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Univ. Paris-Saclay
SpiderMass Water-Assisted Laser Desorption/Ionization Mass spectrometry: A novel mini-invasive technology for intraoperative diagnostics & guided surgery
Isabelle FOURNIER
INSERM U1192 - Laboratoire Protéomique, Réponse Inflammatoire et Spectrométrie de Masse, Lille
Vendredi 29/11/2019, 11:00-12:00
LIDYL Bât.522, Grande salle 137-138, CEA-Saclay

Despite important technological advances over the last decades, margin delineation and real-time diagnostic clearly remains an issue. Yet most standard intraoperative procedure is to biopsy and wait for the feedback of a confirmed pathologist ; which is a rather long process prone to errors. Therefore, we have been developing a mini invasive MS based system, called SpiderMass, to target in vivo intraoperative analysis for surgical decision making. The technology is based on a laser microprobe which uses resonant excitation of tissue water to promote mini invasive micro-sampling and gas phase ions formation. SpiderMass is designed so that the mass instrument is standing remotely from the laser microprobe and then the patient. Thus, SpiderMass enables remote mini invasive in vivo analysis, safe and painless for the patient using 2.94 µm IR excitation leading to real-time molecular signature of the tissues. We have demonstrated that the technology could be used to distinguish cancer from normal cells, histological regions, or cancer types and grades uniquely by using the collected molecular fingerprints as barcoding; and then be trained to recognize these different situations using machine learning. During the course of surgery, the generated data are thus used to interrogate in real-time the built models and provide instant feedback. We have been conducting a proof-of-concept study to assess the performances of the technology from dog sarcoma and demonstrated the high sensitivity and accuracy of the system for sarcoma grading and typing. Finally, the SpiderMass prototype was showcased at the veterinary surgery room on dog patients for bench ex-vivo intraoperative analysis and in vivo assessment within the course of the surgery.

Contact : Caroline LEBE

 

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