Listening for cancer: Early detection using laser ultrasound
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Dr. Viator operating the laser flow system for melanoma.
Schematic of the laser ultrasonic flow system.
A captured circulating melanoma cell with green fluorescence in melanin.
Some members of the Viator lab.
Graduate student Kiran Bhattacharyya building a laser illuminator.
About the project

Description of the project and research questions being asked

Circulating tumor cells (CTCs) are those cells that break away from a primary tumor and spread to distant organs via the bloodstream to create secondary tumors.  This process, called metastasis, is the deadly phase of cancer as these secondary tumors interrupt normal organ function and consume valuable nutrients.  Currently, metastasis is determined when secondary tumors, comprised of millions of tumor cells,  are at least several millimeters in diameter and are seen using MRI or CT scans.  We detect CTCs at the single cell level in blood samples of patients long before these cells create deadly tumors.  We have created a flow system that tests blood samples for CTCs by blasting them with laser light that induced high frequency ultrasonic responses.  These ultrasonic responses are unique to CTCs and indicate that cancer has begun to spread.  By counting the cells, we can track the patient's response to therapy, determine remission, and detect relapse.  

Our flow system accepts a 5 ml sample of blood and is separated into a train of microdroplets, each of which is irradiated by our laser.  Droplets containing only normal blood cells are discarded.  Those droplets that contain CTCs emit unique, high frequency sound waves and are separated for laser analysis.  The number of CTCs in a sample is determined by the number of ultrasonic responses.  

In this project, we will obtain a micromanipulator to grab individual cells from the CTC containing droplets, so that testing can be performed on single CTCs.

Why this matters and should be exciting to backers

Detecting and counting CTCs can have important impact on treatment options for cancer patients.  While late stage cancer patients are often undergoing metastasis, there are always patients who are misidentified as earlier stage and develop secondary tumors.  Detecting CTCs will give months or even years advance notice to patients and their physicians that their cancer is spreading.  The key to fighting cancer is early diagnosis; this test will show metastasis at the single cell level.  Clearly, fighting single cells is an easier battle than fighting billions of cells that compose secondary tumors.  In this project, we will use our laser ultrasonic flow system to capture individual cells from the blood of cancer patients so that genetic and molecular information specific to the individual patient's cancer can be obtained.  This information will be used to determine the best course of treatment that is individually tailored to the patient.

What your money can do

Funding for this project will go to obtaining a micromanipulator system that is capable of grabbing individual cells so that we can isolate them for further testing.  The micromanipulator is essentially a pair of miniature robot arms that  are viewed under a microscope and are controlled by a user to work with cells under magnification.  It is similar to a  miniature version of the robot arms on an undersea vehicle that includes a small vacuum port for  capturing a single cell.  Once we isolate these CTCs, we will perform genetic tests, such as testing for the BRAF mutation in melanoma.  About half of all melanoma cases contain the BRAF mutation.  Knowing whether a CTC has the BRAF mutation in the melanoma cells allows clinicians to prescribe one of the newest melanoma drugs, Zelboraf, early on in the disease cycle.  This advantage not only reduces cost by not prescribing inappropriate medication to cases that are not BRAF positive, but also increases the drugs efficacy by allowing it to work against less advanced disease.
 
Any additional funding will go to support our graduate students in the form of living stipends.  A graduate student who is well supported is more effective as a scientist, since freedom from financial worries allows more effort to be spent in the lab.  Lessening of financial stress of my students is one of the obligations I take most seriously as a professor. 

Potential discoveries

CTCs are very rare cells, occurring about one among a billion or more normal blood cells.  Our system allows us to identify and capture these rare cells so that they can be studied.  By studying these cells using molecular and genetic tests, not only can we tailor treatment options to the patient, but cancer biologists can gain deeper knowledge of metastatic disease.  Scientists will be able to look into these spreading cancer cells and perhaps learn what mutations and other factors cause these cells to proliferate.  The Holy Grail of such research is to find the molecular switch in these cancer cells that allows them to spread throughout the body.  This switch, once identified, will be turned off.

Biography

I am an Associate Professor of Biological Engineering and Dermatology at the University of Missouri (MU).  I have been investigating problems in biomedical optics for almost twenty years, with practical application in dermatology, surgery, oncology, pathology, ophthalmology, and other fields of medicine.  I have a Ph.D. in Electrical Engineering from Oregon Health & Science University, where I began studying photoacoustics, or laser induced ultrasound.  At MU, I collaborate with many scientists and clinicians in order to develop my photoacoustic flowmeter for clinical use.  

Updates
 
Wednesday June 13, 2012

I want to thank all of our backers who gave us great momentum to achieve 11% of our goal after only five days!  I'd also like to clarify some issues regarding our rewards:

1.  For the $500 pledge, we will capture a single red blood cell for you.  If your sample reaches us within a week, there will be enough viable cells to capture, so overnight courier is not required.  Alternatively, if you do not want to send your own blood, I will be happy to send you one of my own red blood cells embeded in the plastic block.

 

2.  Also, for $250 and up (including our $500 backers) we will acknowledge you by name in future publications that contain results using the micromanipulator system.  We expect to publish such results in journals such as the Journal of Biomedical Optics, Lasers in Surgery and Medicine, or Physics in Medicine and Biology, where we have previously published many papers.

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32%
PLEDGED
$2,415
BACKERS
40
MINIMUM REQUIRED FOR FUNDING
$7,500
This project was unsuccessful
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15 BACKERS
Honorary Viator Lab Member patch.
$25 +
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We will determine the optical absorption spectrum of a small liquid sample you send to us and post the spectrum to our website.
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We will zap a small sample that you send to us and post the result to our website.
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Personal thank you letter from Dr. Viator with a framed picture of lab members.
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Using our laser flowmeter, we will capture a single red blood cell from a sample of your blood (you will provide by overnight courier) and embed it in a plastic block for you to view under a microscope.
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