2024年第51卷第5期目录

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封面故事:近年来,随臭氧层空洞化及化学污染问题的加剧,全球皮肤肿瘤患病率快速上升。常 见的皮肤肿瘤主要包含基底细胞癌、鳞状细胞癌和黑色素瘤三种,其中黑色素瘤作为最少见的皮 肤肿瘤类型,致死率最高可达80%。因此,皮肤肿瘤的早期筛查对患者的预后生存率有着重要影 响。该文利用生物阻抗谱(bioimpedance spectroscopy,BIS) 技术,根据皮肤组织在不同病理及生 理状态下电学特性的差异,以扫频的方式向被测目标注入安全激励电流,采集可疑组织的阻抗信 息,进而提取阻抗谱曲线中的弛豫频率与弛豫阻抗参数,实现对混有不同半径或浸润深度皮肤肿 瘤组织的实时无创识别。此外,为探究BIS对于皮肤肿瘤早期浸润的敏感性,该文绘制了肿瘤组织 浸润深度与弛豫阻抗的拟合曲线,结果表明当皮肤肿瘤处于微浸润时期,即可有效识别。
(彭俊文,胡松佩,洪志扬,王莉莉,刘凯,姚佳烽. 皮肤肿瘤早期筛查的快速无创电阻抗检测方法,本 期第1161~1173 页)

Cover Story:Objective In recent years, with the intensification of environmental issues and the depletion of ozone layer, incidence of skin tumors has also significantly increased, becoming one of the major threats to people’s lives and health. However, due to factors such as high concealment in the early stage of skin tumors, unclear symptoms, and large human skin area, most cases are detected in the middle to late stage. Early detection plays a crucial role in postoperative survival of skin tumors, which can significantly improve the treatment and survival rates of patients. We proposed a rapid non-invasive electrical impedance detection method for early screening of skin tumors based on bioimpedance spectroscopy (BIS) technology.Methods Firstly, we have established a complete skin stratification model, including stratum corneum, epidermis, dermis, and subcutaneous tissue. And the numerical analysis method was used to investigate the effect of dehydrated and dry skin stratum corneum on contact impedance in BIS measurement. Secondly, differentiation effect of different diameter skin tumor tissues was studied using a skin model after removing the stratum corneum. Then, in order to demonstrate that BIS technology can be used for detecting the microinvasion stage of skin tumors, we conducted a simulation study on the differentiation effect of skin tumors under different infiltration depths. Finally, in order to verify that the designed BIS detection system can distinguish between tumor microinvasion periods, we conducted tumor invasion experiments using hydrogel treated pig skin tissue.Results The simulation results show that a dry and high impedance stratum corneum will bring about huge contact impedance, which will lead to larger measurement errors and affect the accuracy of measurement results. We extracted the core evaluation parameter of relaxed imaginary impedance (Zimag-relax) from the simulation results of the skin tumor model. When the tumor radius (Rtumor) and invasion depth (h)>1.5 mm, the designed BIS detection system can distinguish between tumor tissue and normal tissue. At the same time, in order to evaluate the degree of canceration in skin tissue, the degree of tissue lesion (εworse) is defined by the relaxed imaginary impedance (Zimag-relax) of normal and tumor tissue (εworse is the percentage change in virtual impedance of tumor tissue relative to that of normal tissue), and we fitted a Depth-Zimag-relax curve using relaxation imaginary impedance data at different infiltration depths, which can be applied to quickly determine the infiltration depth of skin tumors after being supplemented with a large amount of clinical data in the future. The experimental results proved that when εworse=0.492 0, BIS could identify microinvasive tumor tissue, and the fitting curve correction coefficient of determination was 0.946 8, with good fitting effect. The simulation using pig skin tissue correlated the results of real human skin simulation with the experimental results of pig skin tissue, proving the reliability of this study, and laying the foundation for further clinical research in the future.Conclusion Our proposed BIS method has the advantages of fast, real-time, and non-invasive detection, as well as high sensitivity to skin tumors, which can be identified during the stage of tumor microinvasion.

综述与专论

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研究报告

皮肤肿瘤早期筛查的快速无创电阻抗检测方法彭俊文,胡松佩,洪志扬,王莉莉,刘凯,姚佳烽  [摘要][PDF][HTML]

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技术与方法

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