Reflectance and Fluorescence Spectroscopies in Photodynamic
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Reflectance and Fluorescence Spectroscopies in Photodynamic Therapy by Jarod C. Finlay Submitted in Partial Fulfillment of the Requirements for the Degree Doctor of Philosophy Supervised by Professor Thomas H. Foster Department of Physics and Astronomy The College Arts and Sciences University of Rochester Rochester, New York 2003 To Leah iii Curriculum Vitae The author was born in Bryn Mawr, Pennsylvania, in 1975 and received his early education in the Pennsylvania towns of Phoenixville and Montoursville. During his junior year of high school, Finlay moved to Exeter, Pennsylvania where he enrolled in Exeter Township Senior High School. Here, he was first introduced to physics by his teacher Mr. Arthur Murray, whose encouragement of curiosity and inquisitiveness were more valuable than any lesson on Newton’s laws, and to higher mathematics by Mr. Robert Dahl, whose sense of humor made learning integral calculus an enjoyable experience. In his final year of high school, Finlay met Leah Janowsky, the woman he would later marry. After graduating high school in 1993, Finlay was accepted to Alfred University in Alfred, New York, with a National Merit Scholarship which allowed him the financial freedom to spend the next four years studying physics, mathematics, ce- ramic arts, and various humanities. His education in physics was supplemented by summer research projects at the Maria Mitchell Observatory and the University of Central Florida, both under the auspices of the National Science Foundation’s Research Experience for Undergraduates (REU) program, and by research con- ducted at Alfred under the tutelage of Professor David DeGraff. Finlay graduated CURRICULUM VITAE iv in the Spring of 1997 and was accepted to the graduate program in Physics at the University of Rochester with a Graduate Assistance in Areas of National Need (GAANN) Fellowship. During the following summer, he and Leah were married and started their life together in Rochester. After the requisite year of teaching assistantships and classes, Finlay took advantage of the opportunity to teach a summer undergraduate physics class, earning a Certificate in College Teaching and learning as much about teaching as his students did about physics. Finlay received his Master of Arts degree in Physics from the University of Rochester in 1999. Despite early intentions to study astrophysics, Finlay quickly developed an interest in biological physics and in the biomedical optics work being done in the laboratory of Professor Thomas Foster. In the summer of 1998, Finlay joined Foster’s research group and spent the next four years studying fluorescence spec- troscopy, sensitizer photobleaching and reflectance spectroscopy in the context of photodynamic therapy. In February of 2003, Finlay took up residence in Philadelphia as an Instructor in Physics in the Radiation Oncology Department at the University of Pennsyl- vania. This position gave him the opportunity to pursue his interest in photo- dynamic therapy research while gaining experience in the clinical applications of radiation therapy. The final stages of the writing of this thesis were completed during his initial months in Philadelphia. CURRICULUM VITAE v Publications J.C. Finlay and T.H. Foster, Method for the simultaneous recovery of tis- sue absorption and fluorophore concentration from fluorescence spectroscopy, Manuscript in preparation. J.C. Finlay and T.H. Foster, Quantitative single source-detector separation diffuse reflectance spectroscopy, Manuscript in preparation. J.C. Finlay, S. Mitra, and T.H. Foster, Photobleaching kinetics of Photofrin in vivo and in multicell tumor spheroids indicate multiple simultaneous bleaching mechanisms, Manuscript in preparation. J.C. Finlay, S. Mitra, and T.H. Foster, In vivo mTHPC photobleaching in normal rat skin exhibits unique irradiance-dependent features, Photochem. Pho- tobiol. 75;3 pp 282-288 (2002) S. Mitra, J.C. Finlay, D. McNeil, D.L. Conover, and T.H. Foster, Photochem- ical oxygen consumption, oxygen evolution and spectral changes during UVA ir- radiation of EMT6 spheroids, Photochem. Photobiol. 73;6 pp 703-708 (2001) J.C. Finlay, D.L. Conover, E.L Hull, and T.H. Foster, Porphyrin bleaching and PDT-induced spectral changes are irradiance dependent in ALA-sensitized normal rat skin in vivo, Photochem. Photobiol. 73;1 pp 54-63 (2001) Presentations J.C. Finlay, S. Mitra and T.H. Foster, Irradiance-dependent photobleaching and photoproduct accumulation during Photofrin-, mTHPC- and ALA-PDT in vivo: A comparative study, 30th Annual Meeting, American Society for Photobi- ology, July 13-17, 2002 Quebec City, Canada, Book of Abstracts, p 92 J.C. Finlay and T.H. Foster, Variance-optimized Monte Carlo routine for fluo- rescence and reflectance of turbid samples, 29th Annual Meeting, American Society for Photobiology, July 7-12, 2001, Chicago, IL, Book of Abstracts, p 76 S. Mitra, J.C. Finlay, D. McNeil, D.L. Conover and T.H. Foster, Photochemical oxygen consumption, oxygen evolution and spectral changes during UVA irradia- tion of EMT6 spheroids, 29th Annual Meeting, American Society for Photobiology, July 7-12, 2001, Chicago, IL, Book of Abstracts, p 82 CURRICULUM VITAE vi J.C. Finlay and T.H. Foster, Irradiance dependence of the fluorescence spec- trum of rat skin following ALA-sensitized PDT in vivo, 13th International Congress on Photobiology, July 1-6, 2000, San Francisco, CA, Book of Abstracts, p 55 S. Mitra, J.C. Finlay and T.H. Foster, Photobleaching of mTHPC during photodynamic therapy of multicell tumor spheroids and of normal rat skin, 13th International Congress on Photobiology, July 1-6, 2000, San Francisco, CA, Book of Abstracts, p 59 T.H. Foster, J.C. Finlay, D.L. Conover and E.L Hull, Sensitizer photobleaching and dosimetry, SPIE Bios ’99, Optical Methods for Tumor Treatment and Detec- tion: Mechanisms and Techniques in Photodynamic Therapy VII, January 23-29, 1999, Book of Abstracts, p 42 J.C. Finlay and T.H. Foster, Fluorescence and reflectance spectroscopy of PpIX-sensitized skin during PDT, 8th Congress, European Society for Photobiol- ogy, September 3-8, 1999, Granada, Spain, Book of Abstracts, p 88 vii Acknowledgments The thesis you hold in your hands is the product of several years of effort, none of which would have been possible without the help and support of a large number of people in the academic community and outside of it. I wish to thank my advisor, Professor Thomas Foster, for providing guidance on all aspects of my graduate work, from research methods and scientific writing to career direction and professional conduct. During my time in his laboratory, I have been exposed to a wide variety of research problems and experimental methods as well as being encouraged to develop and pursue my own interests. His advice, constructive criticism, and careful proofreading have been invaluable in the development of this thesis. Many of the experiments which contributed to this thesis would have been difficult or impossible without the technical expertise and inventiveness of David Conover, who built the majority of the experimental equipment described here. His diligence in tracking down and eliminating sources of noise, his frequent as- sistant with experiments and his meticulous documentation of instrument and experiment design are all greatly appreciated. I also whish to acknowledge many fruitful discussions, frequent experimental Acknowledgements viii assistance and occasional coauthorship with my fellow graduate students, Edward Hull, Soumya Mitra, Chad Bigelow and William Cottrell. The photobleaching studies described in chapter 3 benefitted from a great deal of help from Soumya and from Ed, who introduced me to much of the instrumentation and experiment design that formed the basis of my future experiments. Soumya and Chad taught me the fundamentals of cell culture and helped me develop the tumor model used in chapters 4 and 5. Jim Havens and Scott Gibson have been a great help in teaching me basic animal handling and sensitizer preparation. Scott A. Gerber, Amit Lugade, and James Moran, students in the laboratory of Dr. Edith Lord, were very generous with their time and expertise in helping me to develop the EMT-6 tumors used in the animal experiments described in chapters 4 and 5. Dr. William Herk- stroeter in the Chemistry department has been very generous with access to his calibrated fluorimeter, which I used extensively for calibration of my experimental equipment. Dr. Stephen Hahn of the University of Pennsylvania has generously provided the Photofrin R used in experiments described in chapter 3. My research at the University of Rochester has been supported by National Institutes of Health grants CA68409 and CA36856 awarded by the National Cancer Institute. The final stages of thesis writing benefited greatly from the time I spent work- ing on it while employed at the University of Pennsylvania. My employers’ will- ingness to accommodate it was very helpful. Last but in no way least, I owe a great debt of gratitude to my family and to my wife Leah, whose emotional and financial support have made my completion of this work possible, and whose love and patience has played a major part in maintaining Acknowledgements ix my sanity and happiness throughout its completion. Leah is a constant source of motivation and inspiration. x Abstract In vivo fluorescence spectroscopy during photodynamic therapy (PDT) has the potential to provide information on the distribution and degradation of sensitizers, the formation of fluorescent photoproducts and changes in tissue autofluorescence