In vivo SPECTROPHOTOMETRIC EVALUATION OF NEOPLASTIC AND NONNEOPLASTIC SKIN PIGMENTED LESIONS. III. CCD CAMERA-BASED REFLECTANCE IMAGING

Abstract— Reflectance spectroscopy, which allows an objective evaluation of the color of surfaces, has recently been proposed as a useful tool to discriminate cutaneous melanoma from other pigmented cutaneous lesions. A novel spectrophotometric system based on the use of a charge coupled device camera provided with a set of interference filters has been developed to acquire images of cutaneous pigmented lesions at selected wavelengths ranging from 420 to 1040 nm. For each filter, an image was captured, digitized by a frame grabber and stored in a personal computer to perform off-line data handling. Reflectance images were acquired of 22 cutaneous pigmented lesions including melanoma and dysplastic, compound and junctional nevus. From each spectral image, three parameters, i.e. mean reflectance, variegation index and lesion area, were derived at the corresponding wavelength. The wavelength dependence of the three parameters was significantly different when melanoma was compared to the other investigated lesions. Although preliminary, our results suggest that telespectrophotometry gives useful information and could be utilized as an aid in the clinical diagnosis of cutaneous pigmented lesions.     

Treatment of Malignant Melanoma by High-Peak-Power 1064 nm Irradiation Followed by Photodynamic Therapy

Irradiation of B16 pigmented melanoma subcutaneously transplanted in C57 mice with a single 650 mj pulse (10 ns) of 1064 nm light from a Q-switched Nd: YAG laser caused instantaneous bleaching of the pigmented tissue. Visual and histological examination of the resulting gray-colored tumor revealed the breakdown of melanosomes with no detectable alteration of the normal and tumor-overlying skin. Histological examination of the irradiated tumor showed some degree of vascular damage; the depth of the photodamage was not affected by the successive delivery of three consecutive light pulses. The bleached tumor grew at a modestly slower rate but the high-peak-power (HPP) laser treatment did not affect the tumor concentration of a photodynamic sensitizer Si(IV)-naphthalocyanine (isoBO-SiNc) intravenously injected 24 h before Nd : YAG irradiation. Treatment of the B16 pigmented melanoma by photodynamic therapy (PDT: 1 mg/kg isoBO-SiNc, 300 mW/cm², 520 J/cm²) from a 774 nm diode laser immediately after the 1064 nm irradiation resulted in a 16 day delay of tumor regrowth, which was markedly longer than the delay (ca 6 days) obtained after PDT under identical conditions without the preirradia-tion. Thus, pretreatment of pigmented tumors with HPP 1064 nm light appears to enhance their susceptibility to conventional PDT. The tumor response was further enhanced by repeating the combined HPP/PDT treatment at an interval of 10 days (regrowth delay: 27 days), as well as by applying hyperthermia immediately after HPP/PDT (regrowth delay: ca 34 days).     

In vivo SPECTROPHOTOMETRIC EVALUATION OF NEOPLASTIC AND NON-NEOPLASTIC SKIN PIGMENTED LESIONS–I. REFLECTANCE MEASUREMENTS

Reflectance spectrophotometry from 400 to 800 nm on different cutaneous pigmented lesions, including primary and metastatic malignant melanoma, pigmented nevi, lentigo and seborrhoeic keratosis, has been performed by using an external integrating sphere coupled to a spectrophotometer. Measurements show that reflectance spectra of the different lesions manifest dissimilar patterns, particularly in the near IR region. Comparison of reflectance of nevi with that of malignant melanomas results in a highly significant difference (P less than 10(-6)) between the two samples. Though interpretation of the spectra remains difficult as a result of the complexity of the optical processes of scattering and absorption, our results suggest that a detailed analysis of the reflectance spectrum may give clinically useful information, and could be utilized as an aid in clinical diagnosis of cutaneous pigmented lesions, especially where malignant melanoma is concerned.     

Effect of surfactants on inertial cavitation activity in a pulsed acoustic field

It has previously been reported that the addition of low concentrations of ionic surfactants enhances the steady-state sonoluminescence (SL) intensity relative to water (Ashokkumar; et al. J. Phys. Chem. B 1997, 101, 10845). In the current study, both sonoluminescence and passive cavitation detection (PCD) were used to examine the acoustic cavitation field generated at different acoustic pulse lengths in the presence of an anionic surfactant, sodium dodecyl sulfate (SDS). A decrease in the SL intensity was observed in the presence of low concentrations of SDS and short acoustic pulse lengths. Under these conditions, the inhibition of bubble coalescence by SDS leads to a population of smaller bubbles, which dissolve during the pulse "off time". As the concentration of surfactant was increased at this pulse length, an increase in the acoustic cavitation activity was observed. This increase is partly attributed to enhanced growth rate of the bubbles by rectified diffusion. Conversely, at long pulse lengths acoustic cavitation activity was enhanced at low SDS concentrations as a larger number of the smaller bubbles could survive the pulse "off time". The effect of reduced acoustic shielding and an increase in the "active" bubble population due to electrostatic repulsion between bubbles are also significant in this case. Finally, as the surfactant concentration was increased further, the effect of electrostatic induced impedance shielding or reclustering dominates, resulting in a decrease in the SL intensity.     

THE EVOLUTION OF PHOTODYNAMIC THERAPY TECHNIQUES IN THE TREATMENT OF INTRAOCULAR TUMORS

Abstract The techniques of photodynamic therapy (PDT) and the indications for its use in the treatment of intraocular tumors have evolved during the years in which it has been assessed in patients at our institution. It is now clear that transcorneal PDT delivered at a subthermal dose-rate to the surface of a pigmented lesion such as choroidal melanoma has little effect. In the absence of pigment, however, as in the case of retinoblastoma or amelanotic melanoma of the iris or choroid, the tumor kill attributed to PDT alone is significant. Data from animal tumor models in our institution and from patient studies elsewhere suggest that the addition of heat with the light delivery will predictably improve the outcome of the treatment of pigmented lesions. Ocular PDT delivered in conjunction with heat will be useful clinically as an adjunct to scleral plaque therapy by reducing the height of a lesion and concurrently the dose of radiation necessary at the base of the tumor for sterilization. Since the clinical tumoricidal effect of PDT is now known to be due at least in part to vascular damage, trans-scleral application of light to the base of melanomas and occlusion of its blood supply holds significant promise of efficacy with continued improvement of the light delivery system. Finally, a transpupillary approach to occlusion of the choroidal vascular supply to a melanoma by surrounding the tumor with photodynamic lesions may provide the best approach for ocular PDT as a primary therapy.     

Furocoumarin-induced Epidermal Melanogenesis Does Not Protect Against Skin Photocarcinogenesis in Hairless Mice

Topical 6,4,4'-trimethylangelicin (TMA) plus UVA was used to induce intense epidermal pigmentation in inbred HRA.HRII-c/+/Skh hairless pigmented mice over a 13 day period. Subsequent UVB/UVA exposure was used to assess the photoprotective properties of this tan using skin tumors as an endpoint. Comparisons were always made with sibling albino mice. The TMA/UVA treatment was shown to be not carcinogenic when treated mice were compared with untreated control mice over 25 weeks. The tan faded despite daily exposure to UVB/UVA and did not afford any protection when TMA/UVA-treated mice with subsequent UVB/UVA were compared with pigmented mice treated with UVB/UVA only. In one group, the TMA-induced tan was maintained by application of TMA three times a week prior to UVB/UVA for the duration of the experiment. This treatment was associated with a significant increase in tumor risk in both pigmented and albino mice compared to groups treated with UVB/UVA alone. Although pigmented mice had a significant photoprotective advantage, it was shown to be outweighed by the carcinogenic risks of the TMA maintenance treatment when they were compared with mice that did not have this treatment. Nonpretanned pigmented mice developed mild pigmentation during UVB/UVA treatment that was shown to have no protective effect when those mice were compared with albinos. We conclude that induced epidermal tanning with or without furocoumarin enhancement is not an effective way to prevent skin cancer in the HRA.HRII-c/+/Skh mouse model.     

In Vivo Optical Properties of Melanocytic Skin Lesions: Common Nevi, Dysplastic Nevi and Malignant Melanoma

We present an in vivo study of the optical properties of common nevi, dysplastic nevi and malignant melanoma skin lesions in human subjects. Reflectance spectra were measured on 1379 skin lesions, in the visible and near-infrared spectral regions, using a spectral imaging system, in a clinical setting. Analysis of the data using a reflectance model revealed differences between the optical properties of melanin present in nevi and melanoma lesions. These differences, which are in agreement with our previous observations on average reflectance spectra, may be potentially useful for the noninvasive characterization of pigmented skin lesions and the early diagnosis of melanoma.     

PHOTODYNAMIC THERAPY OF B16 PIGMENTED MELANOMA WITH LIPOSOME-DELIVERED Si(IV)-NAPHTHALOCYANINE

The possibility of extending photodynamic therapy to the treatment of highly pigmented neoplastic lesions was tested by using Si(IV)-naphthalocyanine (SiNc) as a tumor-localizing agent. Si(IV)-naphthalocyanine displays intense absorbance at 776 nm (ɛ= 5 × 10⁵ M⁻¹ cm⁻¹), where melanin absorption becomes weaker. As an experimental model we selected B16 pigmented melanoma subcutaneously transplanted to C57BL mice. Upon injection of 0.5 or 1 mg kg⁻¹ of liposome-incorporated SiNc, maximal accumulation of the photosensitizer in the tumor was observed at 24 h with recoveries of 0.35 and 0.57 μg g⁻¹, respectively. However, the tumor targeting by SiNc shows essentially no selectivity, since the photosensitizer concentrations in the skin (peritumoral tissue) were very similar to those found in the tumor at all postinjection times examined by us. Irradiation of SiNc-loaded melanoma with 776 nm light from a diode laser at 24 h postinjection induces tumor necrosis and delay of tumor growth. The effect appears to be of purely photochemical nature at dose rates up to 260 mW cm⁻²; at higher dose rates, thermal effects are likely to become important.     

Deposition of amorphous chromium layers

Deposition of amorphous chromium-carbon layers is possible from a trivalent chromium electrolyte containing 0.6?mol/l formic acid. The formation of chromium/formic acid complexes inhibits the aging of the electrolyte and the oligomerization. Deposition of a 15–20?μm thick chromium film is possible with DC condition. Thicker films can be deposited with pulse plating using reversed pulse sequences and pulse lengths in the millisecond region. The optimized conditions concerning pulse current densities and pulse times were determined and the composition and morphology of the films investigated.     

Effect of moisture on the extraction efficiency of polycyclic aromatic hydrocarbons from soils under atmospheric pressure by focused microwave-assisted extraction

The performance of a large commercial chromatographic column was investigated using a short pulse of a tracer and an extension of the reverse-flow technique. This technique permits separate determination of the unavoidable irreversible microscopic processes and the reversible effects of flow maldistribution, and allows for the separation of flow maldistribution in the flow distributors from flow maldistribution inside the packed bed. This analysis was performed on a 0.44 m Millipore IsoPak column using Cellufine GC 700, cellulosic-based media with an average particle diameter of 75 microm, for the stationary phase. The column efficiency was quantified by analysis of the effluent curve from a short pulse of a 5% aqueous acetone tracer. The study examined behavior of beds of different lengths (10-24 cm) and beds packed from different slurry concentrations (10-75% v/v). The slurry-packed columns were very uniform, and no significant macroscopic flow maldistribution was observed inside the column. The observed bed plate heights conformed to the predictions of available one-dimensional continuum models. Dispersion in the flow distributors was significant, corresponding to 15-25% of the intracolumn dispersion when the full 24 cm available bed length was used and a proportionally larger increase for shorter bed lengths. Thus, the headers are shown to produce a significant increase in the observed plate height.     

Precise measurement of <Superscript>1</Superscript>H 90° pulse in solid-state NMR spectroscopy for complex and heterogeneous molecular systems

The 90 degrees pulse calibration is essential in NMR spectroscopy to prevent artefacts in the liquid state or to enhance cross-polarization efficiency in the solid state. We verified pulse-angle (PA) errors due to circuit impedances in solid-state NMR and suggested a possible solution to prevent the inconvenience of PA errors. The classic pulse sequences used to calibrate (1)H 90 degrees pulse lengths by direct detection of protons or by cross-polarization were modified in order to replace single (1)H pulses with (1)H pulse trains. Pulse trains were found to decrease the effect of PA imperfections in the calibration of basic pulses (i.e. 90 degrees and 180 degrees ) for a number of organic substrates. The modified sequences are especially important to rapidly obtain pulse calibration of complex and heterogeneous molecular systems such as humic substances, which usually require a long time when using single (1)H pulses.     

Biostimulation of dermal fibroblast by sublethal Q-switched Nd:YAG 532 nm laser: collagen remodeling and pigmentation

The application of medical lasers in treating pigmented lesions has rapidly developed over the past decade. In both clinical and cosmetic application, melanin is targeted in pigmented areas and destroyed by the mechanism of selective photothermolysis. When laser radiation passes through superficial pigmented tissue, energy will be further reduced by dermal collagen scattering and absorption. Non-pigmented dermal fibroblasts will be exposed to co-incidental laser irradiation at lower energy levels. Biostimulation of dermal fibroblasts by low energy laser is reported in this paper. The Q-switched frequency doubled Nd:YAG 532nm laser used in clinical laser therapy was used in this study. Sublethal laser fluence was determined at 0.8J/cm(2) and used to stimulate normal human fibroblasts in monolayer culture. The results showed that there was no significant difference in collagen synthesis between the stimulated fibroblasts and controls. However, significant delay in collagen remodeling activity was demonstrated in the irradiated group by measuring fibroblast populated collagen lattice (FPCL) contraction. The stimulation of SCF, HGF and b-FGF gene expression was determined by RT-PCR analysis and demonstrated to vary between cases. Two out of six cell lineages that showed stronger responses to laser stimulation on SCF, HGF and b-FGF gene expressions were used to prepare conditioned media. The conditioned media from irradiated groups showed significant increase in SCF and b-FGF content and stimulated SK-mel-3 melanoma cells to synthesize more melanin in vitro. These results suggest that sublethal laser stimulation of fibroblasts may cause post-laser hyperpigmentation through production of melanogenic stimulatory cytokines. The degree of stimulation of SCF, HGF and b-FGF production varied between individual cell lineages, which may reflect the true variation of post-laser hyperpigmentation in clinical practice.     

Rapid measurement of polymer photo-degradation by FTIR spectrometry of evolved carbon dioxide

A novel method, allowing simultaneous UV exposure of a polymer sample and IR interrogation of the vapour in a specially constructed cell, has been applied to polyethylene (PE) samples containing TiO₂ pigments with different photoactivities. Measurements of the CO₂ generated by films exposed to ultraviolet irradiation (UV) were completed in 5 h - very much less than conventional accelerated tests. The TiO₂ pigments used included anatase and rutiles with different surface treatments. Anatase pigmented material gave significantly higher CO₂ emission than unpigmented PE whilst rutile-pigmented PEs either gave reduced CO₂ emission or enhanced emission, according to the surface treatment. The ranking of the pigments as protectants or pro-degradants correlated well with the carbonyl index measured after more than 300 h exposure to UVA fluorescent tubes in a QUV machine.The method was then used to probe mechanistic aspects of the photo-oxidation of pigmented polyethylene (PE) film. For unpigmented polymer the photo-degradation was sensitive to changes in the small fraction of incident UV below 300 nm, but for pigmented films this was much less important. This is because unpigmented film degrades by direct photochemical attack whereas, for pigmented film, photocatalysis by TiO₂, which absorbs in the 300-400 nm region, is important. For films whose photo-oxidation was dominated by photocatalysis by the TiO₂ the rate of oxidation was shown to vary as the square root of the UV intensity. By contrast, for unpigmented films the rate of direct photochemical oxidation was linearly proportional to UV intensity. The difference is a consequence of the controlling role of electron-hole recombination in photocatalytic processes. For both unpigmented and pigmented films the rate of oxidation was shown to increase with increasing humidity and oxygen content of the atmosphere.     

In vivo SPECTROPHOTOMETRIC EVALUATION OF NEOPLASTIC AND NON-NEOPLASTIC SKIN PIGMENTED LESIONS. II: DISCRIMINANT ANALYSIS BETWEEN NEVUS AND MELANOMA

Reflectance spectrophotometry from 420 to 780 nm on 31 primary melanoma and 31 benign nevi has been performed by using an external integrating sphere coupled to a spectrophotometer. Measurements show that reflectance spectra of melanoma and nevi manifest dissimilar patterns. From these spectra four variables, whose physical and/or physiological meanings remain to be investigated, have been derived. All of them are significantly different when compared between melanoma and nevi. A discriminant function between the two groups of lesions has been determined by using a stepwise discriminant analysis, resulting in a test with a sensitivity of 90.3% and a specificity of 77.4%. This method of discrimination between melanoma and nevi seems to have a discriminating power almost equal to that of a clinical judgement from a specialized medical doctor, thus suggesting a new method for screening skin pigmented lesions.     

Solar Radiation Is Shown to Select for Pigmented Bacteria in the Ambient Outdoor Atmosphere

Abstract— The percentage of pigmented to total bacteria in the outdoor atmospheric population was studied in the field and in controlled laboratory experiments to evaluate the effects of solar radiation (SR) on bacterial survival. The field experiments showed that the percentage of pigmented bacteria positively correlated with SR activity during clear summer days. The percentage was lowest during darkness before dawn and around midnight ( ca 33%) and as the SR increased during the day, gradually increased to a maximum of ca 50–60% at noontime to early afternoon and decreased thereafter. In the laboratory the ambient outdoor atmospheric bacteria impacted on culture plates were exposed to simulated SR and a germicidal light. With increased exposure, more nonpig-mented bacteria were killed and the percentage of pigmented bacteria gradually increased. These observations suggest an inverse relationship between the atmospheric bacterial survival and the percentage of pigmented bacteria contained therein, thus supporting the notion that pigmentation might provide protection for outdoor atmospheric bacteria from sunlight damage. As a consequence, viable pigmented bacteria (and other UV-resistant forms) in the atmosphere could be enriched under areas of stratospheric ozone depletion.     

Controlling the strong field fragmentation of ClCHO+ using two laser pulses –an ab initio molecular dynamics simulation

For a single, intense 7 μm linearly polarized laser pulse, we found that the branching ratio for the fragmentation of ClCHO⁺ → Cl + HCO⁺, H + ClCO⁺, HCl⁺+CO depended strongly on the orientation of the molecule (J. Phys. Chem. Lett. 2012 , 3 2541). The present study explores the possibility of controlling the branching ratio for fragmentation by using two independent pulses with different frequencies, alignment and delay. Born-Oppenheimer molecular dynamics simulations in the laser field were carried out with the B3LYP/6-311G(d,p) level of theory using combinations of 3.5, 7 and 10.5 μm sine squared pulses with field strengths of 0.03 au (peak intensity of 3.15×10¹³ W/cm²) and lengths of 560 fs. A 3.5 μm pulse aligned with the C-H bond and a 10.5 μm pulse perpendicular to the C-H bond produced a larger branching ratio for HCl⁺+CO than a comparable single 7 μm pulse. When the 10.5 μm pulse was delayed by one quarter of the pulse envelope, the branching ratio for the high energy product, (HCl⁺+CO 73%) was a factor of three larger than the low energy product (Cl + HCO⁺, 25%). By contrast, when the 3.5 μm pulse was delayed by one quarter of the pulse envelope, the branching ratio was reversed (HCl⁺+CO 38%; Cl + HCO⁺, 60%). Continuous wavelet analysis was used to follow the interaction of the laser with the various vibrational modes as a function of time. © 2018 Wiley Periodicals, Inc.     

Influence of temperature and light intensity on the photocuring process and kinetics parameters of a pigmented UV curable system

The photopolymerization of pigmented coatings is a great challenge and hardly investigated in the literature. Therefore, in this work, the effect of photopolymerization temperature and light intensity on the curing behavior of a TiO₂-pigmented UV curable epoxy acrylate system was investigated by using photo-differential scanning calorimetry (photo-DSC) analysis. The rate of conversion and ultimate conversion at four different temperatures (i.e., 25, 45, 65, and 85 °C) and four light intensities (i.e. 2, 20, 40 and 80 mW cm^?2) for unpigmented and pigmented formulations were measured. The effect of photo-polymerization temperature and light intensity on the kinetics constants was also evaluated. It was observed that the rate of conversion and final conversion values were affected by the temperature and UV-light intensity. It was seen that the rate of conversion and ultimate conversion had their maximum values at 65 °C for unpigmented formulations. However, in pigmented formulations, these two parameters improved by increasing the temperature even up to 85 °C. Increasing the temperature caused an increase in the amount of propagation and termination rate constants in both pigmented and unpigmented formulations although the changes in the pigmented formulation were more pronounced. It was observed that the rate of polymerization and ultimate conversion for unpigmented formulations increased by increasing the light intensity up to 20 mW cm^?2 and then decreased. On the other hand, it was found that these two parameters increased by increasing light intensity up to 40 mW cm^?2 when pigmented formulations used. Finally, the dependence of termination and propagation kinetics constants on light intensity was established for both unpigmented and pigmented coatings.     

Electrochemotherapy of horses. A preliminary clinical report.

Sarcoids are skin spontaneous tumours detected in horses. It can be cured by chemotherapy by using cisplatin. A multisequence treatment must be performed. Problems are present due to the poor diffusion of the hydrophilic product in the tumours. Electropulsation is known to drastically enhance the effect of antitumoral drugs in vivo. Taking into account the very successful results of the group in Ljubljana (Slovenia), we started a research clinical program where electropulsation was applied after local cisplatin injection. The size of sarcoids is large (several centimeters). A specially designed set of wire contact electrodes was built. The distance between the electrodes was 0.9 cm and their length was 0.9 cm. The contact with the skin was obtained by a conductive paste. A PS15 Jouan Electropulsator was used to deliver eight pulses of 0.1 ms at a 1-Hz frequency with a 1.3-kV voltage. The animal was anesthesized. Intratumoral cisplatin injections were operated every 0.6 cm (0.2 ml at a 1-mg/ml concentration). Five minutes after the first drug injection, multiple electrotreatments were applied by moving the electrodes between the pulse applications. This allows the treatment of all the tumour surface. Several successive treatments were performed with a delay of 2 weeks between each. All lesions completely responded. The sarcoids disappear after only 2 or 3 electrochemotherapies. Objective responses were obtained in 100% of the treated lesions. All horses tolerated the treatment well. No adverse effect from the electric pulses was observed even in the case of a high number of pulses, or when several consecutive treatments were applied. No regrowth was observed in the 18 months follow-up period.     

Synthesis and biological investigations of tetrakis(p-carboranylthio-tetrafluorophenyl)chlorin (TPFC)

We describe the total synthesis and biological properties of a new carboranyl-containing chlorin (TPFC) that might find application as a dual sensitizer in the PDT and BNCT treatment of cancer. TPFC was found to be non-toxic in the dark but showed extensive photosensitizing ability both in vitro and in vivo despite its relatively low singlet oxygen quantum yield. In particular, TPFC exhibited significant photosensitizing activity against highly pigmented melanotic melanoma tumors in mice.     

Monitoring of pigmented surfaces in accelerated ageing process by ATR-FT-IR spectroscopy and multivariate control charts

This work is an extension of a method for monitoring the conservation state of pigmented surfaces presented in a previous paper. A cotton canvas painted with an organic pigment (Alizarin) was exposed to UV light in order to evaluate the effects of the applied treatment on the surface of the sample. The conservation state of the pigmented surface was monitored with ATR–FT-IR spectroscopy and multivariate control charts.

The IR spectra were analysed by principal component analysis (PCA) and the relevant principal components (PCs) were used for constructing multivariate Shewhart, cumulative sums (CUSUM) and simultaneous scores monitoring and residuals tracking (SMART) control charts.

These tools were successfully applied for the identification of the presence of relevant modifications occurring on the surface of the sample.

Finally, with the aim to more deeply investigate what happened to the sample surface during the UV exposure, a PCA of the residuals matrix of degradation analyses only, not present in the previous paper, was performed. This analysis produced interesting results concerning the identification of the processes taking place on the irradiated surface.