The gold standard method of diagnosis of oral leukoplakia (OLK) is a tissue biopsy followed by histological examination. Raman spectroscopic studies of cytological brush biopsy and saliva samples have previously been shown to differentiate low (no and mild dysplasia) and high risk (moderate and severe dysplasia) OLKs, discriminant models of cellular samples achieving higher specificity, whereas those based on saliva samples achieved higher sensitivity. The current study combines the spectral data sets of cell and saliva samples in an attempt to improve the overall efficiency of the discriminating models. Raman spectral data from cellular (nucleus and cytoplasm) and saliva samples, collected from patients with OLK (n=12), was analysed as a concatenated or fused dataset and as data blocks in a multiblock analysis. The concatenated data was subjected to partial least squares-discriminant analysis (PLS-DA) to discriminate high and low grade dysplasia. Finally, multi-block analysis was performed using sequential orthogonalised PLS-DA, by which each set of data blocks was combined sequentially to provide maximum discrimination. For the concatenated dataset of cells and saliva, 87% sensitivity and 76% specificity were achieved, while in the case of the multi-block analysis, 97% sensitivity and 100% specificity were achieved. It is concluded that multiblock analysis provides maximum sensitivity and specificity using both cell and saliva datasets, compared to fused datasets. This study demonstrates that Raman spectroscopy of minimally invasive brush biopsy and saliva samples could have a role in differentiating high and low-risk OLKs.
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