Mapping structural changes in breast tissue disease using x-ray scattering.

Abstract:

:Spread of invasive carcinoma throughout breast tissue is believed to occur at supramolecular levels, beyond the range of standard histopathology identification. Small angle x-ray scattering (SAXS) is capable of characterizing the structural properties of collagen and tissue found in the breast at the scale of tens to hundreds of nanometers. Fifty-six patients who were treated with wide-local excision or mastectomy had tissue biopsy samples analyzed at 2 cm intervals along two perpendicular axes over their excised mass, up to 6 cm away from the primary site of the tumor. Two SAXS parameters, the integrated amorphous scatter and the third order collagen axial d spacing, showed significant differences between the center (0 cm) and distant tissues (2, 4, or 6 cm from the primary lesion). There was no evidence of directional trends (superior, inferior, or lateral sides of the nipple) of these two parameters over the breast. Mapping of these two variables over a two-dimensional grid showed good matching with independent histopathology diagnosis. These results suggest that SAXS may be capable of identifying areas of invasion or directional spread of disease as well as providing more information at the supramolecular level for aiding tissue diagnosis.

journal_name

Med Phys

journal_title

Medical physics

authors

Sidhu S,Siu KK,Falzon G,Hart SA,Foxe JG,Lewis RA

doi

10.1118/1.3147144

subject

Has Abstract

pub_date

2009-07-01 00:00:00

pages

3211-7

issue

7

eissn

0094-2405

issn

2473-4209

journal_volume

36

pub_type

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