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Spectral and stiffness characterization of whole prostate gland to assist superficial cancer detection during radical prostatectomy
Umeå University, Faculty of Medicine, Department of Diagnostics and Intervention.
Umeå University, Faculty of Science and Technology, Department of Chemistry.ORCID iD: 0000-0002-2298-8844
Umeå University, Faculty of Medicine, Department of Medical Biosciences, Pathology.ORCID iD: 0000-0001-5163-5821
Umeå University, Faculty of Science and Technology, Department of Applied Physics and Electronics.ORCID iD: 0000-0002-2440-9543
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2026 (English)In: Spectrochimica Acta Part A - Molecular and Biomolecular Spectroscopy, ISSN 1386-1425, E-ISSN 1873-3557, Vol. 347, article id 126992Article in journal (Refereed) Published
Abstract [en]

Prostate cancer treatment depends on whether the cancer exists only inside the gland or within the prostate capsule or on the outside surface of the gland. The presence on the outside surface indicates migration of the cancer to adjacent organs. This study presents a novel method for detecting prostate cancer (PCa) on the surface of excised prostate glands using Raman spectroscopy and stiffness measurements. The workflow involves assessing the location and extent of PCa via MRI before surgery, followed by 3D scanning of the excised prostate. Key positions on ten excised prostates, 211 positions with 56 deemed as cancer, are measured using Raman spectroscopy and stiffness probes. The results are mapped onto a digital representation of the prostate to aid surgical decision-making. Statistical analysis of the Raman data indicates that spectra could be divided into two components, one more related to cancer and one more related to normal tissue. A stiffness parameter was calculated from resonance measurements from the stiffness probe. The Raman components and stiffness parameters were converted to z-scores. Logistic generalized linear mixed modelling revealed that the stiffness parameter was statistically associated with cancer presence in prostate regions (p = 0.009). The scanning equipment is easy to handle and makes further larger studies possible. This method holds promise for providing real-time support during surgery, reducing the need for post-surgical therapies and minimizing patient distress.

Place, publisher, year, edition, pages
Elsevier, 2026. Vol. 347, article id 126992
Keywords [en]
Clinical applications, Prostate cancer, Raman spectroscopy, Stiffness, Whole prostate
National Category
Medical Laboratory Technologies Urology Nephrology
Identifiers
URN: urn:nbn:se:umu:diva-245348DOI: 10.1016/j.saa.2025.126992Scopus ID: 2-s2.0-105017240632OAI: oai:DiVA.org:umu-245348DiVA, id: diva2:2005553
Funder
The Kempe FoundationsAvailable from: 2025-10-10 Created: 2025-10-10 Last updated: 2025-10-10Bibliographically approved

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Lindahl, Olof AGorzsás, AndrásBergh, AndersAndersson, Britt M.Ljungberg, BörjeMannberg, GöranLiv, PerBäcklund, TomasEdström, Urban

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Lindahl, Olof AGorzsás, AndrásBergh, AndersAndersson, Britt M.Ljungberg, BörjeMannberg, GöranLiv, PerBäcklund, TomasEdström, Urban
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Department of Diagnostics and InterventionDepartment of ChemistryPathologyDepartment of Applied Physics and ElectronicsDepartment of Public Health and Clinical Medicine
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Spectrochimica Acta Part A - Molecular and Biomolecular Spectroscopy
Medical Laboratory TechnologiesUrologyNephrology

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