Video-rate structured illumination microscopy (VR-SIM) for rapid assessment of fresh surgical margins

David B. Tulman, Mei Wang, Hillary Z. Kimbrell, Andrew B. Sholl, Katherine N. Elfer, Tyler C. Schlichenmeyer, Sree Mandava, Benjamin R. Lee, Michelle Lacey, J. Quincy Brown

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

Intra-operative surgical margin assessment by pathology is labor-intensive and time-consuming and is not practically capable of sampling the entire specimen. Positive surgical margins (PSMs), or tumor extending to the surface of the excised specimen, are associated with increased tumor recurrence and are accepted as poor independent prognostic indicators. Considering the PSM rate is high for patients with prostate and kidney cancer, residual tumor following radical prostatectomy and partial nephrectomy remains a significant problem. To address the unmet clinical need for an imaging tool that can provide sub-cellular resolution images of large areas of excised surgical specimens in an intra-operative timeframe, we have developed a video rate structured illumination microscopy (VR-SIM) system. We conducted a clinical trial using VR-SIM to create gigapixel mosaics of entire margin surfaces for each specimen. In the ongoing study, 5 patients undergoing radical prostatectomy and 4 patients undergoing partial nephrectomy participated to have digital images of their surgical specimens reviewed in comparison to the pathology report. The surfaces of the intact, excised specimens were imaged in an appropriate timeframe and showed visualization of histopathologically relevant structures.

Original languageEnglish (US)
Title of host publicationEuropean Conference on Biomedical Optics, ECBO 2015
PublisherOSA - The Optical Society
ISBN (Print)9781628417012
DOIs
StatePublished - Jul 21 2014
Externally publishedYes
EventEuropean Conference on Biomedical Optics, ECBO 2015 - Munich, Germany
Duration: Jun 21 2015Jun 25 2015

Publication series

NameOptics InfoBase Conference Papers

Conference

ConferenceEuropean Conference on Biomedical Optics, ECBO 2015
CountryGermany
CityMunich
Period6/21/156/25/15

Keywords

  • Digital pathology
  • Nephrectomy
  • Prostatectomy
  • Structured illumination microscopy
  • Surgical margins

ASJC Scopus subject areas

  • Electronic, Optical and Magnetic Materials
  • Mechanics of Materials

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  • Cite this

    Tulman, D. B., Wang, M., Kimbrell, H. Z., Sholl, A. B., Elfer, K. N., Schlichenmeyer, T. C., Mandava, S., Lee, B. R., Lacey, M., & Brown, J. Q. (2014). Video-rate structured illumination microscopy (VR-SIM) for rapid assessment of fresh surgical margins. In European Conference on Biomedical Optics, ECBO 2015 (Optics InfoBase Conference Papers). OSA - The Optical Society. https://doi.org/10.1117/12.2183826