SHEDDING LIGHT ON CANCER: How a mid-infrared transmitting glass could help diagnose early stage cancer H. Parnell, D. Furniss, Z. Tang, A. Seddon The chances are we all know someone who has been affected by cancer. Unfortunately, this comes as little surprise as recent statistics released by Cancer Research UK, now suggest that 1 in 2 of us will develop some form of cancer within our lifetime. Diagnosing patients whilst they are in the early and most treatable stages of the disease, is vital for their survival. Yet current diagnostics still rely on a lengthy biopsy procedure. Current diagnosis Mid-infrared (MIR) light Key features of the current Gold standard for cancer diagnosis: • Referred to a specialist following a GP appointment. • Tissue is removed from patient during a biopsy examination. • Histopathologist analyses sample and provides diagnosis. • Patient waits for results. Figure 1: Typical micrograph used by histopathologist for cancer diagnosis. • MIR light is found beyond the red side of the rainbow from 3 to 25 µm wavelengths. • It contains an important diagnostic tool known as the ‘molecular fingerprint’. • Small changes within this fingerprint indicate abnormal changes within our cells, signifying the presence of a cancer. New diagnosis Key features of the new MIR technology for cancer diagnosis: Figure 2: A typical ‘molecular fingerprint’ which can be collected using MIR light. • Patient attends appointment lasting 515 minutes. • The molecular fingerprints are collected and analysed in an MIR image. • Diagnosis is provided immediately, with no need for a biopsy. Figure 3: MIR micrograph analysed in-vivo for immediate cancer diagnosis. How can we deliver this light? • CHALCOGENIDE GLASSES are based on one or more chalcogen elements found in Group 16 of the Periodic Table sulfur (S), selenium (Se) or tellurium (Te). When combined with neighbouring elements, such as germanium (Ge) and antimony (Sb), MIR light source the heavy atoms form a ‘low phonon’ glass i.e. the bonds in a chalcogenide glasses vibrate at the same wavelength as MIR 1 MIR light IN light- this is why they appear opaque to us! 3 MIR fingerprint • Very few materials are able to transmit MIR light and as glasses, OUT chalcogenides have the added benefit of being able to be drawn Diagnosis into long lengths of optical fibres. • Ge-Sb-Se chalcogenide optical fibres are considered here for use in the endoscopic probe. 2 Tissue – MIR light interaction What are the practical challenges? Crystallisation Impurities Glasses are essentially a metastable state. This means they exist at an energy level above their more stable crystalline form and will therefore, be naturally driven to transform into the lower energy state if a small amount of energy is given to the system. High energy glass state + temp. Low energy crystal state This energy could come in the form of heat, which is of course, an integral characteristic in the production of optical fibres. Therefore, crystallisation remains a constant problem when drawing Ge-Sb-Se chalcogenide fibres. Figure 4: Crystallisation of Ge-Sb-Se chalcogenide glass. The crystals seen here are that of monoclinic GeSe2. However, we can tailor the properties of the Ge-Sb-Se glass by choosing a composition that has high resistance to crystallisation e.g. Ge20Sb10Se70 at. %, which has successfully produced over 100 m of fibre. For the MIR probe to be as sensitive and selective as possible, we must ensure the maximum amount of light reaches the patient. Therefore, the Ge-Sb-Se chalcogenide optical fibres must be made with high purity. However, our atmosphere is full of impurities which cause absorptions across the MIR region e.g. oxides and hydrides. Therefore, unlike conventional silica glasses, chalcogenides must be made via a complex procedure, carried out under vacuum. Figure 5 shows a typical MIR spectrum for a Ge-Sb-Se optical fibre which has been initially purified by a simple sublimation method i.e. heating the raw elements enough so that oxides can evaporate off. The dashed red line signifies the next stage in our research where the glass will be distilled, eliminating all impurities. Figure 5: Unwanted impurity absorptions in Ge-Sb-Se optical fibres. Conclusions • • • MIR light could offer an immediate, in vivo diagnosis for early stage cancer. Ge-Sb-Se chalcogenide glasses are a promising material for the delivery and collection of MIR light. Ge-Sb-Se glasses should be made with high purity and have a good resistance to crystallisation. ACKNOWLEDGMENTS: I would like to thank the University of Nottingham for funding my PhD and the Mid-infrared Photonics Group for their continual support throughout my research.
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