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St. John, M.

Publications and source records attributed to St. John, M..

2 recordsLinked to original sources

Machine Learning-Based Tumor Segmentation and Classification Using Dynamic Optical Contrast Imaging (DOCI) for Thyroid Cancer

Thyroid cancer presents significant diagnostic challenges due to its complex anatomy and diverse tissue types. This study leverages Dynamic Optical Contrast Imaging (DOCI), a label-free, real-time imaging technology, with machine learning to enhance tumor detection and segmentation. Using 23 DOCI filters, we applied Principal Component Analysis (PCA) for dimensionality reduction, k-nearest neighbors (k-NN) for classification, and U-Net models for segmentation. The approach achieved high accuracy in distinguishing tissue types, with PCA enabling clear clustering, k-NN classifying normal, follicular, and papillary tissues, and U-Net models achieving 96.34% and 92.02% accuracy for papillary and follicular segmentation, respectively. Filter importance analysis reduced input dimensionality without significantly compromising performance, highlighting the potential for optimized imaging protocols. These findings demonstrate DOCIs utility in improving diagnostic accuracy and tumor characterization in thyroid cancer and beyond, offering a foundation for personalized treatment planning and surgical precision.

cancer biology↗

ICG-Functionalized Gold Nanostars As An Effective Contrast Agent For Real-time Tumor Localization with Dynamic Optical Contrast Imaging (DOCI) and Enhanced Radiation Therapy

The primary management of head and neck squamous cell carcinoma relies on complete surgical resection of the tumor. However, the establishment of negative margin complete resection is often difficult given the devastating side effects of aggressive surgery and the anatomic proximity to vital structures. Positive margin status is associated with significantly decreased survival. Currently, surgeons determine where the tumor cuts are made, by palpating the edges of the tumor and using prior imaging. After a tumor is presumed to be removed in its entirety, the surrounding tissues are sampled by frozen section histologic pathology to ensure that no microscopic disease is left behind, the efficacy of which varies and is subject to sampling error. The methodology by which frozen sections are collected whether tumor bed driven or specimen driven can also alter margin outcome. Thus, improving intraoperative detection of tumor margins is key to optimizing treatment and outcomes. Our group has developed a possible solution for this unmet clinical need. We have previously designed Dynamic Optical Contrast Imaging (DOCI), a novel imaging modality that acquires temporally dependent measurements of tissue autofluorescence. Furthermore, we demonstrated that DOCI can distinguish HNSCC from adjacent healthy tissue with a high degree of accuracy. DOCI images are captured in real time and offer an operatively wide field of view. With the addition of ICG conjugated gold nanostars (GNS) we can improve DOCI image contrast between tumors vs normal tissues as well as use the GNS for CT imaging and radiotherapeutic treatment.

cancer biology↗