A cancer 'pen' that can detect a tumour within
ten seconds has been developed - bringing immediate diagnosis to a surgeon's
fingertips. The handheld scanner is more than 96% accurate in
distinguishing diseased from healthy tissue in real-time while the patient lies
on the operating table.
It will enable the removal all traces of
malignant masses, reducing the risk of relapses because cancerous cells were
left behind. The technology is expected to start being tested
during actual cancer surgeries as soon as next year.
Most pathology labs require several days to
evaluate if tumour cells remain in samples taken during surgery.
Study leader Professor Livia Eberlin, a chemist
at Texas University in Austin, said: "If you talk to cancer patients after
surgery one of the first things many will say is 'I hope the surgeon got all
the cancer out.
"It's just heartbreaking when that's not the
case. But our technology could vastly improve the odds that surgeons really do
remove every last trace of cancer during surgery."
The revolutionary MasSpec Pen precisely
identifies cancer simply by touch - and is more than 150 times quicker than
existing technology.
Jialing Zhang
demonstrates using the MasSpec Pen on a human tissue sample (Image:
University of Texas, Austin/SWNS)
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Co-researcher Dr James Suliburk, head of
endocrine surgery at Baylor College of Medicine in Houston, said: "Any
time we can offer the patient a more precise surgery, a quicker surgery or a
safer surgery, that's something we want to do.
"This technology does all three. It allows
us to be much more precise in what tissue we remove and what we leave
behind."
Tiny amounts of water - 10 microliters or
one-fifth the size of a single drop - extract small molecules called
metabolites from a patient's tissue during surgery. This is then drawn through a flexible tube into a
mass spectrometer scanner which anlayses the chemical's looking for cancer.
The disposable device described in Science
Translational Medicine is easy to operate.
It requires simply holding the pen against the
patient's tissue, triggering the automated analysis using a foot pedal and
waiting a few seconds for a result. It means surgeons know at once which tissue to
cut out and which to leave alone, making the procedure much safer and
effective.
The pen was even able to detect cancer in
marginal regions between normal and cancerous tissues that presented mixed
cellular composition. Experiments also reliably identified tumours in
living mice. Importantly it did not cause any damage to healthy tissues.
Maximizing cancer removal is critical to improve
patient survival but removing too much healthy tissue can also have profound
negative consequences. For example, breast cancer patients could
experience higher risk of painful side effects and nerve damage, in addition to
aesthetic impacts.
Thyroid cancer patients could lose speech ability
or the ability to regulate the body's calcium levels in ways that are important
for muscle and nerve function. Other mass spectrometry tools require harsh
solvents, pressurized gasses or high voltages.
The MasSpec Pen gathers molecules for analysis
using only water. Additionally its tip was 3D printed with a safe and
biocompatible material called PDMS. Each type of cancer produces a unique set of
metabolites and other biomarkers that act as fingerprints.
Prof Eberlin explained: "Cancer cells have
disregulated metabolism as they're growing out of control. "Because the metabolites in cancer and
normal cells are so different we extract and analyse them with the MasSpec Pen
to obtain a molecular fingerprint of the tissue. What is incredible is that through this
simple and gentle chemical process, the MasSpec Pen rapidly provides diagnostic
molecular information without causing tissue damage."
When the pen completes the analysis the words
"Normal" or "Cancer" automatically appear on a computer
screen. For certain cancers, such as lung cancer, the name of a subtype might
also appear.
Dr Jialing Zhang, who led the experiments in prof
Eberlin's lab, said: "When designing the MasSpec Pen we made sure the
tissue remains intact by coming into contact only with water and the plastic
tip of the MasSpec Pen during the procedure.
"The result is a biocompatible and automated
medical device that we are so excited to translate to the clinic very
soon."
The current state-of-the-art method for
diagnosing cancers during surgery, called Frozen Section Analysis, is slow and
sometimes inaccurate. Each sample can take 30 minutes or more to
prepare and interpret by a pathologist which increases the risk to the patient
of infection and reactions to anaesthesia. And for some types of cancers, frozen section
interpretation can be difficult, yielding unreliable results in as many as 10
to 20% of cases.
The team and Texas University have filed US patent applications for the technology and are now working to secure worldwide patents.
Originally published on MIRROR.CO.UK
The team and Texas University have filed US patent applications for the technology and are now working to secure worldwide patents.
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