Abstract
The rapid and label-free diagnosis of malignancies in ex vivo breast biopsy tissues has significant utility in pathology laboratories and operating rooms. We report a MEMS-based platform integrated with microchips that performs phenotyping of breast biopsy tissues using electrothermal sensing. The microchip, fabricated on a silicon substrate, incorporates a platinum microheater, interdigitated electrodes (IDEs), and resistance temperature detectors (RTDs) as on-chip sensing elements. The microchips are integrated onto the platform using a slide-fit contact enabling quick replacement for biological measurements. The bulk resistivity (ρB), surface resistivity (ρS), and thermal conductivity (k) of deparaffinized and formalin-fixed paired tumor and adjacent normal breast biopsy samples from N = 8 patients were measured. For formalin-fixed samples, the mean ρB for tumors showed a statistically significant fold change of 4.42 (P = 0.014) when the tissue was heated from 25 °C to 37 °C compared to the adjacent normal tissue, which showed a fold change of 3.47. The mean ρS measurements also showed a similar trend. The mean k of the formalin-fixed tumor tissues was 0.309 ± 0.02 W m−1 K−1 compared to a significantly higher k of 0.563 ± 0.028 W m−1 K−1 for the adjacent normal tissues. A similar trend was observed in ρB,ρS, and k for the deparaffinized tissue samples. An analysis of a combination of ρB, ρS, and k using Fisher’s combined probability test and linear regression suggests the advantage of using all three parameters simultaneously for distinguishing tumors from adjacent normal tissues with higher statistical significance.
Highlights
Breast cancer accounted for 15.5% of all cancer-related deaths among women worldwide in 2020 and continues to be the most commonly diagnosed form of cancer in females (23.5%)[1]
We report the development of technology, the RapidET system, for quick measurement of the surface and bulk electrical and thermal properties of ex vivo breast biopsy tissues to delineate tumors from adjacent normal tissues
The microheater in the microchip attached to indenter subsystem 1 (IS1) was used to externally heat the tissue sample loaded on the system
Summary
Breast cancer accounted for 15.5% of all cancer-related deaths among women worldwide in 2020 and continues to be the most commonly diagnosed form of cancer in females (23.5%)[1]. Bulk and surface resistivity measurements as a function of tissue temperature were performed using the RapidET system on paired (tumor and adjacent normal) deparaffinized (sample notation: “SP”) and formalin-fixed (sample notation: “SF”) breast biopsy tissues.
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