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  4. Detection of early bladder carcinoma by fluorescence cystoscopy with Hexvix: optical characterization of a high magnification cystoscope
 
conference paper

Detection of early bladder carcinoma by fluorescence cystoscopy with Hexvix: optical characterization of a high magnification cystoscope

Lovisa, Blaise  
•
Jichlinski, Patrice
•
Aymon, Daniela
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2009
Proceedings of SPIE
Photonic Therapeutics and Diagnostics V

Fluorescence detection of early superficial bladder cancer has been well established over the last years. This technique exploits the selective production and accumulation within cancerous tissues of photoactive porphyrins (PaP), mainly protoporphyrin IX (PpIX), after the instillation of hexaminolevulinic acid (Hexvix (R)) in the bladder. Although the selective production of PpIX and the sensitivity of this procedure are outstanding, its specificity is still limited by a relatively important proportion of false positive (FP) lesions. Cancerization process often combines with changes in vascular architecture. It is likely that the visualization of these modifications should allow us to differentiate false and true positive (TP). Therefore, our current research focuses on the characterization of positive sites by high magnification (HM) cystoscopy. This new method is investigated by our group to reduce the number of biopsies. In this study, we are using a dedicated rigid cystoscope, allowing conventional magnification during "macroscopic" white light and fluorescence observation, as well as image acquisition with HM when the endoscope is in contact with the tissue. This is realized by an optical setup directly integrated in the cystoscope. We describe here an off-clinics calibration procedure that will allow us to assess the vessel architecture and size once we use this optics to observe the bladder mucosa.

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Type
conference paper
DOI
10.1117/12.809195
Web of Science ID

WOS:000285713200028

Author(s)
Lovisa, Blaise  
Jichlinski, Patrice
Aymon, Daniela
Weber, Bernd-Claus
Van Den Bergh, Hubert  
Wagnieres, Georges  
Date Issued

2009

Publisher

SPIE

Published in
Proceedings of SPIE
Series title/Series vol.

Proceedings of SPIE-The International Society for Optical Engineering

Start page

716118

End page

716118

Subjects

fluorescence cystoscopy

•

microendoscopy

•

high magnification

•

Hexvix (R)

•

Hal

•

hALA

•

vascular architecture

•

resolution test

•

White-Light Cystoscopy

•

Phase-Iii

•

Cancer

•

Multicenter

•

Lesions

•

Diagnosis

Editorial or Peer reviewed

NON-REVIEWED

Written at

EPFL

EPFL units
GR-VDB  
GPM  
Event nameEvent place
Photonic Therapeutics and Diagnostics V

San Jose, CA, USA

Available on Infoscience
January 27, 2011
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/63467
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