Device offers promise of no brain tumor left behind

 A tiny probe equipped with a laser might reveal what the human eye doesn’t always see: the difference between a tumor and healthy tissue. A new study suggests the device might provide brain surgeons with a roadmap as they go about the delicate business of removing tumors.
Surgeons try to excise as much of brain tumors as possible, but they risk harming the patient if they remove healthy tissue. “This problem,” says surgeon Daniel Orringer of the University of Michigan in Ann Arbor, “has vexed brain surgeons for as long as they have taken out tumors,” since the first half of the 20th century. “Basically, we do it by feel — the texture, color and vascularity of the tissues. Tumors tend to bleed a little more than normal brain.”
Although removing and testing tissue samples, or biopsies, can help to characterize the tissue at the tumor margins, it’s a cumbersome and time-consuming process. In the new study, Orringer and his colleagues instead exposed such borderline brain tissues to a weak laser. Then they used Raman spectroscopy, a technique that reveals vibrations of specific chemical bonds in tissues. The revved up form of Raman spectroscopy that the researchers used is sensitive enough to distinguish between proteins and lipids. Since tumors are higher in protein than healthy brain tissue, the authors designed the technique to present protein signatures as blue images on a screen, and lipids as green.