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Early detection of prostate cancer is critical for the success of cancer therapy. It is believed that the biochemical changes that cause the optical spectra changes would appear earlier than the histological aberration. The aim of this ex vivo study was to evaluate the ability of Stokes Shift Spectra (S3) to identify human prostate cancerous tissues from the normal. Fifteen (15) pairs of with pathologically confirmed human prostate cancerous and normal tissues underwent Stokes Shift Spectra measurements with selective wavelength interval of 40 nm. The spectra were then analyzed using machine learning (ML) algorithms to classify the two types of tissues. The ML algorithms including principal component analysis (PCA) and nonnegative matrix factorization (NMF) were used for dimension reduction and feature detection. The characteristic component spectra were used to identify the key fluorophores related to carcinogenesis. The results show that these key fluorophores within tissue, e.g., tryptophan, collagen, and NADH, have different relative concentrations between cancerous and normal tissues. A multi-class classification was performed using support vector machines (SVMs). A leave-one-out cross validation was used to evaluate the performance of the classification with the gold standard histopathological results as the ground truth. The results with high sensitivity and specificity indicate that the S3 method is effective for detecting changes of fluorophore composition in human prostate tissues due to the development of cancer. © 2021 SPIE.
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We report on the use of label-free, native fluorescence (NFL) spectroscopy and machine learning (ML) algorithms to study the correlation of relative tryptophan levels with prostate cancer aggressiveness. Three extensively studied prostate cancer cell lines were used; PC3, an aggressive, androgen-resistant line, with a high tendency to metastasize in vivo, DU-145, a less aggressive cancer cell line, also androgen-resistant, and LNCaP, an androgen sensitive line, which has a low tendency to metastasize. Using an excitation of 300nm, differences in the NFL spectral profiles from these cell lines were found to correlate with changes in the relative concentrations of tryptophan and reduced nicotinamide adenine dinucleotide (NADH). The use of ML may present a powerful tool for the assessment of the likelihood of a cancer to metastasize. This technique could aid in the decision whether to use highly aggressive adjuvant chemotherapy or radiation therapy after surgical resection of a prostate cancer.