Open AccessPhotoacoustic detection of circulating melanoma cells in late stage patients
Author(s) -
John A. Viator,
Marc Hazur,
Andrea Sajewski,
Ahmad A. Tarhini,
Martin E. Sanders,
Robert H. Edgar
Publication year - 2020
Publication title -
journal of innovative optical health sciences/journal of innovation in optical health science
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.421
H-Index - 24
eISSN - 1793-5458
pISSN - 1793-7205
DOI - 10.1142/s1793545820500236
Subject(s) - melanoma , metastasis , photoacoustic imaging in biomedicine , flow cytometry , medicine , stage (stratigraphy) , circulating tumor cell , cancer , pathology , blood flow , cancer research , immunology , biology , paleontology , physics , optics
Melanoma is the deadliest skin cancer and is responsible for over 7000 deaths in the US annually. The spread of cancer, or metastasis, is responsible for these deaths, as secondary tumors interrupt normal organ function. Circulating tumor cells, or those cells that spread throughout the body from the primary tumor, are thought to be responsible for metastasis. We developed an optical method, photoacoustic flow cytometry, in order to detect and enumerate circulating melanoma cells (CMCs) from blood samples of patients. We tested the blood of Stage IV melanoma patients to show the ability of the photoacoustic flow cytometer to detect these rare cells in blood. We then tested the system on archived blood samples from Stage III melanoma patients with known outcomes to determine if detection of CMCs can predict future metastasis. We detected between 0 and 66 CMCs in Stage IV patients. For the Stage III study, we found that of those samples with CMCs, two remained disease free and five developed metastasis. Of those without CMCs, six remained disease free and one developed metastasis. We believe that photoacoustic detection of CMCs provides valuable information for the prediction of metastasis and we postulate a system for more accurate prognosis.