Clinical study for classification of benign, dysplastic, and malignant oral lesions using autofluorescence spectroscopy

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Abstract
Autofluorescence spectroscopy is a noninvasive tool for the detection of alterations in the structural and chemical composition of cells, which may indicate the presence of pathologic tissue.1 2 3 4 Autofluorescence of tissues is produced by several endogenous fluorophores. These include fluorophores from tissue matrix molecules and intracellular molecules like collagen, elastin, keratin, and NADH. The presence of disease changes the concentration of these fluorophores as well as the light scattering and absorption properties of the tissue, due to changes in a.o. blood concentration, nuclear size distribution, epithelial thickness, and collagen content. It is therefore expected that the presence of disease will be identifiably reflected in autofluorescence spectral shape and intensity.

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