Establishment of a clinical workflow for in vivo Raman spectroscopy during head and neck cancer surgery

Abstract As first part of an ongoing prospective feasibility trial (DRKS00028114) this work explored the integration of in vivo Raman spectroscopy (RS) into the routine setting workflow of head and neck cancer (HNC) surgery. In vivo RS was performed intraoperatively on 30 patients with HNC cell carc...

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Main Authors: Ayman Bali, Thomas Bitter, Mussab Kouka, Jonas Ballmaier, Ines Latka, Florian Windirsch, David Pertzborn, Nadja Ziller, Marcela Mafra, Nikolaus Gaßler, Jürgen Popp, Anna Mühlig, Ferdinand von Eggeling, Orlando Guntinas-Lichius, Iwan W. Schie
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-025-08222-9
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author Ayman Bali
Thomas Bitter
Mussab Kouka
Jonas Ballmaier
Ines Latka
Florian Windirsch
David Pertzborn
Nadja Ziller
Marcela Mafra
Nikolaus Gaßler
Jürgen Popp
Anna Mühlig
Ferdinand von Eggeling
Orlando Guntinas-Lichius
Iwan W. Schie
author_facet Ayman Bali
Thomas Bitter
Mussab Kouka
Jonas Ballmaier
Ines Latka
Florian Windirsch
David Pertzborn
Nadja Ziller
Marcela Mafra
Nikolaus Gaßler
Jürgen Popp
Anna Mühlig
Ferdinand von Eggeling
Orlando Guntinas-Lichius
Iwan W. Schie
author_sort Ayman Bali
collection DOAJ
description Abstract As first part of an ongoing prospective feasibility trial (DRKS00028114) this work explored the integration of in vivo Raman spectroscopy (RS) into the routine setting workflow of head and neck cancer (HNC) surgery. In vivo RS was performed intraoperatively on 30 patients with HNC cell carcinoma and 10 patients with inflammatory diseases as a control group. A standardized process was established using a Raman system complied with stringent medical device regulatory standards. Spectra were collected in vivo from the tumor site, the tumor margins, and healthy tissue. The learning curve of the HNC team significantly improved measurement times from over 30 min initially to 2 min after 15 patients. Data from 35 patients were interpretable, demonstrating clear spectral differences between tumor and healthy tissues. The intraoperative in vivo RS workflow is now well established and is being used in the ongoing clinical trial.
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spelling doaj-art-ca6eaece26cc4f3d88a8aaf8760096102025-08-20T03:42:57ZengNature PortfolioScientific Reports2045-23222025-07-0115111210.1038/s41598-025-08222-9Establishment of a clinical workflow for in vivo Raman spectroscopy during head and neck cancer surgeryAyman Bali0Thomas Bitter1Mussab Kouka2Jonas Ballmaier3Ines Latka4Florian Windirsch5David Pertzborn6Nadja Ziller7Marcela Mafra8Nikolaus Gaßler9Jürgen Popp10Anna Mühlig11Ferdinand von Eggeling12Orlando Guntinas-Lichius13Iwan W. Schie14Department of Otorhinolaryngology, Jena University Hospital DepartmentDepartment of Otorhinolaryngology, Jena University Hospital DepartmentDepartment of Otorhinolaryngology, Jena University Hospital DepartmentDepartment of Otorhinolaryngology, Jena University Hospital DepartmentLeibniz Institute of Photonic TechnologyLeibniz Institute of Photonic TechnologyDepartment of Otorhinolaryngology, Jena University Hospital DepartmentDepartment of Otorhinolaryngology, Jena University Hospital DepartmentDepartment of Otorhinolaryngology, Jena University Hospital DepartmentSection Pathology of the Institute of Forensic Medicine, Jena University HospitalLeibniz Institute of Photonic TechnologyDepartment of Otorhinolaryngology, Jena University Hospital DepartmentDepartment of Otorhinolaryngology, Jena University Hospital DepartmentDepartment of Otorhinolaryngology, Jena University Hospital DepartmentLeibniz Institute of Photonic TechnologyAbstract As first part of an ongoing prospective feasibility trial (DRKS00028114) this work explored the integration of in vivo Raman spectroscopy (RS) into the routine setting workflow of head and neck cancer (HNC) surgery. In vivo RS was performed intraoperatively on 30 patients with HNC cell carcinoma and 10 patients with inflammatory diseases as a control group. A standardized process was established using a Raman system complied with stringent medical device regulatory standards. Spectra were collected in vivo from the tumor site, the tumor margins, and healthy tissue. The learning curve of the HNC team significantly improved measurement times from over 30 min initially to 2 min after 15 patients. Data from 35 patients were interpretable, demonstrating clear spectral differences between tumor and healthy tissues. The intraoperative in vivo RS workflow is now well established and is being used in the ongoing clinical trial.https://doi.org/10.1038/s41598-025-08222-9
spellingShingle Ayman Bali
Thomas Bitter
Mussab Kouka
Jonas Ballmaier
Ines Latka
Florian Windirsch
David Pertzborn
Nadja Ziller
Marcela Mafra
Nikolaus Gaßler
Jürgen Popp
Anna Mühlig
Ferdinand von Eggeling
Orlando Guntinas-Lichius
Iwan W. Schie
Establishment of a clinical workflow for in vivo Raman spectroscopy during head and neck cancer surgery
Scientific Reports
title Establishment of a clinical workflow for in vivo Raman spectroscopy during head and neck cancer surgery
title_full Establishment of a clinical workflow for in vivo Raman spectroscopy during head and neck cancer surgery
title_fullStr Establishment of a clinical workflow for in vivo Raman spectroscopy during head and neck cancer surgery
title_full_unstemmed Establishment of a clinical workflow for in vivo Raman spectroscopy during head and neck cancer surgery
title_short Establishment of a clinical workflow for in vivo Raman spectroscopy during head and neck cancer surgery
title_sort establishment of a clinical workflow for in vivo raman spectroscopy during head and neck cancer surgery
url https://doi.org/10.1038/s41598-025-08222-9
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