Handheld device enables imaging and treatment of oral cancer in low-resource settings

Oral cancer is a growing public health concern, particularly in South Asia, where it affects tens of thousands each year. In India alone, oral cancer accounts for 40% of all cancers, largely driven by the widespread use of tobacco-based products like gutka.

To address this problem, researchers have developed a compact, affordable device that can both image suspicious lesions and deliver light-based therapy to treat them. Their report is published in Biophotonics Discovery.

The device uses a smartphone-coupled intraoral probe with specialized LEDs and filters to capture white-light and fluorescence images to pinpoint oral cancers. It also includes laser diodes to activate a light-sensitive compound called protoporphyrin IX (PpIX), which accumulates in cancerous tissue after the application of a precursor drug, 5-aminolevulinic acid (ALA).

When exposed to light, PpIX produces reactive molecules that destroy cancer cells while sparing healthy tissue. This approach, known as photodynamic therapy, has shown promise in treating early oral cancers with minimal side effects.

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