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Tumor Discovery                                                         Breast cancer optical differentiation


































            Figure 3. The measured light R  spectrum for one of the investigated samples (patient ID 1009). The solid red line is for the measured tumor tissue’s light
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            R  spectrum, and the solid blue line identifies the measured normal tissue’s R  spectrum highlighting the peaks which could visually identify between both
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            normal and tumor tissues at wavelength ranges of 600 ~ 680 nm and 750 ~ 960 nm at the visible and near-infrared spectra, respectively.
              Moreover,  regarding  the  second  framework     at the NIR range, with the minimum tolerance error, as
            (transmission method) to measure the investigated ex vivo   shown in Figure 5.
            breast tissue sample’s light T, one of the investigated cases   On  the other  side,  the  highest  T  values  were 560
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            is presented in Figure 4. The solid red line represents the   ~ 600  nm at the VIS range. Since the tolerance error
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            measured tumor tissue’s T spectrum, and the solid blue
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            line identifies the normal tissue’s T spectrum over the VIS-  was high in tumor measurements, it was better to select
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            NIR range. From the measured light T for the investigated   the wavelength range of 600 ~ 640 nm at the VIS range.
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            samples, we could visually highlight the spectrum peaks   Meanwhile, the wavelength range of 760 ~ 800  nm at
            that distinguish between the normal and the tumor tissues   the NIR range was with the minimum tolerance error, as
            at wavelength range 560 ~ 590 nm and 760 ~ 810 nm at the   shown in Figure 6.
            VIS range and NIR range, respectively.               Finally, we compared the system outcome with the
              From the two frameworks, we could measure the    pathological reports to evaluate the system efficiency and
            tissue’s R  and light T, and then calculate the sample µ   a  calculate the three numerical values (sensitivity, specificity,
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            from the measured T. Then, from the measurements of   and  accuracy).  Where,  the  corrected  prediction  of  the
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            the previously stated parameters for both the normal and   system (TP and TN) is compared with the pathological
            the malignant breast tissues, we could identify a spectral   report for each region (malignant in red color and non-
            signature for each tissue type by investigating the optical   malignant in blue color), as shown in Figure 7A. Figure 7B
            spectroscopy in the VIS-NIR range for the measured light   shows the receiver operating characteristic (ROC) curve
            R  and T. The measured tissue’s R , T, and calculated µ   a  data illustrating the normal and tumor data to highlight the
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            of the investigated ex vivo breast samples are illustrated in   effect of the cut-off point on decision-making concerning
            Figure S2A-C (Supplementary File), respectively.   the designed machine learning model.  Figure  7C shows
              Later, we exploited the IAD method for breast tissue   the ROC curve to highlight the test’s sensitivity (TP rate)
            characterization and the descriptive analysis (T-test) to   and specificity (FP rate) at various cutoff values.
            verify the significant difference between the various types   4. Discussion
            of breast tissues and select the optimum wavelength. From
            the  T-test  and  the  IAD  regarding  the  measured  R ,  we   BM is the second most common cancer in women after
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                                                                                [63]
            could verify that the highest R  values for discrimination   skin cancer globally . BM is a threatening disease in
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            were 600 ~ 640 nm at the VIS range and 800 ~ 840 nm   both  incidence  and  mortality  rates.  Therefore,  early
            Volume 2 Issue 1 (2023)                         8                           https://doi.org/10.36922/td.258
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