conditional joint probabilities and the prior probabilities;
and wherein the second probability calculating step comprises:
developing from the second probability distributions second conditional joint probabilities that the histo-pathological tissue types of the training set will exhibit the second site scores; and calculating the second probability as posterior probabilities of the type of histo-pathological tissue for the tissue site from the second conditional joint probabilities and the prior probabilities.
calculating first training scores for the first set of orthogonal elements from the first training fluorescence intensities;
generating first probability distributions of the first training scores for each of the normal and histo-pathological tissue types;
calculating second training scores for the second set of orthogonal elements from the second training fluorescence intensities; and generating second probability distributions of the second training scores for each of the histo-pathological tissue types; and obtaining prior probabilities based on the training set;
wherein the first probability calculating step comprises:
developing from the first probability distributions first conditional joint probabilities that the normal and histo-pathological tissue types of the training set will exhibit the first site scores; and calculating the first probability as posterior probabilities of normality and abnormality for the tissue site from the first conditional joint probabilities and the prior probabilities;
and wherein the second probability calculating step comprises:
developing from the second probability distributions second conditional joint probabilities that the histo-pathological tissue types of the training set will exhibit the second site scores; and calculating the second probability as posterior probabilities of the type of histo-pathological tissue for the tissue site from the second conditional joint probabilities and the prior probabilities.
24. A method of classifying a cervical tissue site as normal or of a particular histo-pathological type based on autofluorescence, comprising:
selecting a training set comprising a plurality of subjects having a known distribution of normal and histo-pathological cervical tissue types;
applying electromagnetic radiation at plural excitation wavelengths to excite fluorescence in the various normal and histo-pathological tissue types of the training set;
detecting sets of training fluorescence intensity spectra respectively excited in the various normal and histo-pathological tissue types of the training set at the plural excitation wavelengths;
preprocessing the training fluorescence intensity spectra to remove known and diagnostically immaterial variations therefrom;
transforming the sets of preprocessed training fluorescence intensity spectra for each of the plural excitation wavelengths into a set of principal components that account for significant variations therein;
limiting the sets of principal components to diagnostically useful principal components for each of the plural excitation wavelengths in accordance with the known distribution of normal and histo-pathological tissue types;
calculating respective training scores for the limited sets of principal components from the preprocessed training fluorescence intensity spectra;
generating probability distributions of the calculated training principal component scores for each of the normal and histo-pathological tissue types;
applying electromagnetic radiation at the plural excitation wavelengths to excite fluorescence in the cervical tissue site;
detecting first and second fluorescence intensity spectra excited in the cervical tissue site at the plural excitation wavelengths;
preprocessing the first and second fluorescence intensity spectra to remove known and diagnostically immaterial variations therefrom;
calculating first and second scores for the limited sets of principal components based on the first and second fluorescence spectra;
developing from the probability distributions first and second conditional joint probabilities that the various normal and histo-pathological tissue types of the training set will exhibit the first and second principal component scores;
obtaining prior probabilities based on the training set;
calculating posterior probabilities of normality and abnormality for the cervical tissue site from the first conditional joint probabilities and the prior probabilities;
classifying the cervical site as normal or abnormal based on which of the posterior probabilities of normality and abnormality is highest;
calculating posterior probabilities of type of histo-pathological abnormality for the cervical tissue site from the second conditional joint probabilities and the prior probabilities; and where the cervical site is classified as abnormal in the normal or abnormal classifying step, classifying the cervical site as to type of type of histo-pathological abnormality based on which of the posterior probabilities of type of histo-pathological abnormality is highest.
selecting a training set comprising a plurality of subjects having a known distribution of normal and histo-pathological cervical tissue types;
applying electromagnetic radiation at plural excitation wavelengths to excite fluorescence in the various normal and histo-pathological tissue types of the training set;
detecting sets of training fluorescence intensity spectra respectively excited in the various normal and histo-pathological tissue types of the training set at the plural excitation wavelengths;
preprocessing the training fluorescence intensity spectra to remove known and diagnostically immaterial variations therefrom;
transforming the sets of preprocessed training fluorescence intensity spectra for each of the plural excitation wavelengths into a set of principal components that account for significant variations therein;
limiting the sets of principal components to diagnostically useful principal components for each of the plural excitation wavelengths in accordance with the known distribution of normal and histo-pathological tissue types;
calculating respective training scores for the limited sets of principal components from the preprocessed training fluorescence intensity spectra;
generating probability distributions of the calculated training principal component scores for each of the normal and histo-pathological tissue types;
applying electromagnetic radiation at the plural excitation wavelengths to excite fluorescence in the cervical tissue site;
detecting first and second fluorescence intensity spectra excited in the cervical tissue site at the plural excitation wavelengths;
preprocessing the first and second fluorescence intensity spectra to remove known and diagnostically immaterial variations therefrom;
calculating first and second scores for the limited sets of principal components based on the first and second fluorescence spectra;
developing from the probability distributions first and second conditional joint probabilities that the various normal and histo-pathological tissue types of the training set will exhibit the first and second principal component scores;
obtaining prior probabilities based on the training set;
calculating posterior probabilities of normality and abnormality for the cervical tissue site from the first conditional joint probabilities and the prior probabilities;
classifying the cervical site as normal or abnormal based on which of the posterior probabilities of normality and abnormality is highest;
calculating posterior probabilities of type of histo-pathological abnormality for the cervical tissue site from the second conditional joint probabilities and the prior probabilities; and where the cervical site is classified as abnormal in the normal or abnormal classifying step, classifying the cervical site as to type of type of histo-pathological abnormality based on which of the posterior probabilities of type of histo-pathological abnormality is highest.
25. A method as in claim 24 wherein the cervical tissue site is in vivo.
26. A method as in claim 24 wherein the cervical tissue site is in vitro.
27. A method of identifying a set of orthogonal elements to score based on a measurement of tissue fluorescence intensities from a site of unknown tissue, and obtaining probability distributions of scores from which a probability that the unknown tissue is a particular type of tissue may be calculated, comprising:
selecting a training set comprising a plurality of subjects having a known distribution of tissue types for tissue morphologically similar to the unknown tissue;
applying electromagnetic radiation that excites different fluorescence intensity amplitudes within a range of wavelengths in the tissue types of the training set;
measuring fluorescence intensities resulting from the step of applying electromagnetic radiation to the tissue of the training set;
preprocessing the measured fluorescence intensities to remove known and diagnostically immaterial variations therefrom;
transforming the preprocessed measurements of fluorescence intensities into a set of orthogonal elements that account for significant variations between the preprocessed fluorescence intensities from the tissue types;
limiting the set of orthogonal elements to diagnostically useful orthogonal elements in accordance with the known distribution of the tissue types;
calculating scores for the limited set of orthogonal elements; and generating probability distributions of the calculated scores for each of the tissue types.
selecting a training set comprising a plurality of subjects having a known distribution of tissue types for tissue morphologically similar to the unknown tissue;
applying electromagnetic radiation that excites different fluorescence intensity amplitudes within a range of wavelengths in the tissue types of the training set;
measuring fluorescence intensities resulting from the step of applying electromagnetic radiation to the tissue of the training set;
preprocessing the measured fluorescence intensities to remove known and diagnostically immaterial variations therefrom;
transforming the preprocessed measurements of fluorescence intensities into a set of orthogonal elements that account for significant variations between the preprocessed fluorescence intensities from the tissue types;
limiting the set of orthogonal elements to diagnostically useful orthogonal elements in accordance with the known distribution of the tissue types;
calculating scores for the limited set of orthogonal elements; and generating probability distributions of the calculated scores for each of the tissue types.
28. A method of identifying a set of orthogonal principal components to score based on a measurement of tissue fluorescence intensities from a site of unknown tissue, and obtaining probability distributions of principal component scores from which a probability that the unknown tissue is of a particular type, either normal or abnormal or of a particular histo-pathological type, may be calculated, comprising:
selecting a training set comprising a plurality of subjects having a known distribution of tissue types in tissue sites for tissue morphologically similar to the unknown tissue;
applying to the tissue sites electromagnetic radiation that excites different fluorescence intensity amplitudes within a range of wavelengths in the tissue types of the training set;
measuring fluorescence intensities resulting from the step of applying electromagnetic radiation to the tissue sites;
preprocessing the measured fluorescence intensities to remove known and diagnostically immaterial variations therefrom;
transforming the preprocessed measurements of fluorescence intensities into a set of principal components that account for significant variations between the preprocessed fluorescence intensities from the tissue types;
limiting the set of principal components to diagnostically useful principal components in accordance with the known distribution of tissue types;
calculating scores for the limited set of principal components; and generating probability distributions of the calculated principal component scores for each of the tissue types.
selecting a training set comprising a plurality of subjects having a known distribution of tissue types in tissue sites for tissue morphologically similar to the unknown tissue;
applying to the tissue sites electromagnetic radiation that excites different fluorescence intensity amplitudes within a range of wavelengths in the tissue types of the training set;
measuring fluorescence intensities resulting from the step of applying electromagnetic radiation to the tissue sites;
preprocessing the measured fluorescence intensities to remove known and diagnostically immaterial variations therefrom;
transforming the preprocessed measurements of fluorescence intensities into a set of principal components that account for significant variations between the preprocessed fluorescence intensities from the tissue types;
limiting the set of principal components to diagnostically useful principal components in accordance with the known distribution of tissue types;
calculating scores for the limited set of principal components; and generating probability distributions of the calculated principal component scores for each of the tissue types.
29. A method as in claim 28 wherein.
the applied electromagnetic radiation has a wavelength of 337 nm;
the tissue morphology is cervical tissue and the tissue types are squamous normal, columnar normal, low grade squamous intraepithelial lesions, and high grade squamous intraepithelial lesions; and the set of principal components is limited to principal components that demonstrate the statistically most significant differences between normal squamous epithelia and low and high grade squamous intraepithelial lesions.
the applied electromagnetic radiation has a wavelength of 337 nm;
the tissue morphology is cervical tissue and the tissue types are squamous normal, columnar normal, low grade squamous intraepithelial lesions, and high grade squamous intraepithelial lesions; and the set of principal components is limited to principal components that demonstrate the statistically most significant differences between normal squamous epithelia and low and high grade squamous intraepithelial lesions.
30. A method as in claim 28 wherein:
the applied electromagnetic radiation has a wavelength of 380 nm;
the tissue morphology is cervical tissue and the tissue types are squamous normal, columnar normal, low grade squamous intraepithelial lesions, and high grade squamous intraepithelial lesions; and the set of principal components is limited to principal components that demonstrate the statistically most significant differences between normal columnar epithelia and low and high grade squamous intraepithelial lesions.
the applied electromagnetic radiation has a wavelength of 380 nm;
the tissue morphology is cervical tissue and the tissue types are squamous normal, columnar normal, low grade squamous intraepithelial lesions, and high grade squamous intraepithelial lesions; and the set of principal components is limited to principal components that demonstrate the statistically most significant differences between normal columnar epithelia and low and high grade squamous intraepithelial lesions.
31. A method as in claim 28 wherein:
the applied electromagnetic radiation has a wavelength of 460 nm;
the tissue morphology is cervical tissue and the tissue types are squamous normal, columnar normal, low grade squamous intraepithelial lesions, and high grade squamous intraepithelial lesions; and the set of principal components is limited to principal components that demonstrate the statistically most significant differences between low grade squamous intraepithelial lesions and high grade squamous intraepithelial lesions.
the applied electromagnetic radiation has a wavelength of 460 nm;
the tissue morphology is cervical tissue and the tissue types are squamous normal, columnar normal, low grade squamous intraepithelial lesions, and high grade squamous intraepithelial lesions; and the set of principal components is limited to principal components that demonstrate the statistically most significant differences between low grade squamous intraepithelial lesions and high grade squamous intraepithelial lesions.
32. A method as in claim 28 wherein the preprocessing step comprises normalizing the measured fluorescence intensities for each of the tissue sites within the range of wavelengths to a peak intensity of one.
33. A method as in claim 28 wherein the preprocessing step comprises:
calculating a mean spectrum for each subject from the measured fluorescence intensities of the tissue sites of said each subject within the range of wavelengths therefor; and subtracting the mean spectrum for said each subject from the measured fluorescence intensities of the tissue sites of said each subject within the range of wavelengths therefor.
calculating a mean spectrum for each subject from the measured fluorescence intensities of the tissue sites of said each subject within the range of wavelengths therefor; and subtracting the mean spectrum for said each subject from the measured fluorescence intensities of the tissue sites of said each subject within the range of wavelengths therefor.
34. A method in claim 28 wherein the transforming step comprises:
forming a data matrix D from the fluorescence intensities;
calculating a covariance matrix Z from the matrix D
in accordance with the expression calculating a variance V accounted for by the first Z = n eigenvalues in accordance with the expression retaining eigenvalues and corresponding eigenvectors in a matrix C that account for 99% of the variance V.
forming a data matrix D from the fluorescence intensities;
calculating a covariance matrix Z from the matrix D
in accordance with the expression calculating a variance V accounted for by the first Z = n eigenvalues in accordance with the expression retaining eigenvalues and corresponding eigenvectors in a matrix C that account for 99% of the variance V.
35. A method as in claim 34 wherein the transforming step further comprises:
calculating, component loadings C for each of the principal components in accordance with the expression CLij = eliminating fluorescence intensities at wavelengths within the range of wavelengths that are not most highly correlated with the component loadings, prior to the limited step.
calculating, component loadings C for each of the principal components in accordance with the expression CLij = eliminating fluorescence intensities at wavelengths within the range of wavelengths that are not most highly correlated with the component loadings, prior to the limited step.
36. A method as in claim 34 wherein the limited step comprises:
calculating a principal component score matrix R in accordance with the expression R = D x C; and calculating a diagnostic contribution of each principal component from the matrix R using a two-sided unpaired student's t-test.
calculating a principal component score matrix R in accordance with the expression R = D x C; and calculating a diagnostic contribution of each principal component from the matrix R using a two-sided unpaired student's t-test.
37. A method as in claim 36 wherein the probability distributions generating step comprises modeling the probability distributions using a gamma function defined by the expression f(x;.alpha.,.beta.) =
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US08/403,446 US5697373A (en) | 1995-03-14 | 1995-03-14 | Optical method and apparatus for the diagnosis of cervical precancers using raman and fluorescence spectroscopies |
PCT/US1996/002644 WO1996028084A1 (en) | 1995-03-14 | 1996-03-08 | Optical method and apparatus for the diagnosis of cervical precancers using raman and fluorescence spectroscopies |
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EP (1) | EP0765134B1 (en) |
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DE69637163T2 (en) | 2008-04-17 |
CA2190374C (en) | 2010-07-13 |
JPH10505167A (en) | 1998-05-19 |
US6095982A (en) | 2000-08-01 |
EP0765134B1 (en) | 2007-07-18 |
US5697373A (en) | 1997-12-16 |
WO1996028084A1 (en) | 1996-09-19 |
EP0765134A1 (en) | 1997-04-02 |
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