Mid-infrared imaging in breast cancer tissue: an objective measure of grading breast cancer biopsies

Performance of a novel spectroscopy-based tool for adjuvant therapy decision-making in hormone receptor-positive breast cancer: a validation study

PURPOSE

Digistain Index (DI), measured using an inexpensive mid-infrared spectrometer, reflects the level of aneuploidy in unstained tissue sections and correlates with tumor grade. We investigated whether incorporating DI with other clinicopathological variables could predict outcomes in patients with early breast cancer.

METHODS

DI was calculated in 801 patients with hormone receptor-positive, HER2-negative primary breast cancer and ≤ 3 positive lymph nodes. All patients were treated with systemic endocrine therapy and no chemotherapy. Multivariable proportional hazards modeling was used to incorporate DI with clinicopathological variables to generate the Digistain Prognostic Score (DPS). DPS was assessed for prediction of 5- and 10-year outcomes (recurrence, recurrence-free survival [RFS] and overall survival [OS]) using receiver operating characteristics and Cox proportional hazards regression models. Kaplan-Meier analysis evaluated the ability of DPS to stratify risk.

RESULTS

DPS was consistently highly accurate and had negative predictive values for all three outcomes, ranging from 0.96 to 0.99 at 5 years and 0.84 to 0.95 at 10 years. DPS demonstrated statistically significant prognostic ability with significant hazard ratios (95% CI) for low- versus high-risk classification for RFS, recurrence and OS (1.80 [CI 1.31-2.48], 1.83 [1.32-2.52] and 1.77 [1.28-2.43], respectively; all P < 0.001).

CONCLUSION

DPS showed high accuracy and predictive performance, was able to stratify patients into low or high-risk, and considering its cost and rapidity, has the potential to offer clinical utility.

Mid-infrared Ring Interband Cascade Laser: Operation at the Standard Quantum Limit

Many precision applications in the mid-infrared spectral range have strong constraints based on quantum effects that are expressed in particular noise characteristics. They limit, e.g., sensitivity and resolution of mid-infrared imaging and spectroscopic systems as well as the bit-error rate in optical free-space communication. Interband cascade lasers (ICLs) are a class of mid-infrared lasers exploiting interband transitions in type-II band alignment geometry. They are currently gaining significant importance for mid-infrared applications from < 3 to > 6 μm wavelength, enabled by novel types of high-performance ICLs such as ring-cavity devices. Their noise behavior is an important feature that still needs to be thoroughly analyzed, including its potential reduction with respect to the shot-noise limit. In this work, we provide a comprehensive characterization of λ = 3.8 μm-emitting, continuous-wave ring ICLs operating at room temperature. It is based on an in-depth study of their main physical intensity noise features such as their bias-dependent intensity noise power spectral density and relative intensity noise. We obtained shot-noise-limited statistics for Fourier frequencies above 100 kHz. This is an important result for precision applications, e.g., interferometry or advanced spectroscopy, which benefit from exploiting the advantage of using such a shot-noise-limited source, enhancing the setup sensitivity. Moreover, it is an important feature for novel quantum optics schemes, including testing specific light states below the shot-noise level, such as squeezed states.

Label-free nanoscale mapping of intracellular organelle chemistry

The ability to image cell chemistry at the nanoscale is key for understanding cell biology, but many optical microscopies are restricted by the ~(200-250)nm diffraction limit. Electron microscopy and super-resolution fluorescence techniques beat this limit, but rely on staining and specialised labelling to generate image contrast. It is challenging, therefore, to obtain information about the functional chemistry of intracellular components. Here we demonstrate a technique for intracellular label-free chemical mapping with nanoscale (~30 nm) resolution. We use a probe-based optical microscope illuminated with a mid-infrared laser whose wavelengths excite vibrational modes of functional groups occurring within biological molecules. As a demonstration, we chemically map intracellular structures in human multiple myeloma cells and compare the morphologies with electron micrographs of the same cell line. We also demonstrate label-free mapping at wavelengths chosen to target the chemical signatures of proteins and nucleic acids, in a way that can be used to identify biochemical markers in the study of disease and pharmacology.

Beyond Karl Fischer titration: a monolithic quantum cascade sensor for monitoring residual water concentration in solvents

Quality control of liquids is an important part of analytical chemistry. The gold standard for measuring residual water in organic solvents and pharmaceutical applications is Karl Fischer titration. It has a high sensitivity, selectivity and accuracy. The downsides are a time-consuming offline analysis, together with the need for toxic reagents producing waste, and it suffers from poor inter-laboratory reproducibility. In this work, we present a high-performance lab-on-a-chip sensor exploiting mid-IR spectroscopy for liquid sensing. It is operating at 6.1 μm wavelength and is suitable for robust and flexible real-time in situ analysis of the residual water concentration in isopropyl alcohol. This is demonstrated in two experiments. A custom-made 60 μL flow cell is employed to measure only minute amounts of analyte in an inline configuration. In a second approach, the whole sensor is immersed into the analyte to demonstrate sensitive and rapid in situ operation on the millisecond time scale. This is confirmed by the ability for time resolved single water-droplet monitoring, while they are mixed into the liquid sample. We obtain a limit of detection between 120 ppm and 150 ppm with a concentration coverage spanning three orders of magnitude from 1.2 × 10^-2%_vol to 25%_vol for the flow cell and 1.5 × 10^-2%_vol to 19%_vol in the in situ configuration, respectively.

Synchronous upconversion of quantum cascade lasers in AgGaS2

We investigate synchronous upconversion of a pulsed, tunable quantum cascade laser (QCL) in the important 5.4-10.2 µm range, with a 30 kHz, Q-switched, 1064 nm laser. The possibility to accurately control the repetition rate and pulse duration of the QCL results in a good temporal overlap with the Q-switched laser, leading to an upconversion quantum efficiency of 16% in a 10 mm-long AgGaS₂ crystal. We investigate the noise properties of the upconversion process in terms of pulse-to-pulse energy stability and timing jitter. For QCL pulses in the 30-70 ns range the upconverted pulse-to-pulse stability is approximately 1.75%. The demonstrated combination of broad tunability and high signal to noise in the system is well-suited for mid-IR spectral analysis of highly absorbing samples.