{"id":534,"date":"2010-06-23T15:24:43","date_gmt":"2010-06-23T15:24:43","guid":{"rendered":"http:\/\/d45h139.public.uconn.edu\/sites\/news\/?p=534"},"modified":"2025-01-31T12:26:43","modified_gmt":"2025-01-31T17:26:43","slug":"clinicaltrialsforbreastcancerdevice","status":"publish","type":"post","link":"https:\/\/today.uconn.edu\/2010\/06\/clinicaltrialsforbreastcancerdevice\/","title":{"rendered":"Clinical Trials Favorable for Novel Breast Cancer Detection Device"},"content":{"rendered":"<p>By Colin Poitras<\/p>\n<p><a href=\"http:\/\/d45h139.public.uconn.edu\/sites\/news\/media\/2010\/06\/250x161-zhuqing.jpg\"><img decoding=\"async\" class=\"alignleft size-full wp-image-535 img-responsive lazyload\" title=\"250x161-zhuqing\" data-src=\"http:\/\/d45h139.public.uconn.edu\/sites\/news\/media\/2010\/06\/250x161-zhuqing.jpg\" alt=\"qing zhu\" width=\"250\" height=\"161\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 250px; --smush-placeholder-aspect-ratio: 250\/161;\" \/><\/a>A novel imaging device developed at the University of Connecticut is  showing favorable results in an expanded clinical trial and could  significantly reduce physicians\u2019 reliance on breast biopsies.<\/p>\n<p>The device, which relies on noninvasive light and sound waves to  locate and analyze suspicious tumors in breast tissue, was tested on 178  women over a four-year period from 2004 to 2008. The study was  supported by the National Institutes of Health and the Donaghue Medical  Research Foundation. Patients were between the ages of 21 and 89 and the  testing was conducted at the <a href=\"http:\/\/www.uchc.edu\/\">University  of Connecticut Health Center<\/a> and <a href=\"http:\/\/www.harthosp.org\/default.aspx\">Hartford Hospital<\/a>.<\/p>\n<p>The study showed that the device, which uses a process called  ultrasound-guided diffuse optical tomography, or DOT, had a very high  rate of reliability (92 percent) in terms of sensitivity and a very high  rate of reliability (93 percent) in terms of specificity when  evaluating smaller cancers less than two centimeters in size. The  results of the study are appearing online today (June 22) in the journal  <em><a href=\"http:\/\/radiology.rsna.org\/\">Radiology<\/a><\/em>, published  by the Radiological Society of North America.<\/p>\n<p>\u201cBased on our results, we believe that ultrasound-guided diffuse  optical tomography holds promise as an adjunct to diagnostic mammography  and ultrasound for distinguishing early-stage invasive breast cancers  from benign lesions,\u201d says Quing Zhu, a professor of bioengineering in  the <a href=\"http:\/\/www.engr.uconn.edu\/ece\/index.php\">Department of  Electrical and Computer Engineering<\/a>. Zhu has been working with  graduate students in the School of Engineering and Health Center  physicians over the past decade to refine and test the device.<\/p>\n<p>\u201cWe expect this technology will be used to help radiologists evaluate  small to intermediate size lesions that are harder to diagnose with  conventional imaging technologies,\u201d Zhu says. \u201cWe will not completely  eliminate biopsies. No modality is perfect. But we want to improve  existing imaging technology so a better diagnosis can be made.\u201d<\/p>\n<p>The device uses a traditional handheld ultrasound probe to pinpoint  suspicious masses in the breast and near-infrared lighting projected  through a series of optical fibers around the probe\u2019s periphery to  penetrate and characterize the mass once it is found. The infrared light  can penetrate tissue up to four centimeters, Zhu says.<\/p>\n<p>Diffuse optical tomography measures light absorption within the  tissue at two optical wavelengths to quantify blood content (hemoglobin  levels). Since cancerous lesions tend to have many more blood vessels  than normal tissue, hemoglobin levels can help distinguish malignant  from benign lesions.<\/p>\n<p>\u201cThis is fascinating and innovative research that will help us not  only detect cancer but help us follow its clinical course and gain  insight into tumor biology in a non-invasive fashion that we could not  do before,\u201d says Dr. Scott Kurtzman, formerly of the UConn Health Center  and now affiliated with Waterbury Hospital. \u201cThis project is also a  wonderful collaboration between basic science and clinicians.\u201d<\/p>\n<p>Currently, physicians use traditional mammography and ultrasound to  detect questionable masses in the breast. When a suspicious mass is very  small or the image isn\u2019t clear enough for definitive analysis,  physicians often recommend a needle biopsy to extract samples of the  suspicious tissue for further diagnostic testing. Yet, according to the  American Cancer Society, four out of every five needle biopsies, or  about 80 percent, reveal benign lesions that are not cancerous,  resulting in unnecessary expense and anxiety for thousands of women each  year.<\/p>\n<p>In the UConn study, women who had suspicious lesions in their breasts  were first analyzed with DOT and then given a needle biopsy. The  results of each test were then correlated to judge the sensitivity and  specificity of the DOT. Zhu says the DOT found both maximum and average  total hemoglobin levels were significantly higher in the malignant  groups than in the benign groups of tissue samples, proving its  effectiveness. Laboratory examination of the tissue samples revealed two  in situ carcinomas, 35 carcinomas that measured less than two  centimeters, 24 carcinomas greater than two centimeters, and 114 benign  lesions.<\/p>\n<p>Although magnetic resonance imaging is often used for screening  high-risk women or characterizing indeterminate breast lesions, DOT is  less costly, faster, and an easier procedure to perform, Zhu says.<\/p>\n<p>In separate results, the study also showed that DOT can be used to  evaluate the effectiveness of cancer treatment. Chemotherapy is often  used to shrink larger breast cancers to avoid a mastectomy. The DOT  analysis appears to be detailed enough to allow doctors to see whether  or not cancer cells are responding to treatment.<\/p>\n<p>The DOT device has been patented. The next step is to develop  multi-institution prospective clinical trials to further evaluate the  device\u2019s effectiveness, Zhu says.<\/p>\n<p>Collaborating with Zhu on the study were Drs. Poornima Hegde, Mark  Kane, Susan Tannenbaum, Peter Deckers, and Scott Kurtzman from the  University of Connecticut Health Center and Drs. Edward Cronin, Andrew  Ricci Jr., and Patricia DeFusco from Hartford Hospital. Graduate  students Yasaman Ardeshirpour, Chen Xu, and Andres Aguirre contributed  to this four-year study. The technologists Kimberly Sokol, Brenda  Cameron, and Debra Perusse of the Radiology Department, the surgical  nurses Nancy Baccaro, Ellen Oliver, and Kerri Goodwin at the Cancer  Center, and Sandra Trifiro at Hartford Hospital assisted with ultrasound  patient scanning, patient scheduling, and patient recruiting.<\/p>\n<p><em>University of Connecticut Health Center Communications Officer  Chris DeFrancesco contributed to this article.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>A novel imaging device developed at the University of Connecticut is showing favorable results in an expanded clinical trial and could significantly reduce physicians&#8217; reliance on breast biopsies.<\/p>\n","protected":false},"author":122,"featured_media":178502,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_crdt_document":"","wds_primary_category":0,"wds_primary_series":0,"wds_primary_attribution":0,"footnotes":""},"categories":[1866],"tags":[],"magazine-issues":[],"coauthors":[2110],"class_list":["post-534","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-engr"],"pp_statuses_selecting_workflow":false,"pp_workflow_action":"current","pp_status_selection":"publish","acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-04-12 22:41:49","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts\/534","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/users\/122"}],"replies":[{"embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/comments?post=534"}],"version-history":[{"count":1,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts\/534\/revisions"}],"predecessor-version":[{"id":225110,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts\/534\/revisions\/225110"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/media\/178502"}],"wp:attachment":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/media?parent=534"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/categories?post=534"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/tags?post=534"},{"taxonomy":"magazine-issue","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/magazine-issues?post=534"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/coauthors?post=534"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}