Skip to main content

The Application of Tissue Autofluorescence in Detection and Management of Oral Cancer and Premalignant Lesions

  • Chapter
  • First Online:
Optical Imaging of Cancer

Abstract

There is a wealth of literature that supports the use of tissue autofluorescence in the screening and diagnosis of precancers in the lung, uterine cervix, skin, and oral cavity. This approach is already in clinical use in the lung, and the mechanism of action of tissue autofluorescence has been well described in the cervix. Data are now emerging supporting its clinical usage in the detection and management of oral cancer and premalignant lesions. In this chapter, we will describe the biology underlying tissue autofluorescence, briefly review its current application in the management of lung and cervical cancers, and finally focus on its potential clinical utility in the detection and management of oral cancer and premalignant lesions.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 169.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • R. D. Alvarez, T. C. Wright, and O. D. Grp, “Increased detection of high-grade cervical intraepithelial neoplasia utilizing an optical detection system as an adjunct to colposcopy,” Gynecologic Oncology, vol. 106, pp. 23–28, 2007.

    Article  PubMed  Google Scholar 

  • C. Baldwin, C. Garnis, L. Zhang, M. P. Rosin, and W. L. Lam, “Multiple microalterations detected at high frequency in oral cancer,” Cancer Research, vol. 65, pp. 7561–7, 2005.

    CAS  PubMed  Google Scholar 

  • J. A. Brennan, L. Mao, R. H. Hruban, J. O. Boyle, Y. J. Eby, W. M. Koch, S. N. Goodman, and D. Sidransky, “Molecular assessment of histopathological staging in squamous-cell carcinoma of the head and neck,” New England Journal of Medicine, vol. 332, pp. 429–35, 1995.

    Article  CAS  PubMed  Google Scholar 

  • J. Califano, P. van der Riet, W. Westra, H. Nawroz, G. Clayman, S. Piantadosi, R. Corio, D. Lee, B. Greenberg, W. Koch, and D. Sidransky, “Genetic progression model for head and neck cancer: implications for field cancerization,” Cancer Research, vol. 56, pp. 2488–92, 1996.

    CAS  PubMed  Google Scholar 

  • S. K. Chang, M. Follen, A. Malpica, U. Utzinger, G. Staerkel, D. Cox, E. N. Atkinson, C. MacAulay, and R. Richards-Kortum, “Optimal excitation wavelengths for discrimination of cervical neoplasia,” IEEE Transactions on Biomedical Engineering, vol. 49, pp. 1102–111, 2002.

    Article  PubMed  Google Scholar 

  • T. Collier, D. Arifler, A. Malpica, M. Follen, and R. Richards-Kortum, “Determination of epithelial tissue scattering coefficient using confocal microscopy,” IEEE Journal of Selected Topics in Quantum Electronics, vol. 9, pp. 307–313, 2003.

    Article  CAS  Google Scholar 

  • J. D. Crissman and R. J. Zarbo, “Dysplasia, in situ carcinoma, and progression to invasive squamous cell carcinoma of the upper aerodigestive tract,” American Journal of Surgical Pathology, vol. 13 Suppl 1, pp. 5–16, 1989.

    PubMed  Google Scholar 

  • T. DeSantis, N. Chakhtoura, L. Twiggs, D. Ferris, M. Lashgari, L. Flowers, M. Faupel, S. Bambot, S. Raab, and E. Wilkinson, “Spectroscopic imaging as a triage test for cervical disease: a prospective multicenter clinical trial,” Journal of Lower Genital Tract Disease, vol. 11, pp. 18–24, 2007.

    Article  PubMed  Google Scholar 

  • I. J. Dhooge, M. De Vos, and P. B. Van Cauwenberge, “Multiple primary malignant tumors in patients with head and neck cancer: results of a prospective study and future perspectives,” Laryngoscope, vol. 108, pp. 250–6, 1998.

    Article  CAS  PubMed  Google Scholar 

  • R. Drezek, C. Brookner, I. Pavlova, I. Boiko, A. Malpica, R. Lotan, M. Follen, and R. Richards-Kortum, “Autofluorescence microscopy of fresh cervical-tissue sections reveals alterations in tissue biochemistry with dysplasia,” Photochemistry and Photobiology, vol. 73, pp. 636–41, 2001a.

    Article  CAS  PubMed  Google Scholar 

  • R. Drezek, K. Sokolov, U. Utzinger, I. Boiko, A. Malpica, M. Follen, and R. Richards-Kortum, “Understanding the contributions of NADH and collagen to cervical tissue fluorescence spectra: modeling, measurements, and implications,” Journal of Biomedical Optics, vol. 6, pp. 385–96, 2001b.

    Article  CAS  PubMed  Google Scholar 

  • J. Ferlay, F. Bray, P. Pisani, and D. M. Parkin, “GLOBOCAN 2002: cancer incidence, mortality and prevalence worldwide,” IARC CancerBase No. 5. version 2.0 ed. Lyon: IARC Press, 2004.

    Google Scholar 

  • D. Fresko and S. S. Lazarus, “Oral carcinoma in situ. Its progression to squamous, basosquamous, and basal-cell carcinoma,” Archives of Pathology & Laboratory Medicine, vol. 105, pp. 15–9, 1981.

    CAS  Google Scholar 

  • C. Garnis, B. P. Coe, A. Ishkanian, L. Zhang, M. P. Rosin, and W. L. Lam, “Novel regions of amplification on 8q distinct from the MYC locus and frequently altered in oral dysplasia and cancer,” Genes Chromosomes Cancer, vol. 39, pp. 93–8, 2004.

    Article  CAS  PubMed  Google Scholar 

  • A. Gillenwater, R. Jacob, R. Ganeshappa, B. Kemp, A. K. El-Naggar, J. L. Palmer, G. Clayman, M. F. Mitchell, and R. Richards-Kortum, “Noninvasive diagnosis of oral neoplasia based on fluorescence spectroscopy and native tissue autofluorescence,” Archives of Otolaryngology-Head & Neck Surgery, vol. 124, pp. 1251–8, 1998.

    CAS  Google Scholar 

  • D. Goldenberg, S. Harden, B. G. Masayesva, P. Ha, N. Benoit, W. H. Westra, W. M. Koch, D. Sidransky, and J. A. Califano, “Intraoperative molecular margin analysis in head and neck cancer,” Archives of Otolaryngology–Head & Neck Surgery, vol. 130, pp. 39–44, 2004.

    Article  Google Scholar 

  • J. R. Hayward and J. A. Regezi, “Oral dysplasia and in situ carcinoma: clinicopathologic correlations of eight patients,” Journal of Oral Surgery, vol. 35, pp. 756–62, 1977.

    CAS  PubMed  Google Scholar 

  • D. L. Heintzelman, U. Utzinger, H. Fuchs, A. Zuluaga, K. Gossage, A. M. Gillenwater, R. Jacob, B. Kemp, and R. R. Richards-Kortum, “Optimal excitation wavelengths for in vivo detection of oral neoplasia using fluorescence spectroscopy,” Photochem Photobiol, vol. 72, pp. 103–13, 2000.

    Article  CAS  PubMed  Google Scholar 

  • K. J. Heppner, L. M. Matrisian, R. A. Jensen, and W. H. Rodgers, “Expression of most matrix metalloproteinase family members in breast cancer represents a tumor-induced host response,” American Journal of Pathology, vol. 149, pp. 273–82, 1996.

    CAS  PubMed  Google Scholar 

  • W. N. Hittelman, H. J. Kim, J. S. Lee, D. M. Shin, S. M. Lippman, J. Kim, J. Y. Ro, and W. K. Hong, “Detection of chromosome instability of tissue fields at risk: in situ hybridization,” Journal of Cellular Biochemistry. Supplement, vol. 25, pp. 57–62, 1996.

    Article  CAS  PubMed  Google Scholar 

  • D. R. Ingrams, J. K. Dhingra, K. Roy, D. F. Perrault, I. D. Bottrill, S. Kabani, E. E. Rebeiz, M. M. Pankratov, S. M. Shapshay, R. Manoharan, I. Itzkan, and M. S. Feld, “Autofluorescence characteristics of oral mucosa,” Head and Neck-Journal for the Sciences and Specialties of the Head and Neck, vol. 19, pp. 27–32, 1997.

    CAS  Google Scholar 

  • H. Kato and D. A. Cortese, “Early detection of lung-cancer by means of hematoporphyrin derivative fluorescence and laser photoradiation,” Clinics in Chest Medicine, vol. 6, pp. 237–53, 1985.

    CAS  PubMed  Google Scholar 

  • T. C. Kennedy, S. Lam, and F. R. Hirsch, “Review of recent advances in fluorescence bronchoscopy in early localization of central airway lung cancer,” Oncologist, vol. 6, pp. 257–62, 2001.

    Article  CAS  PubMed  Google Scholar 

  • S. Lam, T. Kennedy, M. Unger, Y. E. Miller, D. Gelmont, V. Rusch, B. Gipe, D. Howard, J. C. LeRiche, A. Coldman, and A. F. Gazdar, “Localization of bronchial intraepithelial neoplastic lesions by fluorescence bronchoscopy,” Chest, vol. 113, pp. 696–702, 1998.

    Article  CAS  PubMed  Google Scholar 

  • S. Lam, C. MacAulay, J. Hung, J. LeRiche, A. E. Profio, and B. Palcic, “Detection of dysplasia and carcinoma in situ with a lung imaging fluorescence endoscope device,” Journal of Thoracic and Cardiovascular Surgery, vol. 105, pp. 1035–40, 1993.

    CAS  PubMed  Google Scholar 

  • P. M. Lane, T. Gilhuly, P. Whitehead, H. Zeng, C. F. Poh, S. Ng, P. M. Williams, L. Zhang, M. P. Rosin, and C. E. MacAulay, “Simple device for the direct visualization of oral-cavity tissue fluorescence,” Journal of Biomedical Optics, vol. 11, pp. 024006, 2006.

    Article  PubMed  Google Scholar 

  • D. M. Laronde, J. L. Bottorff, T. G. Hislop, C. Y. Poh, B. Currie, P. M. Williams, and M. P. Rosin, “Voices from the community–experiences from the dental office: initiating oral cancer screening,” Journal of the Canadian Dental Association, vol. 74, pp. 239–41, 2008.

    Google Scholar 

  • C. R. Leemans, R. Tiwari, J. J. Nauta, I. van der Waal, and G. B. Snow, “Recurrence at the primary site in head and neck cancer and the significance of neck lymph node metastases as a prognostic factor,” Cancer, vol. 73, pp. 187–90, 1994.

    Article  CAS  PubMed  Google Scholar 

  • H. Lui, S. Said, L. Warshawski, D. Zloty, D. McLean, C. MacAulay, and H. Zeng, “Fluorescence visualization with blue light more accurately estimates the histopathologic margins of basal cell carcinoma as compared to clinical examination alone,” presented at European Conferences on Biomedical Optics, Munich, Germany, 2001.

    Google Scholar 

  • A. Mashberg and A. M. Samit, “Early detection, diagnosis, and management of oral and oropharyngeal cancer,” CA: A Cancer Journal for Clinicians, vol. 39, pp. 67–88, 1989.

    Article  CAS  Google Scholar 

  • J. McMahon, C. J. O'Brien, I. Pathak, R. Hamill, E. McNeil, N. Hammersley, S. Gardiner, and E. Junor, “Influence of condition of surgical margins on local recurrence and disease-specific survival in oral and oropharyngeal cancer,” British Journal of Oral & Maxillofacial Surgery, vol. 41, pp. 224–31, 2003.

    Article  CAS  Google Scholar 

  • J. R. Mourant, M. Canpolat, C. Brocker, O. Esponda-Ramos, T. M. Johnson, A. Matanock, K. Stetter, and J. P. Freyer, “Light scattering from cells: the contribution of the nucleus and the effects of proliferative status,” Journal of Biomedical Optics, vol. 5, pp. 131–7, 2000.

    Article  CAS  PubMed  Google Scholar 

  • M. G. Muller, T. A. Valdez, I. Georgakoudi, V. Backman, C. Fuentes, S. Kabani, N. Laver, Z. Wang, C. W. Boone, R. R. Dasari, S. M. Shapshay, and M. S. Feld, “Spectroscopic detection and evaluation of morphologic and biochemical changes in early human oral carcinoma,” Cancer, vol. 97, pp. 1681–92, 2003.

    Article  PubMed  Google Scholar 

  • A. Nath, K. Rivoire, S. Chang, L. West, S. B. Cantor, K. Basen-Engquist, K. Adler-Storthz, D. D. Cox, E. N. Atkinson, G. Staerkel, C. Macaulay, R. Richards-Kortum, and M. Follen, “A pilot study for a screening trial of cervical fluorescence spectroscopy,” International Journal of Gynecological Cancer, vol. 14, pp. 1097–107, 2004.

    Article  CAS  PubMed  Google Scholar 

  • B. Palcic, S. Lam, J. Hung, and C. Macaulay, “Detection and localization of early lung-cancer by imaging techniques,” Chest, vol. 99, pp. 742–3, 1991.

    Article  CAS  PubMed  Google Scholar 

  • M. F. Parker, G. C. Mooradian, G. S. Okimoto, D. M. O'Connor, K. Miyazawa, and S. J. Saggese, “Initial neural net construction for the detection of cervical intraepithelial neoplasia by fluorescence imaging,” American Journal of Obstetrics and Gynecology, vol. 187, pp. 398–402, 2002.

    Article  PubMed  Google Scholar 

  • M. Partridge, S. Pateromichelakis, E. Phillips, G. G. Emilion, R. P. A’Hern, and J. D. Langdon, “A case-control study confirms that microsatellite assay can identify patients at risk of developing oral squamous cell carcinoma within a field of cancerization,” Cancer Research, vol. 60, pp. 3893–8, 2000.

    CAS  PubMed  Google Scholar 

  • I. Pavlova, K. Sokolov, R. Drezek, A. Malpica, M. Follen, and R. Richards-Kortum, “Microanatomical and biochemical origins of normal and precancerous cervical autofluorescence using laser-scanning fluorescence confocal microscopy,” Photochemistry and Photobiology, vol. 77, pp. 550–5, 2003.

    Article  CAS  PubMed  Google Scholar 

  • I. Pavlova, M. Williams, A. El-Naggar, R. Richards-Kortum, and A. Gillenwater, “Understanding the biological basis of autofluorescence imaging for oral cancer detection: high-resolution fluorescence microscopy in viable tissue,” Clinical Cancer Research, vol. 14, pp. 2396–404, 2008.

    Article  PubMed  Google Scholar 

  • C. F. Poh, G. Hislop, B. Currie, R. Lee, S. Sikorski, C. Zed, L. Zhang, C. Macaulay, and M. P. Rosin, “Oral cancer screening in a high-risk underserved community–Vancouver Downtown Eastside,” Journal of Health Care for the Poor and Underserved, vol. 18, pp. 767–78, 2007a.

    PubMed  Google Scholar 

  • C. F. Poh, S. P. Ng, P. M. Williams, L. Zhang, D. M. Laronde, P. Lane, C. Macaulay, and M. P. Rosin, “Direct fluorescence visualization of clinically occult high-risk oral premalignant disease using a simple hand-held device,” Head Neck, vol. 29, pp. 71–6, 2007b.

    Article  PubMed  Google Scholar 

  • C. F. Poh, L. Zhang, D. W. Anderson, J. S. Durham, P. M. Williams, R. W. Priddy, K. W. Berean, S. Ng, O. L. Tseng, C. MacAulay, and M. P. Rosin, “Fluorescence visualization detection of field alterations in tumor margins of oral cancer patients,” Clinical Cancer Research, vol. 12, pp. 6716–22, 2006.

    Article  CAS  PubMed  Google Scholar 

  • N. Ramanujam, M. F. Mitchell, A. Mahadevan, S. Warren, S. Thomsen, E. Silva, and R. Richardskortum, “In-vivo diagnosis of cervical intraepithelial neoplasia using 337-nm-excited laser-induced fluorescence,” Proceedings of the National Academy of Sciences of the United States of America, vol. 91, pp. 10193–7, 1994.

    Google Scholar 

  • R. Richards-Kortum and E. Sevick-Muraca, “Quantitative optical spectroscopy for tissue diagnosis,” Annual Review of Physical Chemistry, vol. 47, pp. 555–606, 1996.

    Article  CAS  PubMed  Google Scholar 

  • M. P. Rosin, X. Cheng, C. Poh, W. L. Lam, Y. Huang, J. Lovas, K. Berean, J. B. Epstein, R. Priddy, N. D. Le, and L. Zhang, “Use of allelic loss to predict malignant risk for low-grade oral epithelial dysplasia,” Clinical Cancer Research, vol. 6, pp. 357–62, 2000.

    CAS  PubMed  Google Scholar 

  • M. P. Rosin, W. L. Lam, C. Poh, N. D. Le, R. J. Li, T. Zeng, R. Priddy, and L. Zhang, “3p14 and 9p21 loss is a simple tool for predicting second oral malignancy at previously treated oral cancer sites,” Cancer Research, vol. 62, pp. 6447–50, 2002.

    CAS  PubMed  Google Scholar 

  • M. P. Rosin, C. F. Poh, M. Guillard, P. M. Williams, L. Zhang, and C. MacAulay, “Visualization and other emerging technologies as change makers for oral cancer prevention,” Annals of the New York Academy of Sciences, vol. 1098, pp. 1–17, 2007.

    Article  Google Scholar 

  • S. Silverman, Jr. and M. Gorsky, “Epidemiologic and demographic update in oral cancer: California and national data–1973 to 1985,” Journal of the American Dental Association, vol. 120, pp. 495–9, 1990.

    PubMed  Google Scholar 

  • D. P. Slaughter, H. W. Southwick, and W. Smejkal, “Field cancerization in oral stratified squamous epithelium; clinical implications of multicentric origin,” Cancer, vol. 6, pp. 963–8, 1953.

    Article  CAS  PubMed  Google Scholar 

  • K. Sokolov, J. Galvan, A. Myakov, A. Lacy, R. Lotan, and R. Richards-Kortum, “Realistic three-dimensional epithelial tissue phantoms for biomedical optics,” Journal of Biomedical Optics, vol. 7, pp. 148–56, 2002.

    Article  PubMed  Google Scholar 

  • D. J. Summerlin, “Precancerous and cancerous lesions of the oral cavity,” Dermatologic Clinics, vol. 14, pp. 205–23, 1996.

    Article  CAS  PubMed  Google Scholar 

  • D. N. Sutton, J. S. Brown, S. N. Rogers, E. D. Vaughan, and J. A. Woolgar, “The prognostic implications of the surgical margin in oral squamous cell carcinoma,” International Journal of Oral and Maxillofacial Surgery, vol. 32, pp. 30–4, 2003.

    Article  CAS  PubMed  Google Scholar 

  • E. Svistun, R. Alizadeh-Naderi, A. El-Naggar, R. Jacob, A. Gillenwater, and R. Richards-Kortum, “Vision enhancement system for detection of oral cavity neoplasia based on autofluorescence,” Head and Neck, vol. 26, pp. 205–15, 2004.

    Article  PubMed  Google Scholar 

  • M. P. Tabor, R. H. Brakenhoff, H. J. Ruijter-Schippers, J. A. Kummer, C. R. Leemans, and B. J. Braakhuis, “Genetically altered fields as origin of locally recurrent head and neck cancer: a retrospective study,” Clinical Cancer Research, vol. 10, pp. 3607–13, 2004.

    Article  CAS  PubMed  Google Scholar 

  • M. P. Tabor, R. H. Brakenhoff, V. M. van Houten, J. A. Kummer, M. H. Snel, P. J. Snijders, G. B. Snow, C. R. Leemans, and B. J. Braakhuis, “Persistence of genetically altered fields in head and neck cancer patients: biological and clinical implications,” Clinical Cancer Research, vol. 7, pp. 1523–32, 2001.

    CAS  PubMed  Google Scholar 

  • G. T. Thomas, M. P. Lewis, and P. M. Speight, “Matrix metalloproteinases and oral cancer,” Oral Oncology, vol. 35, pp. 227–33, 1999.

    Article  CAS  PubMed  Google Scholar 

  • H. Zeng, D. I. McLean, C. MacAulay, and H. Lui, “Autofluorescence properties of skin and applications in dermatology,” Proceedings of the SPIE – The International Society for Optical Engineering Biomedical Photonics and Optoelectronic Imaging, 8–10 Nov. 2000, vol. 4224, pp. 366–73, 2000.

    Google Scholar 

  • L. Zhang, S. Ng, C. F. Poh, P. M. Williams, D. M. Laronde, C. MacAulay, and M. P. Rosin, “Fluorescence visualization identifies primary oral premalignant lesions (OPL) with high-risk molecular patterns,” presented at the 99th Annual Meeting of the American Association for Cancer Research, San Diego, 2008.

    Google Scholar 

Download references

Acknowledgments

The authors would like to acknowledge the funding support from the National Institute of Dental and Craniofacial Research (R01DE13124 and R01DE17013), from the Canadian Institutes of Health Research (MOP-77663), and from the Canadian Cancer Society (CSS-20336) and a Clinician Scientist Award from the Canadian Institutes of Health Research and Scholar Award from Michael Smith Foundation for Health Research (C.F. Poh).

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to C.F. Poh .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Poh, C., Lane, P., MacAulay, C., Zhang, L., Rosin, M. (2010). The Application of Tissue Autofluorescence in Detection and Management of Oral Cancer and Premalignant Lesions. In: Rosenthal, E., Zinn, K. (eds) Optical Imaging of Cancer. Springer, New York, NY. https://doi.org/10.1007/978-0-387-93874-5_6

Download citation

Publish with us

Policies and ethics