Advertisement
Original paper| Volume 31, ISSUE 3, P233-241, May 2015

X-ray fluorescence-based differentiation of neck tissues in a bovine model: Implications for potential intraoperative use

Published:February 09, 2015DOI:https://doi.org/10.1016/j.ejmp.2015.01.012

      Highlights

      • Our goal is to find ways for intra-operative tissue differentiation.
      • Suitability of non-destructive XRF analysis has been demonstrated experimentally.
      • Experiments were conducted on bovine parathyroid and six neighbouring tissues.
      • Contents of microelements in seven bovine neck tissues have been measured.
      • Microelemental data for parathyroid and salivary gland were not previously published.

      Abstract

      This study explores the possibility of using X-ray fluorescence (XRF)-based trace-element analysis for differentiation of various bovine neck tissues. It is motivated by the requirement for an intra-operative in-vivo method for identifying parathyroid glands, particularly beneficial in surgery in the central neck-compartment. Using a dedicated X-ray spectral analysis, we examined ex-vivo XRF spectra from various histologically verified fresh neck tissues from cow, which was chosen as the animal model; these tissues included fat, muscle, thyroid, parathyroid, lymph nodes, thymus and salivary gland. The data for six trace elements K, Fe, Zn, Br, Rb and I, provided the basis for tissue identification by using multi-parameter analysis of the recorded XRF spectra. It is shown that the combination of XRF signals from these elements is sufficient for a reliable tissue differentiation. The average total abundance of these trace elements was evaluated in each tissue type, including parathyroid and salivary gland for the first time. It is shown that some tissues can unequivocally be identified on the basis of the abundance of a single element, for example, iodine and zinc for the identification of thyroid gland and muscle, respectively.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Physica Medica: European Journal of Medical Physics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Sarela A.
        A regional study of thyroidectomy: surgical pathology suggests scope to improve quality and reduce cost.
        Ann R Coll Surg Engl. 1996; 78: 231
        • Fancy T.
        • Gallagher 3rd, D.
        • Hornig J.D.
        Surgical anatomy of the thyroid and parathyroid glands.
        Otolaryngol Clin North Am. 2010; 43: 221-227
        • Khan M.I.
        • Waguespack S.G.
        • Hu M.I.
        Medical management of postsurgical hypoparathyroidism.
        Endocr Pract. 2011; 17: 18-25
        • Bourrel C.
        • Uzzan B.
        • Tison P.
        • Despreaux G.
        • Frachet B.
        • Modigliani E.
        • et al.
        Transient hypocalcemia after thyroidectomy.
        Ann Otol Rhinol Laryngol. 1993; 102: 496-501
        • Lin D.T.
        • Snehal G.
        • Patel S.G.
        • Shaha A.R.
        • Singh B.
        • Shah J.P.
        Incidence of inadvertent parathyroid removal during thyroidectomy.
        Laryngoscope. 2002; 112: 608-611
        • Lee N.J.
        • Blakey J.D.
        • Bhuta S.
        • Calcaterra T.C.
        Unintentional parathyroidectomy during thyroidectomy.
        Laryngoscope. 1999; 109: 1238-1240
        • Sadowski B.M.
        • Snyder S.K.
        • Lairmore T.C.
        Routine bilateral central lymph node clearance for papillary thyroid cancer.
        Surgery. 2009; 146: 696-705
        • Cavanagh J.P.
        • Bullock M.
        • Hart R.D.
        • Trites J.R.
        • MacDonald K.
        • Taylor S.M.
        Incidence of parathyroid tissue in level VI neck dissection.
        J Otolaryng Head Neck Surg Le J D'oto-Rhino-Laryngologie de Chir Cervico-Faciale. 2011; 40: 27-33
        • Dua S.M.
        • Gray R.J.
        • Keshtgar M.
        Strategies for localisation of impalpable breast lesions.
        Breast. 2011; 20: 246-253
        • Sato K.
        Current technical overviews of sentinel lymph node biopsy for breast cancer.
        Breast Cancer. 2007; 14: 354-361
        • Aoyama K.
        • Kamio T.
        • Ohchi T.
        • Nishizawa M.
        • Kameoka S.
        Sentinel lymph node biopsy for breast cancer patients using fluorescence navigation with indocyanine green.
        World J Surg Oncol. 2011; 9: 157-164
        • Derom A.
        • Wallaert P.
        • Janzing H.
        • Van den Brande F.
        • Derom F.
        Intraoperative identification of parathyroids by means of methylene blue.
        Acta Chir Belg. 1994; 94: 97-100
        • Bonjer H.J.
        • Bruining H.A.
        • Pols H.A.P.
        • Wouter W.
        • de Herder C.H.J.
        • van Eijck W.A.P.
        • et al.
        Intraoperative nuclear guidance in benign hyperparathyroidism and parathyroid cancer.
        Eur J Nucl Med. 1997; 24: 246-251
        • Suzuki T.
        • Numata T.
        • Shibuya M.
        Intraoperative photodynamic detection of Normal parathyroid glands using 5-Aminolevulinic acid.
        Laryngoscope. 2011; 121: 1462-1466
        • Börjesson J.
        • Mattsson S.
        Medical applications of X-ray fluorescence for trace element research.
        Powder Diffr. 2007; 22: 130-137
        • Iyengar G.V.
        • Kollmer W.E.
        • Bowen H.J.M.
        The elemental composition of human tissues and body fluids: a compilation of values for adults. Weinheim.New Jork:Verlag Chemie.
        1978
        • Bowen H.J.M.
        Trace elements in biochemistry.
        Academic Press, Michigan1966
        • Theodorakou C.
        • Farquharson M.J.
        Human soft tissue analysis using X-ray or gamma-ray techniques.
        Phys Med Biol. 2008; 53: R111-R150
        • Cortesi M.
        • Fridman E.
        • Volkov A.
        • Sh Shilstein S.
        • Chechik R.
        • Breskin A.
        • et al.
        New prospective for non-invasive detection, grading, size evaluation, and tumor location of prostate Cancer.
        Prostate. 2010; 70: 1701-1708
        • Cortesi M.
        • Chechik R.
        • Breskin A.
        • Vartsky D.
        • Ramon J.
        • Raviv G.
        • et al.
        Evaluating the Cancer detection and grading potential of prostatic-zinc imaging: a simulation study.
        Phys Med Biol. 2009; 54: 781
        • Lopez A.M.
        • Benedito J.L.
        • Miranda M.
        • Castillo C.
        • Hernandez J.
        • Shore R.F.
        Toxic and trace elements in liver, kidney and meat from cattle slaughtered in Galicia (NW Spain).
        Food Addit Contam. 2000; 17: 447-457
        • Farmer A.A.
        • Farmer A.M.
        Concentration of cadmium, lead and zinc in livestock and organs around a metal production center in Easten Kazakhstan. Sci.
        Total Environ. 2000; 257: 53-60
        • Skoog D.A.
        • Leary Y.Y.
        Principles of instrumental analysis.
        Saunders: Saunders College Publishing Orlando, 1992
        • Shilstein SSh
        • Breskin A.
        • Chechik R.
        • Feldman G.
        • Vartsky D.
        In vivo determination of prostatic zinc: phantom feasibility study.
        Phys Med Biol. 2004; 49: 485-499
        • Olsson M.
        • Jonsson S.
        • Oskarsson A.
        Cadmium and zinc in kidney, liver, muscle and mammary tissue from dairy cows in conventional and organic farming.
        J Environ Monit. 2001; 3: 531-538