Laser light and computer vision offers new tool for treating bone cancer

Good news! Cancer is history (soon)! If you think surgery for cancer treatment is passe think again!

"But because it can be difficult to draw a clean line between cancerous and healthy tissues, surgeons often err on the side of caution and remove healthy tissue to make sure they have taken out all of the cancerous tissue.

This is especially problematic when a patient is suffering from a cancer that afflicts bones; bones present unique challenges during surgery because of how hard they are compared with other tissues and because they grow back much more slowly than other kinds of tissue. ...
A new diagnostic imaging technology developed by researchers at Caltech is offering surgeons the ability to make cuts 10 times more precisely, allowing them to preserve as much as 1,000 times more healthy tissue and to give patients easier recoveries. ...
The new imaging technology, called real-time 3-D contour-scan ultraviolet photoacoustic microscopy, or UV-PAM, is meant to replace the traditional method of identifying cancerous bone tissue. Because the process takes just minutes [not days like existing methods], it provides a surgeon with the ability to differentiate healthy bone from cancerous bone while they operate. ..."

From the abstract:

"Obtaining frozen sections of bone tissue for intraoperative examination is challenging. To identify the bony edge of resection, orthopaedic oncologists therefore rely on pre-operative X-ray computed tomography or magnetic resonance imaging. However, these techniques do not allow for accurate diagnosis or for intraoperative confirmation of the tumour margins, and in bony sarcomas, they can lead to bone margins up to 10-fold wider (1,000-fold volumetrically) than necessary. Here, we show that real-time three-dimensional contour-scanning of tissue via ultraviolet photoacoustic microscopy in reflection mode can be used to intraoperatively evaluate undecalcified and decalcified thick bone specimens, without the need for tissue sectioning. We validate the technique with gold-standard haematoxylin-and-eosin histology images acquired via a traditional optical microscope, and also show that an unsupervised generative adversarial network can virtually stain the ultraviolet-photoacoustic-microscopy images, allowing pathologists to readily identify cancerous features. Label-free and slide-free histology via ultraviolet photoacoustic microscopy may allow for rapid diagnoses of bone-tissue pathologies and aid the intraoperative determination of tumour margins."

Laser light offers new tool for treating bone cancer | www.caltech.edu Of the many ways to treat cancer, the oldest, and maybe most tried and true, is surgery. Even with the advent of chemotherapy, radiation therapy, and more experimental treatments like bacteria that seek and destroy cancer cells, cancers, very often, simply need to be cut out of a patient's body.

Label-free intraoperative histology of bone tissue via deep-learning-assisted ultraviolet photoacoustic microscopy (no public access)

Much faster and more precise than existing methods!