Technique for determining whether a cell is malignant as opposed to non-malignant using extrinsic fluorescence spectroscopy
First Claim
1. A method of examining the cells present within an area of a Pap smear for purposes of detecting cancer, the method comprising the steps of:
- a) exposing the cells present within the area of the Pap smear to a fluorescent dye which preferentially stains malignant cells as opposed to non-malignant cells;
b) illuminating the area with light of a wavelength sufficient to cause the fluorescent dye to fluoresce whereby fluorescent light is emitted from the area;
c) measuring the intensity of fluorescent light emitted from the area as a function of location within the area at a wavelength indicative of fluorescence of the fluorescent dye, said measuring step comprising passing the fluorescent light through a filter selective for said wavelength indicative of fluorescence of said fluorescent dye and then converting the filtered fluorescent light from optical signals into electrical signals corresponding in intensity thereto;
d) comparing the electrical signals obtained in step (c) to appropriate standards obtained from cells known to be malignant and non-malignant; and
e) using the results of said comparisons to generate a map of the area, said map conveying the spatial distribution of cells within the area and a characterization of each cell within the area as being either malignant or non-malignant.
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Abstract
A technique for determining whether a cell is malignant as opposed to non-malignant using extrinsic fluorescence spectroscopy. The technique is premised on the principle that certain fluorescent dyes preferentially stain malignant cells as opposed to non-malignant cells. Accordingly, by exposing a cell to the fluorescent dye, irradiating the cell with light of such a wavelength as to cause the dye to fluoresce, measuring the intensity of fluorescence at a wavelength indicative of fluorescence of the dye, and comparing the fluorescence intensity to standards obtained from malignant cells and non-malignant cells, it is possible for one to accurately classify the cell as being either malignant or non-malignant. The present invention also relates to an automated system which applies the principles of the aforementioned technique to depict the spatial distribution of cells within an area of a Pap smear-type sample and to characterize each of the cells as being malignant or non-malignant.
111 Citations
25 Claims
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1. A method of examining the cells present within an area of a Pap smear for purposes of detecting cancer, the method comprising the steps of:
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a) exposing the cells present within the area of the Pap smear to a fluorescent dye which preferentially stains malignant cells as opposed to non-malignant cells; b) illuminating the area with light of a wavelength sufficient to cause the fluorescent dye to fluoresce whereby fluorescent light is emitted from the area; c) measuring the intensity of fluorescent light emitted from the area as a function of location within the area at a wavelength indicative of fluorescence of the fluorescent dye, said measuring step comprising passing the fluorescent light through a filter selective for said wavelength indicative of fluorescence of said fluorescent dye and then converting the filtered fluorescent light from optical signals into electrical signals corresponding in intensity thereto; d) comparing the electrical signals obtained in step (c) to appropriate standards obtained from cells known to be malignant and non-malignant; and e) using the results of said comparisons to generate a map of the area, said map conveying the spatial distribution of cells within the area and a characterization of each cell within the area as being either malignant or non-malignant. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12)
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13. A method of examining the cells present within an area of a Pap smear for purposes of detecting cancer, the method comprising the steps of:
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a) exposing the cells within the area of the Pap smear to a fluorescent dye which preferentially stains malignant cells as opposed to non-malignant cells; b) illuminating the area with light of a wavelength sufficient to cause the fluorescent dye to fluoresce whereby fluorescent light is emitted from the area; c) measuring the intensity of fluorescent light emitted from the area as a function of location within the area at a reference wavelength and at a wavelength indicative of fluorescence of the fluorescent dye, said measuring step comprising passing the fluorescent light alternately through a filter selective for said wavelength indicative of fluorescence of the fluorescent dye and through a filter selective for said reference wavelength and then converting the filtered fluorescent light from optical signals into electrical signals corresponding in intensity thereto; d) determining the ratio of intensities of said electrical signals corresponding to the fluorescent light at said reference wavelength and at said wavelength indicative of fluorescence of the fluorescent dye; e) comparing said ratio to standard ratios obtained from malignant and non-malignant cells; and f) using the results of said comparisons to generate a map of the area, said map conveying the spatial distribution of cells within the area and a characterization of each cell within the area as being either malignant or non-malignant using said comparisons. - View Dependent Claims (14, 15, 16, 17, 18, 19, 20)
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21. A method of making a map of the spatial distribution of cells within an area of a Pap smear and for characterizing each of the cells within the area as being either malignant or non-malignant, the method comprising the steps of:
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a) exposing the cells within the area of the Pap smear to a fluorescent dye which preferentially stains malignant cells as opposed to non-malignant cells; b) illuminating the area with light of a wavelength sufficient to cause the fluorescent dye to fluoresce whereby fluorescent light is emitted from the area; c) measuring at a wavelength indicative of fluorescence of the fluorescent dye the fluorescence intensity of the entire illuminated area as a function of location therewithin, said measuring step comprising passing the fluorescent light through a filter selective for said wavelength indicative of fluorescence of the fluorescent dye and then converting the filtered fluorescent light from optical signals into electrical signals corresponding in intensity thereto; d) comparing the electrical signals emitted from each location of the entire illuminated area to standards which permit each location to be characterized as corresponding to a malignant cell, a non-malignant cell or background; e) characterizing each location on the basis of said comparisons; and f) displaying the results of said characterizations in the form of a map.
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22. A method of examining the cells present within an area of a Pap smear for purposes of detecting cancer, the method comprising the steps of:
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a) exposing the cells within the area of the Pap smear to a fluorescent dye which preferentially stains malignant cells as opposed to non-malignant cells; b) illuminating the area with light of a wavelength sufficient to cause the fluorescent dye to fluoresce whereby fluorescent light is emitted from the area; c) measuring the intensity of fluorescent light emitted from the area as a function of location within the area at a reference wavelength and at a wavelength indicative of fluorescence of the fluorescent dye, said measuring step comprising passing the fluorescent light alternately through a filter selective for said wavelength indicative of fluorescence of the fluorescent dye and through a filter selective for said reference wavelength and then converting the filtered fluorescent light from optical signals into electrical signals corresponding in intensity thereto; d) determining the difference in intensities of the electrical signals corresponding to the optical signals at said reference wavelength and at said wavelength indicative of fluorescence of the fluorescent dye; e) comparing said difference to standard differences obtained from malignant and non-malignant cells; and f) using said comparisons to generate a map conveying the spatial distribution of cells within the area and a characterization of each cell within the area as being either malignant or non-malignant.
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23. A method of cancer-screening a cell sample containing cells whose cancer condition are unknown, the method comprising the steps of:
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a) exposing the cell sample to a fluorescent dye which preferentially stains malignant cells as opposed to non-malignant cells; b) preparing a monolayer spread with the stained cell sample; c) illuminating an area of the monolayer spread with light of a wavelength sufficient to cause the fluorescent dye to fluoresce whereby fluorescent light is emitted from the area; d) measuring the intensity of fluorescent light emitted from the area as a function of location within the area at a wavelength indicative of fluorescence of the fluorescent dye, said measuring step comprising passing the fluorescent light through a filter selective for said wavelength indicative of fluorescent light and then converting the filtered fluorescent light from optical signals into electrical signals corresponding in intensity thereto; e) comparing the electrical signals obtained in step (d) to appropriate standards obtained from cells known to be malignant and non-malignant; and f) using said comparisons to generate a map conveying the spatial distribution of cells within the area and a characterization of each cell within the area as being either malignant or non-malignant. - View Dependent Claims (24, 25)
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Specification