The various embodiments described herein generally relate to a system and method of use for soft ionization of materials.
Rapid Evaporative Ionization Mass Spectrometry (REIMS) technology has been instrumental in the development of the Intelligent' surgical knife (iKnife) which is an electrocautery blade with its smoke evacuation line attached to an REIMS interface1-3. The iKnife is used for the purpose of in situ, intraoperative tissue identification1.
REIMS uses a jet of Nitrogen gas rapidly mixed with tissue plume from electrocautery1 or laser ablation4 through a Venturi pump that facilitates both the transport of tissue plume (e.g. smoke, desorptive particles or larger aerosols) to the mass spectrometer and the evaporation of water or solvent molecules from tissue material present in the plume, resulting in evaporative ionization of the plume content and subsequent detection with Mass Spectrometry (MS) as shown in
Ionizing lasers capable of ablation/desorption and simultaneous ionization of material have been directly coupled to MS for analysis of material6. However, with the discovery of non-ionizing lasers capable of ‘gentle’ desorption of neutral molecules such as Nanosecond or Picosecond InfraRed Laser (PIRL), post ablation ionization by means of ElectroSpray Ionization is required to produce ionized materials7,8. Ionization of the laser plume by means of REIMS4, or ElectroSpray Ionization (ESI) as in Laser Ablation ElectroSpray Ionization (LAESI)7,8 remain two prominent methodologies to provide post ablation/desorption ionization of laser processed materials for MS analysis.
A mass spectrometer is comprised of a mass analyzing or sensing unit that operates in vacuum, an interface to mediate the transport of analytes from the atmosphere to vacuum, and an ion source which employs a mechanism to generate ions required for mass spectrometry analysis. The
MS interface may additionally contain an analyte (or aerosol) transport tube or capillary or an extension thereof to facilitate the transfer of analytes from a distance to the mass spectrometer. The ion source (or ion generating mechanism) may be atmospheric or in vacuum (e.g. ions may be either generated in the atmosphere and transported to vacuum or may be generated in vacuum after the transport of analytes). The transport of analytes to the mass spectrometer may either be facilitated by an intrinsic pressure gradient between a mass analyzing unit, an interface and the ion source and may further be aided by differential pumping or an active mechanism.
In a broad aspect, at least one embodiment described herein provides a method for ionizing molecules for the purpose of analysis by mass spectrometry, wherein the method comprises: generating predominantly gaseous material from a sample substrate, wherein the gaseous material is generated using laser desorption using a laser having a pulse range of about 1-1000 picoseconds to produce the gaseous material; heating the gaseous material to generate ions from the molecules present in the gaseous material where the amount of heat that is applied is in the temperature range of 45° C. to 250° C. and the applied heat results in soft ionization of said molecules; and transporting the ionized molecules to a mass spectrometer for analysis.
In at least some embodiments, the method is utilized to differentiate between tumour subtypes.
In at least some embodiments, the differentiated tumour subtypes are brain tumour subtypes
In another broad aspect, at least one embodiment described herein provides a method for ionizing molecules present in a gaseous material, a vapourized material, a plume of material, a desorbed material, or an aerosolized material for the purpose of analysis by mass spectrometry, wherein the method comprises: heating the gaseous material, the vapourized material, the plume material or the aerosolized material to facilitate heat-induced evaporative soft ionization of said molecules.
In another broad aspect, at least one embodiment described herein provides a method for ionizing molecules present in a gaseous material, a vapourized material, a plume material, a desorbed material, or an aerosolized material for the purpose of analysis by mass spectrometry, wherein the method comprises: generating the gaseous material, the vapourized material, the plume material, the desorbed material or the aerosolized material; heating the gaseous material, the vapourized material, the plume material, the desorbed material, or the aerosolized material to generate ions from the molecules present in the gaseous material, the vapourized material, the plume material, the desorbed material, or the aerosolized material, where an amount of heat is used to achieve heat-induced evaporative soft ionization of said molecules, the heating being applied in the temperature range of 45° C. to 250° C.; and transporting the ions to a mass spectrometer for analysis.
In at least some embodiments, the heating may be applied to remove solvent from the gaseous material, the vapourized material, the plume material, the desorbed material or the aerosolized material while generating the ions using heat-induced evaporative soft ionization.
In at least some embodiments, a heat-induced soft ionization source may be located to apply heat in the temperature range at any point between a site of aerosol, plume, gas or vapour generation and an entrance of the mass spectrometer.
The amount of heating used is generally below the amount of heating used to generate thermal, plasma or corona (glow) ionization.
In at least some embodiments, the gaseous material, the vapourized material, the plume material, the desorbed material or the aerosolized material may be produced using one of laser ablation, laser desorption, joules heating, cauterization, electrocautery, radio frequency ablation, ultrasonic aspiration, chemical extraction and aerosol generation using mechanical or acoustic means.
In at least some embodiments, the gaseous material may arise directly from volatile material.
In at least some embodiments, the method may comprise using electrocautery to produce the gaseous material.
In at least some embodiments, the method may comprise using pico-second infrared laser ablation or desorption to produce the gaseous material.
In at least some embodiments, the method may comprise using nanosecond infrared laser ablation or desorption to produce the gaseous material.
In at least some embodiments, the method may comprise producing the gaseous material in the presence of additional solvent or matrix materials.
In at least some embodiments, the heating is applied in the range of 50° C. to 150° C.
The amount of heat applied is generally below a level that causes fragmentation or disintegration of one or more molecules of interest.
In another broad aspect, at least one embodiment described herein provides a method for ionizing molecules from a sample for the purpose of differentiating between tumour subtypes analysis using mass spectrometry, wherein the method comprises: generating predominantly gaseous material from the sample, the gaseous material being generated using nanosecond infrared laser ablation or desorption with a laser having a pulse range of about 1-1000 picoseconds to produce the gaseous material; heating the gaseous material to generate ions from the molecules present in the gaseous material where the amount of heat that is applied is in the temperature range of 45° C. to 250° C. and the applied heat results in soft ionization of said molecules; and transporting the ionized molecules to a mass spectrometer for analysis.
In another broad aspect, at least one embodiment described herein provides a device for ionizing molecules for the purpose of analysis by mass spectrometry, comprising an input for receiving predominantly gaseous material from a sample substrate, the gaseous material being generated using laser desorption using a laser having a pulse range of about 1-1000 picoseconds to produce the gaseous material; a transport tube coupled to the input and being configured to allow for conduction of heat to facilitate heat-induced evaporative soft ionization of molecules in the gaseous material, where the amount of heat that is applied is in the temperature range of 45° C. to 250° C. and the applied heat results in soft ionization of said molecules; and an output coupled to the transport tube for providing the ionized molecules to a downstream mass spectrometer for analysis.
In at least some embodiments, the device is used to differentiate between tumour subtypes.
In at least some embodiments, the device is used to differentiate between brain tumour subtypes.
In another broad aspect, at least one embodiment described herein provides a device comprising an input for receiving a gaseous material, a vapourized material, a plume material, a desorbed material or an aerosolized material; a transport tube coupled to the input and being configured to allow for conduction of heat to facilitate heat-induced evaporative soft ionization of molecules in the gaseous material, the vapourized material, the plume material, the desorbed material or the aerosolized material, where an amount of heat is applied to achieve heat-induced evaporative soft ionization of said molecules, the heating being applied in the temperature range of 45° C. to 250° C.; and an output coupled to the transport tube for providing the ionized molecules to a downstream mass spectrometer for analysis.
In at least some embodiments, the transport tube is heated using a heat source and a controller coupled to the heat source for controlling the amount of heat provided by the heat source.
In at least some embodiments, the device comprises the heat source and the controller.
In at least some embodiments, the transport tube may be heated using a heat source such as a tape heater or a Pelletier element.
In at least some embodiments, the transport tube may be heated using infrared radiation.
In at least some embodiments, the gaseous material, the vapourized material, the plume material, the desorbed material or the aerosolized material may be transported to the mass spectrometer via a flexible tubing attached to an analyte collection tube of an interface of the mass spectrometer.
In at least some embodiments, the analyte collection tube may be an analyte collection tube of a commercial Desorption ElectroSpray Ionization source.
In at least some embodiments, the heating may be applied to the analyte collection tube of the mass spectrometer through elevating a temperature of the mass spectrometer interface and the analyte collection tube is metallic.
In at least some embodiments, the temperature of the mass spectrometer interface may be maintained at an optimal, manufacturer-suggested working temperature to facilitate the heat-induced evaporative soft ionization of molecules.
In at least some embodiments, the heating may be applied to a metallic analyte collection tube of the mass spectrometer via an external heating element including one of a tape heater, a Pelletier element, or an infrared radiation source.
In at least some embodiments, the transport tube generally is made of a material having a thermal conductivity, surface area and length that allow for effective heating and conduction of deposited/present heat to the gaseous material as it is transported through the transport tube.
In another broad aspect, at least one embodiment described herein provides a device for ionizing molecules from a sample for the purpose of differentiating between tumour subtypes analysis using mass spectrometry, wherein the device comprises: an input for receiving predominantly gaseous material from the sample, the gaseous material being generated using nanosecond infrared laser ablation or desorption with a laser having a pulse range of about 1-1000 picoseconds to produce the gaseous material; a transport tube coupled to the input and being configured to allow for conduction of heat to facilitate heat-induced evaporative soft ionization of molecules in the gaseous material, where the amount of heat that is applied is in the temperature range of 45° C. to 250° C. and the applied heat results in soft ionization of said molecules; and an output coupled to the transport tube for providing the ionized molecules to a downstream mass spectrometer for analysis.
In at least some embodiments, the transport tube is heated using a heat source and a controller coupled to the heat source for controlling the amount of heat provided by the heat source.
In another broad aspect, at least one embodiment described herein provides a method of identification of material by mass spectrometry, wherein the method comprises: identifying and exposing a surface of a material to be analyzed; generating a gaseous variant of the material using the methods defined according to the teachings herein; transporting the gaseous material towards a heat source using a pressure gradient provided by the inner workings of the mass spectrometer device (vacuum) in the absence of an auxiliary pump or added gas flow; generating ionized molecules by using the heat source to facilitate heat-induced evaporative soft ionization of molecules in the gaseous material according to the teachings herein; analyzing said ionized molecules with a mass spectrometer to obtain mass spectra; comparing said mass spectra against a database of known mass spectrometer profiles; and identifying a material type through matches with the database.
In at least some embodiments, the identifying comprises matching the material based on type of cancer or type of disease.
In at least some embodiments, the identifying comprises matching the material based on cancer subtypes or closely related subclasses of a same cancer type.
In at least some embodiments, the identifying comprises using multivariate statistical comparison between a mass spectrometry profile of the material to known profiles of said material present in a library, wherein said multivariate statistical comparison uses only a portion of the entire mass spectrum.
In at least some embodiments, only a selected subset of mass peaks in the mass spectrum are used in the multivariate statistical comparison.
In at least some embodiments, the selected subset of mass peaks correspond to at least one of known biomarkers of a disease, a cancer type and a cancer subtype.
In at least some embodiments, the multivariate statistical comparison comprises using MS data normalized to total intensity of the selected subset of mass peaks.
Other features and advantages of the present application will become apparent from the following detailed description taken together with the accompanying drawings. It should be understood, however, that the detailed description and the specific examples, while indicating preferred embodiments of the application, are given by way of illustration only, since various changes and modifications within the spirit and scope of the application will become apparent to those skilled in the art from this detailed description.
For a better understanding of the various embodiments described herein, and to show more clearly how these various embodiments may be carried into effect, reference will be made, by way of example, to the accompanying drawings which show at least one example embodiment, and which are now described. The drawings are not intended to limit the scope of the teachings described herein.
LM2-4 breast cancer by Picosecond InfraRed Laser (PIRL) soft ionization mass spectrometry (independent repeat).
HedgeHog (SHH) MB and Group 3 MB tumours.
Further aspects and features of the embodiments described herein will appear from the following description taken together with the accompanying drawings.
Various embodiments in accordance with the teachings herein will be described below to provide an example of at least one embodiment of the claimed subject matter. No embodiment described herein limits any claimed subject matter. The claimed subject matter is not limited to devices or methods having all of the features of any one of the devices or methods described below or to features common to multiple or all of the devices and or methods described herein. It is possible that there may be a device or method described herein that is not an embodiment of any claimed subject matter. Any subject matter that is described herein that is not claimed in this document may be the subject matter of another protective instrument, for example, a continuing patent application, and the applicants, inventors or owners do not intend to abandon, disclaim or dedicate to the public any such subject matter by its disclosure in this document.
It will be appreciated that for simplicity and clarity of illustration, where considered appropriate, reference numerals may be repeated among the figures to indicate corresponding or analogous elements. In addition, numerous specific details are set forth in order to provide a thorough understanding of the embodiments described herein. However, it will be understood by those of ordinary skill in the art that the embodiments described herein may be practiced without these specific details. In other instances, well-known methods, procedures and components have not been described in detail so as not to obscure the embodiments described herein. Also, the description is not to be considered as limiting the scope of the embodiments described herein.
It should also be noted that the terms “coupled” or “coupling” as used herein can have several different meanings depending in the context in which these terms are used. For example, the terms coupled or coupling can have a mechanical, electrical or fluid (i.e. gaseous) connotation. For example, as used herein, the terms coupled or coupling can indicate that two elements or devices can be directly connected to one another or connected to one another through one or more intermediate elements or devices via an electrical signal, a mechanical element, such as, conduits and the like or fluid transport means, such as transport or collection tube, for example, depending on the particular context.
It should also be noted that, as used herein, the wording “and/or” is intended to represent an inclusive-or. That is, “X and/or Y” is intended to mean X or Y or both, for example. As a further example, “X, Y, and/or Z” is intended to mean X or Y or Z or any combination thereof.
It should be noted that terms of degree such as “substantially”, “about” and “approximately” as used herein mean a reasonable amount of deviation, such as 1%, 2%, 5% or 10%, of the modified term such that the end result is not significantly changed. These terms of degree may also be construed as including a deviation of the modified term if this deviation does not negate the meaning of the term it modifies.
Furthermore, the recitation of numerical ranges by endpoints herein includes all numbers and fractions subsumed within that range (e.g. 1 to 5 includes 1, 1.5, 2, 2.75, 3, 3.90, 4, and 5). It is also to be understood that all numbers and fractions thereof are presumed to be modified by the term “about” which means a variation of up to a certain amount of the number to which reference is being made if the end result is not significantly changed, such as 1%, 2%, 5%, or 10%, for example.
In conventional mass spectral analysis, a material is first brought to the gas phase for MS analysis (this process is known as desorption). For non-volatile, this may be achieved using a variety of desorptive methods such as laser desorption, solvent mediated-extraction or aerosolization such as those provided by laser ablation, electrocautery or solvent desorption in desorption electrospray ionization. MS additionally requires ionized material for the detection of molecules present in the plume of laser ablation/desorption or electrocautery. However, a flow of Nitrogen gas in REIMS2-4, or air as in Air Flow Assisted Ionization method5, is not the only means by which evaporative ionization can take place. Alternatively, volatile materials do not need to be brought to the gas phase with laser or electrocautery, for example. Rather, for volatile materials, an input end of the collection tube is placed in close proximity to the volatile material to capture the vapour pressure. Accordingly, in the case of volatile material, the gaseous material can be obtained without generating the plume using an active process.
Referring now to
During use, the vaporization source 16 applies a vaporization technique (i.e. vaporization method) to the substrate 14 to create gaseous material or an aerosolized species (not shown). The gaseous material or the aerosolized materials are then sent to a mass spectrometer 24 by the action of the pump 20, which receives Nitrogen gas at the input port 22 and mixes the Nitrogen gas with the aerosolized material or the gaseous material to promote evaporation of the solvent and soft evaporative ionization of analytes present in the plume.
However, in accordance with the teachings herein, it has been determined that with the application of heat, soft ionization may be used prior to MS analysis, which is beneficial for various reasons that are described throughout this application. In accordance with the teachings herein, in one aspect an example embodiment of a device is provided wherein the device comprises an input for receiving gaseous material, vapourized material, plume material or aerosolized material; a transport tube coupled to the input and being configured to allow for conduction and dissipation of heat to its contents (i.e. to the gaseous material, the vapourized material, the plume material or the aerosolized material) to facilitate heat-induced evaporative soft ionization of molecules in the gaseous material, the vapourized material, the plume material or the aerosolized material; and an output coupled to the transport tube for providing the ionized molecules to a downstream mass spectrometer for analysis, for example. An amount of heat is applied to achieve heat-induced evaporative soft ionization of the molecules. The heating can be applied in the temperature range of 45° C. to 250° C., for example.
In another aspect, an alternative embodiment of a device is provided for ionizing molecules for the purpose of analysis by mass spectrometry. The device comprises an input for receiving predominantly gaseous material from a sample substrate where the gaseous material is generated using laser desorption using a laser with a pulse range of about 1-1,000 picoseconds to produce the gaseous material; a transport tube coupled to the input and configured to allow for conduction of heat to facilitate heat-induced evaporative soft ionization of molecules in the gaseous material, where the amount of heat that is applied is in the temperature range of 45° C. to 250° C. and the applied heat results in soft ionization of said molecules; and an output that is coupled to the transport tube for providing the ionized molecules to a downstream mass spectrometer for analysis.
The gaseous material, the vapourized material, the plume material, the desorbed material or the aerosolized material may be produced using one of laser ablation, laser desorption, joules heating, cauterization, electrocautery, radio frequency ablation, ultrasonic aspiration, chemical extraction and aerosol generation using mechanical or acoustic means.
Referring now to
In some embodiments, the interface 100, and the variations described herein, may not include the vaporization source 16 and in these cases the interface 100 is used with a standalone vaporization source 16.
During use, the vaporization source 16 applies a vaporization method to the substrate 14 to create a plume of gaseous or aerosolized species (i.e. gaseous material or aerosolized material) that are sent to the mass spectrometer 24 by the suction provided by inner turbo pumps (not shown) of the mass spectrometer 24 through an extension of a collection tube (not shown) into the transport tube 102. The transport tube 102 is coupled to the collection tube of the MS 24.
Heat 104 is applied to the transport tube 102 to promote evaporation of solvent and soft evaporative ionization of analytes present in the plume. The heat can be applied by heat source 28. The heat source 28 can be any appropriate heating source such as, but not limited to, a tape heater, a Pelletier heater, or an infrared heater. The heat source 28 can be part of the interface 100 (as well as for the interfaces of the alternative embodiments herein) or it may be provided separately from the interface 100.
A controller 26 can be used to control the operation of the heat source 28 so that it applies a desired amount of heat in a desired temperature range to the transport tube 102. The controller 26 may be implemented using known techniques such as a processor, an ASIC, an FPGA, a laptop, a desktop computer, or a handheld mobile device. The controller 26 provides an appropriate signal or electrical current to the heat source 28 so that the heat source 28 can provide heat in the desired temperature range. The controller 26 can be part of the interface 100 (as well as for the interfaces of the alternative embodiments herein) or it may be provided separately from the interface 100.
In alternative embodiments, the mass spectrometer 24 may include an extension tube that may act as the transport tube 102 and be heated. Accordingly, the term collection tube may be used herein interchangeably with the terms extension tube or transport tube. In some embodiments, the transport tube 102 may be a metallic tube and may be referred to as a collection capillary or capillary. Alternatively, in some embodiments, the transport tube 102 may be a tube that is flexible and long (e.g. greater than 50 cm) or a portion of the transport tube may include such a tube. Alternatively, in some embodiments, the transport tube 102 can be replaced with the inlet collection tube or inlet capillary of a mass spectrometer. It should be noted that the terms inlet capillary, inlet collection tube or capillary of a mass spectrometer can be used interchangeably.
The transport tube 102 may comprise a heated area or heated chamber (not shown), such as a heated capillary inlet, in which collisions between solvated molecules present in laser and cautery plumes (or aerosols) and the heated air contained in the heated chamber under atmospheric ambient or near atmospheric conditions, may also cause evaporation of the substrate leading to collisional, heat-induced evaporative ionization. Alternatively, in some embodiments, the transport tube 102 may be a flexible tygon tube that is coupled to a metallic inlet capillary of the mass spectrometer 26 and this inlet capillary is heated.
The extent of the heating proposed herein is below the level required for Thermal Ionization MS, Plasma Ionization MS9 or Corona Discharge Ionization10, and the amount of heating proposed in accordance with the teachings herein is at the very least in in the temperature range of 45° C. to 250° C. which has been validated experimentally. This is in contrast to most standard ionizing methods which use temperatures of 800° C. or higher. It should be noted that droplets from PIRL are small and so applying heat in other temperature ranges may also work, although perhaps not as efficiently. In alternative embodiments, narrower temperature ranges may be used such as a temperature range of 50° C. to 150° C. In other alternative embodiments, the temperature range may be defined to have a maximum temperature that is less than 450° C. or less than 350° C. It is possible that applying heat at 450° C. or higher may cause too much fragmentation and/or disintegration. It should be noted that these various temperature ranges can be used with the other various soft ionization embodiments described in accordance with the teachings herein. It should be noted that the soft ionization described herein is different than thermal emission ionization that uses temperatures around 2,000 to 3,000 degrees Celsius.
Some desorption techniques create large droplets that are typically not ionizable with such low heat. However, in cases where very small aerosolized materials, such as in the sub-nanometer, nanometer or micrometer size range, are created, it has been discovered, in accordance with the teachings herein, that low or mild heating allows for ionization of the material to occur. This application of low heating provides several advantages including, but not limited to, lower energy usage, lower manufacturing costs, lower manufacturing complexity and allows for the use of materials that do not have to withstand larger temperatures. The heating in accordance with at least one of the embodiments described herein has been seen to provide an ionized material cohort that is similar in composition to those obtained with other ionization methods such as DESI. This makes existing molecular signatures available in DESI libraries applicable to laser desorption/soft ionization experiments for various purposes including, but not limited to, identification of cancer or identification of a biological tissue under study.
The heating time depends on how fast the plume is travelling. It is preferable if the plume comes in direct contact with a heated surface, preferably a bend in the inlet or collection tube or the transport tube (as shown in some embodiments herein), as this collision with a hot surface leads to better heat transfer and more efficient ionization. In this case there may be a large flexible tube that is attached to a rigid metallic collection inlet or inlet capillary of a mass spectrometer which together form the transport tube described herein and the metallic collection inlet or inlet capillary is heated to provide the soft thermal ionization.
However, the plume may also be ionized by heating the plume without direct contact or collision with a hot inlet wall but rather through convection or radiation heating or through heat conduction. Also, the plume transport time through the heated region results in sufficient evaporation of solvent to allow evaporative ionization. Sufficient evaporative ionization is indicated by an increase in total ion count detected by the MS.
In some embodiments, the amount of heating may be adjusted to affect how fast thermal convection takes place in the transport tube in order to obtain an MS signal within a reasonable amount of time. For example a temperature level can be used that is sufficient to allow complete thermalization at the desired temperature of the plume traveling at a given speed determined by the gradient of MS 24. Adjusting the amount of heating is advantageous since without this various flow rates may be needed to increase the residency for the plume material but adjusting the flow speed is difficult as typically it is dictated by the intrinsic pressure gradient of the MS device.
In accordance with the teachings herein, at least one embodiment of an evaporative ionization interface is provided that does not use a flow of air/gas and a pump, such as but not limited to a Venturi pump, to transport gaseous material, as described previously1-3, to produce ionized material used for MS analysis. This method of ionization in accordance with the teachings herein is particularly suited to desorptive methods that generate very small droplets, in the micrometer or nanometer size, or pure gas phase species (solvated molecules) that are readily evaporatively ionized in the absence of rapid air/gas flow as in REIMS or electrospray charging as in Charge Assisted Laser Desorption Ionization Mass Spectrometry11, or carrier gas chemical ionization12.
Referring now to
In an example embodiment, in accordance with the teachings herein, the transport tube 202 having the physical bend 205 may be an extension inlet tube of a mass spectrometer interface such as the aerosol carrier tube of a Desorption ElectroSpray Ionization (DESI) interface possessing a 90 degree bend in the aerosol or analyte carrier tube (or collection tube). The 90 degree bend may be used to provide an effective base for collisional heat-induced evaporative ionization under ambient conditions, upon being heated by an external heat source such as, but not limited to, a tape heater, a Pelletier unit, or internally by elevating the temperature of the mass spectrometer's orthogonal spray chamber through thermal diffusion. For example, the increased temperature of the spray chamber 210 allows heat exchange through both convection and collisional heat exchange that results in desolvation of material.
Referring now to
However, in alternative embodiments, MS interfaces may be modified, in accordance with the teachings herein, to contain spiral passes, or a zigzag pattern for more effective dissipation of heat to facilitate evaporative ionization without requiring the flow of air or nitrogen gas and the Venturi pump. The modifications may be introduced to the DESI interface at a proximal portion (e.g. close to the plume/substrate) to allow for more efficient collisional, heat-induced evaporative ionization without altering the orthogonal spray design at the MS entrance.
Referring now to
The orthogonal spray collection at the entrance of the MS 24 prevents large droplets in the plume/aerosolized material from entering the ion optics of the MS 24 and contaminating the system. The large droplets have a velocity trajectory that prevents them from entering the MS 24. Electric potential and suction may then be used to only draw in ions and small droplets into the MS 24. The amount of electric potential and the amount of suction that is used may be based on the design of the MS 24 including the size of the ion entrance orifice and the vacuum provided by the inner workings of the MS 24. The amount of electric potential applied to the heater can be adjusted such that complete thermalization of the moving plume material may take place during the residency time at the heat contact point.
In the various example embodiments described in accordance with the teachings herein, at least a portion of the transport tube is made of a material that provides a suitable thermal conductivity for dissipation of heat to facilitate heat-induced evaporative soft ionization of molecules in the gaseous, vapourized plume or aerosolized material. For example this material can be stainless steel, gold or conductive heat resistant plastic.
For example,
Generally, in the experiments, in ˜2 seconds of laser ablation spectra characteristic of breast cancer was obtained. The spectra are indistinguishable from direct analysis of tissue by DESI-MS, tumour extraction by DESI-MS and two-step capture and analysis of PIRL plume by DESI-MS. The spectra also contains all key molecular markers that characterize tissue material (marked on the spectra in
A study on the identification of mouse organs and tissues based on molecular finger printing with soft ionization picosecond infrared laser desorption was conducted and is described herein. All animal studies were conducted in accordance with institutional guidelines and approved by the animal use committee (Animal Use Protocol at the University Health Network, Toronto, Canada). Chicken or beef liver and salmon fish were purchased from a local grocery store.
An LM2-4 human breast cancer tumors model was established in female Severe Combined ImmunoDeficient (SCID) mice (Harlan). The mice were inoculated in their left inguinal mammary fat pad with 5×106 cells in a volume of 3-40 μL. The animals were then housed for 2 weeks to allow the primary tumour to reach a volume>250 mm3 (caliper measurements). Primary tumors were surgically removed, flash frozen over liquid N2 vapour, and stored at −80° C. For laser ablation, samples were thawed at room temperature and subjected to ablation by a fiber coupled PicoSecond InfraRed (PIRL) laser system PIRL 3000 from Attodyne Inc. operating at 1 kHz. Plume was collected using 100 cm long Tygon tube (I.D. 1/16″ O.D. ⅛″ from McMaster Carr) fitted onto the aerosol carrier tube of a Waters' DESI-MS interface. The temperature at the orthogonal bend was maintained and varied between 50-250 degrees Celsius. External heating by means of a tape heater was also used.
Mass spectrometry was performed using a Xevo G2XS Quadrupole-Time-Of-Flight Mass Spectrometer (Q-TOF-MS, Waters). For comparison, DESI-MS analysis of tissue smears, sections, lipid extracts of tissue or plume of PIRL collected on a filter paper was also performed.
Lipid extract was prepared by adding water (150 μL), methanol (190 μL) and chloroform (370 μL) to a tissue sample of - 10 mm3 in size and vortexing for 2 min, followed by two rounds of centrifugation at 13,000 rpm for 5 min to separate the apolar phase. Extracted lipids after complete evaporation of solvent were resuspended in a small amount of chloroform for analysis and spotting on DESI-MS slides.
A filter paper (VDW Grade 415) was placed inside a custom-made funnel that was attached to a vacuum pump to collect the plume of laser-ablated material. To prevent ablative large tissue chunks from impacting the filter and contaminating the signal, the filter was placed 12 cm away from the laser ablation site and inspected for the presence of large tissue material. The filter paper was then placed onto a glass microscope slide and subjected to DESI-MS profiling.
Frozen tumours were mounted onto a metal specimen holder of cryostat with a small amount of Optimal Cutting Temperature (OCT) compound (Sakura Finetek USA Inc) to provide support. Slices each having a thickness of 10 pm were prepared using a CM1950 cryostat (Leica), and mounted onto a Superfrost Plus microscope slide. The slides were stored at −80° C. until imaged with DESI-MS.
Glass microscope slides containing samples (spotted extract), tissue sections or tissue smears or the filter paper containing the plume were mounted on a 2D moving stage and subjected to DESI-MS analysis in the negative ion mode over the mass range m/z 200 to 1000. A 1:1 mixture of acetonitrile and dimethylformamide (HPLC-MS grade, Sigma Aldrich, Oakville, ON, Canada), containing Leucine Enkephalin (150 pg/μL) for correction of m/z values, was used as the spray solvent, and delivered at a flow rate of 1 μL min-1. The sprayer-to-surface distance was 1.0 mm, the sprayer to inlet distance was 5 mm, and incident spray angle was set to 68°. The source parameters were 150° C. capillary temperature, 3.6 kV capillary voltage, and nitrogen spray at 100 psi. Tissues were raster-scanned at a constant velocity in the range of 100 μm/s, with a scan time of 1 s, at a spatial resolution of 100 μm. Spectra were recalibrated for high mass accuracy using the accurate mass of Leucine Enkephalin in the solvent spray.
Referring now to
In one instance, tissue smoke from mouse brain (equivalent to what is produced by electrocauterization in iKnife using REIMS) can be ionized with an example embodiment in accordance with the teachings herein Referring now to
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A hand-held laser ablation device based on Picosecond InfraRed Laser (PIRL) technology was developed and demonstrated to be a suitable MS desorption source when coupled to a post ionization method'. A PIRL ablation device, shown to provide rapid extraction of molecules from tissue—including molecules already in a solvated ionic state such as phospholipids and fatty acids, was coupled to a custom-made soft thermal ionization interface capable of desolvating ionized tissue materials in accordance with the interface 200 shown in
It should be noted that other laser ablation devices and methods can be used with soft ionization in order to differentiate subtypes of tumour such as nanosecond and femtosecond infrared laser systems.
In accordance with the teachings herein, a flexible Tygon tube was used to extend the collection capillary of a modified commercial DESI-MS interface, and was heated to provide desolvation and evaporative thermally induced ionization (i.e. soft ionization). Any metallic or heat conductive MS inlet capillary or transport tube can be used for this purpose. For example, a transport tube that has a bend in its structure (as shown in
As few as 5-10s of point sampling over an area of ˜2 mm2 with PIRL ablation is sufficient to correctly classify phospholipid and fatty acid profiles of healthy mouse organ tissues.
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Referring now to
Referring now to
To investigate whether PIRL-MS spectra had statistical relevance for discriminating between tissue types the PIRL-MS spectra of various mouse tissues from 4 independent mice was subjected to Partial Least Squares Data Analysis (PLS-DA). Referring now to
Real-time MS profiling with PIRL ablation can thus be used to identify in situ tissue types in 10 s of sampling using the interface embodiment 200 shown in
Medulloblastoma (MB) is a malignant pediatric brain tumour that is comprised of at least 4 distinct molecular subgroups (SHH, WNT, Group 3 and Group 4)23. The response to treatment, the prognosis and the overall survival rates are different between MB subgroups. Therefore, molecular subgrouping is en route to become part of the risk stratification of MB patients24. With molecular analysis capabilities becoming available at a larger number of clinical sites, molecular subgrouping is already playing an important role in management of patients with gliomas25 and is expected to play a pivotal role in the personalized approaches to MB patient care as well. Currently, however, no rapid intraoperative means of determining subgroup affiliation exists to guide extent of resection, thereby minimizing postoperative neurological morbidity. While histopathology and immunohistochemistry methods, along with genomic NanoString DNA analysis and DNA methylation profiling are used to classify MB subgroups26, intraoperative utility is lacking due to lengthy turnaround times. In the quest to determine MB subgroup affiliation information in a manner that is actionable during surgery a new analytical platform capable of rapid determination of tumour subgroups must be developed.
Ambient Mass Spectrometry (MS) is a powerful analytical platform capable of resolving the molecular heterogeneity of biological tissues examined under atmospheric conditions27-29. The ambient attribute enables direct in vivo, in situ or ex vivo tissue sampling, often in the absence of extensive sample preparation requirements. The molecular heterogeneity profile of the tissue, also referred to as its MS profile, is comprised of mass to charge (m/z) ratios of its constituent molecules. This profile can be obtained on timescales suitable for future intraoperative use28,29, and is characteristic of each tissue type29. Capitalizing on this notion, experimentally recorded MS profiles can thus be used to identify tissue types. In this quest, rapid tissue identification uses multivariate statistical comparison methods that query the experimentally recorded MS profile of an unknown tissue against those present in a library of validated tissue MS profiles27,29. The multivariate methods are not computationally costly, and generally can be performed in a fraction of a second in an online fashion, as the MS spectra are acquired. Online model building methods capable of real time MS analysis have been reported29.
Progressing beyond the tissue differentiation paradigm in distinguishing diseased and healthy tissues, the lipid and small molecule metabolite profiles of biological tissues are shown to have utility in cancer type identification or even tumour subtype determination with many ambient MS methods30-37,27,38,29. These classes of molecules thus offer superb diagnostic power in determining subtypes of the same cancer type based on the specific MS profile of lipids unique to each tumour subtype35. Good concordance with pathology-based classification methods is reported for a variety of human brain tumours35 and other cancers27,39,29.
Many of these pioneering studies have used Desorption
ElectroSpray Ionization Mass Spectrometry (DESI-MS)40 where charged microdroplets of a solvent material focused on the surface of a tissue slice or tissue smear38,41 bring about extraction, desorption and ionization of tissue lipids and small molecule metabolites. DESI-MS has risen to an era of widespread utility in rapid cancer characterization in the biomedical domain 27,29.
While, a typical DESI-MS scan on the order of ˜1 second is often sufficient to provide robust tissue MS lipid profiles41,42, in vivo utility is lacking based on conventional techniques. The DESI-MS source in its current form cannot be used in vivo due to requirements for high electric potential, and the use of solvent materials toxic to the human body. To facilitate intraoperative applications two conventional approaches have been developed. One uses ex vivo tissue samples or tissue smears taken to a mass spectrometer located in close proximity to the operating room for off-line analysis, and the other uses real time capture and analysis by MS of the plume of electrocautery widely used in many surgical procedures for online assessment of cancerous tissue in vivo21. While electrocautery is thermally destructive to and thus cannot be used over healthy tissues due to concerns of damage, residual lipid and small molecule metabolites present in the tumour core survive the diathermy process. These molecules persist in the aerosols generated during diathermy, and can be taken up and desolvated for further online analysis with MS. Tremendous progress has been made in the cancer characterization domain with very high correct tissue classification rates corroborated by gold standard pathology methods29.
To expedite the future clinical adoption of in vivo cancer characterization with online MS, a rapid tissue lipid and small molecule extraction method must be developed that (1) is efficient, allowing for reduced sample consumption (i.e. tissue area to be examined); and (2) minimally damages the tissue surrounding the sampling site, such that the method can be used with fewer reservations in both tumour bed examinations and negative margin assessments in vivo.
The current implementation of the electrocautery based MS methods21 requires a priori and unequivocal determination of the cancerous region using a surgeon's input or other image modality data to provide an avoidance mechanism for healthy tissue, but is nevertheless a valuable tool for in vivo tumour grading. The proposed gentle means of extracting tissue lipids for online MS analysis may be hyphenated (i.e. combined) with the robust Rapid Evaporative Ionization Mass Spectrometry (REIMS) interface, developed initially for the analysis of the plume of electrocauteryl5 and subsequently shown to also be compatible with a variety of tissue aerosolization methods, including ultraviolet (UV) and infrared (IR) laser ablation4, and ultrasonic aspiration17. In this sense, gentle means that it does not result in fragmentation.
Recently, Picosecond InfraRed Laser (PIRL) ablation has been shown to rapidly extract13, in the absence of significant thermal damage22, tissue molecular content in the form of a gas phase plume' expanding rapidly in the atmosphere43. Subsequent capture and analysis by mass spectrometry of this plume has been demonstrated to be feasible upon coupling to an appropriate post ablation ionization source for MS imaging applications7. Tissue ablation with a picosecond IR pulse is a highly efficient process due to the strong coupling between ablative and vibrational modes of water on this timescale19. The bulk of the impulsive energy deposited into vibrational mode of tissue water molecules is converted into ablation, liberating water and tissue constituent molecules, ejecting them to the gas phase in the absence of significant thermal damage to the tissue22 (Amini-Nik, Kraemer et al. 2010).
Capitalizing on the highly efficient nature of laser ablation with PIRL19, which even allows for cutting of bone material44 with low water content compared to soft tissue, the inventors believe that highly desolvated lipid species may be expected. Based on this assumption, the inventors recently demonstrated online coupling between PIRL ablation and MS for real time diagnostic applications through use of a 2 m long flexible collection tube (i.e. transport tube) coupled to a modified heated inlet capillary of a Time of Flight (TOF) MS instrument, capable of resolving transient input signals that are typical in laser ablation mass spectrometry methods. The heated inlet promotes thermal desolvation of the laser extracted, negatively charged tissue lipids as determined and reported by the inventors45, condensed and possibly re-solvated during the rapid cooling and plume expansion stage of the PIRL ablation process under atmospheric conditions43. The MS interface, implemented in accordance with the teachings herein, was shown to allow real time tissue profiling with in situ sampling in 5-10 seconds of total data collection, followed by post collection data analysis and statistical treatment as determined and reported by the inventors45.
In a second experimental study, 19 independent subcutaneous murine xenograft tumours from 6 different established human MB cell lines belonging to MB subgroups of Sonic Hedgehog (SHH) and Group 3 were analyzed. A successful MB subgroup affiliation (98% accuracy) was achieved using PIRL-MS analysis with 5-10 seconds of sampling, assessed through supervised multivariate statistical analysis, utilizing close to 200 data points, with robustness confirmed with an iterative 5%-leave-out-and-remodel test. Additional high resolution LC-MS study of the captured laser ablation plumes allowed identification of m/z values that contributed the most to the statistical discrimination of PIRL-MS profiles of MB subgroup tumours. To support the clinical utility of this technique, a detailed discussion of analytical performance of the platform, origin of the outlier data points and the duty cycle is presented herein. A proof-of-principle demonstration of the utility of the online PIRL-MS setup (i.e. real-time desorption and MS detection) previously developed and reported by the inventors45 for rapid determination of MB subgroup affiliation.
To examine the potential utility in the determination of MB subgroup affiliation with 5-10 seconds of tissue sampling with the handheld PIRL-MS analysis tool recently reported by the inventors' research group45, subcutaneous murine xenograft tumours were prepared belonging to two MB subgroups (Sonic Hedgehog (SHH) and Group 3) for which multiple established human cell lines existed, and subjected ex vivo tumour samples thereof to PIRL-MS data analysis.
A drawback with xenograft studies is that a murine model prepared from a single established cancer cell line does not capture the heterogeneity seen in tumours from a patient population. It is thus important to ensure subgroup classification using PIRL-MS is not hampered by the intrinsic biological heterogeneity of tumour samples. To address this caveat to some extent, xenograft tumours from 6 different established MB cell lines were used including: D341, D458, MED8A (for Group 3) and ONS76, DAOY, UW228 (for the SHH subgroup). The PIRL-MS data of these tumours was combined into their respective MB subgroups such that some level of intrinsic biological heterogeneity, albeit to a lesser extent than expected from patient samples, is captured in the analysis presented herein.
The inventors hypothesized that laser extracted molecules present in the m/z 100-1000 range of the 194 PIRL-MS spectra recorded (5-10 seconds of laser ablation sampling per spectrum) may provide subgroup-specific MS profiles that may be used to distinguish Group 3 MB from its SHH counterpart.
Referring now to
In vivo mouse tissue profiling study used NOD SCID gamma (NSG) mice (Jackson Laboratory). Mice were maintained in accordance with the Toronto Centre for Phenogenomics (TCP) institutional animal protocols, and sacrificed by CO2 inhalation. Organ tissues were dissected, and kept on ice for further analysis. Animal-use protocol (AUP) was approved by the TCP committee under AUP 0293H. Tissue water content values (in rats) can be found in this reference46.
In the second experimental study a 2 m long Tygon tube with the inner diameter of 1.6 mm (McMaster Carr) was used as the transport tube and attached to the collection capillary of a commercial DESI-MS interface (Waters). The length (2 m) was sufficient to reach the analysis table without blocking instrument access. The interface 200 shown in
MS peak lists (from m/z 200 to m/z 1000) were uploaded into the Metaboanalyst 3.0 web portal (http://www.metaboanalyst.ca), with a mass tolerance of 20 ppm. Data columns that contained greater than 80% missing values were removed, and the data were subjected to an Interquartile range (IQR) filter47. The ion abundances were normalized to the sum of m/z intensities for each spectrum, and then subjected to Pareto scaling47. Partial Least Squares Data Analysis (PLS-DA) was performed to examine the grouping of MS profiles for different mouse tissue types48,49.
All cells were cultured at 37° C. and 5% CO2. Human medulloblastoma cell lines were grown in media containing various concentrations of amino acids, salts, vitamins and between 10%-20% Fetal Bovine Serum (FBS) (Wisent Inc., St. Bruno, QC, Canada). All animal procedures were approved by the Animal Care Committee at the Toronto Centre for Phenogenomics (TCP). Animal-use-protocols were in accordance with the guidelines established by the Canadian Council on Animal Care and the Animals for Research Act of Ontario, Canada. Under isoflurane anesthesia, mice were injected with 2.5 million cells into both flank regions, for a total injection volume of about 100-200 μl into each flank. After the tumour volume had reached 500-800 mm3 or 5 weeks post injection, the mice were euthanized and the tumours were resected for MS analysis. 19 tumours were used for PIRL-MS with the break down by cell line as follows: D341, n=4; D458, n=3; MED8A, n=2; DAOY, n=3; ONS76, n=3; UW228, n=4.
The handheld PIRL-MS source45 using a PIRL 3000 unit (Attodyne Lasers, currently Light Matter Interactions) was used as described previously with a 2 m long Tygon tube acting as the transport tube and connected to the heated inlet (150° C.) capillary of a DESI-MS collection source (Waters)45. The laser fiber tip (500 μm spot, 3,000±100 nm, 300±100 ps at 1 kHz, fluence of ˜0.15 J/cm2), was rastered over a ˜1-5 mm2 area for 5-10 seconds without touching the specimen, with the tip of the plume collection tube 1-2 mm away from the site of ablation. PIRL-MS spectra (from m/z 100 to m/z 1000) were collected on a Xevo G2XS Quadrupole-Time-Of-Flight Mass Spectrometer (Q-TOF-MS, Waters) in the negative ion mode. Additional details of laser ablation parameters and the setup developed by the inventors were reported45. For MB sample analysis, subcutaneous xenograft tumours were surgically exposed, harvested and subjected to PIRL-MS sampling with data collection times not exceeding 10 seconds. Each tumour was sampled at least 10 times from different regions both on the surface and from its core (tumours were halved) to capture spatial heterogeneities akin to those present in real world samples. A grand dataset of 194 PIRL-MS data points (i.e. spectra) collected over 5-10 seconds of PIRL-MS sampling was generated.
The 194 data files were divided into two folders, one for Group 3 and one for the SHH group, and submitted to MetaboAnalyst for Partial Least Squares Discriminant Analysis (PLS-DA). Details of Metaboanalyst settings used by the inventors were reported45 with 1 notable exception: mass tolerance was set to 100 mDa due to the lack of correction for mass shift. In cases where a 25 mDa tolerance was used, the spectra were corrected using the accurate mass of 717.5076 (see Table 1). While this peak was more intense in the Group 3 samples, it was present in all samples at levels well above the background.
Progressing beyond single MED8A and DAOY tumours as representatives of Group 3 and SHH MB, the collective PIRL-MS data from all 6 cell lines listed above was grouped into their respective MB subgroups. The grand dataset of 194 PIRL-MS spectra was then subjected to the supervised multivariate method of Partial Least Squares Discriminant Analysis (PLS-DA)50 to assess the success rate of MB subgroup affiliation determination with 5-10 seconds of PIRL-MS sampling.
Referring now to
The PIRL-MS spectra of two of the 3 outliers noted in
The analytic reproducibility of the PIRL-MS platform described in
Since prior knowledge of the expected subgroup affiliation existed for all of the MB tumours examined here, unsupervised multivariate statistical methods such as Principal Component Analysis (PCA) were not pursued to discover latent features present in the PIRL-MS spectra50. While PCA can also be used to reveal group affiliations, its application for this purpose requires within group variations that are less than between group variations50. Considering group affiliation information existed for the data samples, and the extent of within group variation was not available to justify use of PCA, PLS-DA was chosen to determine statistical validity as recommended50. However, to address the statistical robustness of the separation seen in
Referring now to
To further highlight the individual m/z values (or biomarker ions) that best characterize MB SHH and Group 3 cancers, in
Capitalizing on the specificity with which PIRL ablation is able to extract lipids and small molecules from tumours, the possibility of further statistically classifying the PIRL-MS dataset based on cell line origin was examined. Thus, the 194 PIRL-MS spectra were grouped into their respective 6 classes of cell types, and subjected the dataset thereof to a 6-component PLS-DA assessment. The datasets that overlap in occupying the same area in the PLS-DA scores plot are considered statistically indistinguishable.
As seen in
The results for Group 3 cell lines were slightly different. Here, the D341 and D458 were essentially identical from the statistical point of view, and the MED8A cell line also showed some degree of lipid profile overlap with the other two Group 3 cell lines that were examined. While genomic sequencing data exist for some of the established MB cell lines, lack of a 1 to 1 correspondence between the genomic profile and its small molecule metabolite or lipid subsets precludes a direct comparison of the seen rank order based on PIRL-MS profiling to the known trends suggested by genomic approaches52. For example, it is not known whether the genomic similarity index of D341 and D458 replicates the expected lipid profiling results seen here with PIRL-MS, or whether ONS76 possesses a genomic similarity index with either of the DAOY or UW228 cell lines that is smaller than that between DAOY and UW228 lines.
With respect to the confounding effect of sample heterogeneity that is largely lacking in xenograft models which is a caveat of the experimental study discussed herein, in
Referring now to
It is advantageous that this analysis only uses MB specific m/z values to provide statistical discrimination and not the entire m/z range of PIRL-MS profiles since the entire m/z range may harbor signatures of sample heterogeneity. The separation seen in
It has been shown herein that through 5-10 second of sampling with PIRL-MS with soft ionization it is possible to distinguish xenografts of Group 3 MB from the SHH subgroup.
In another aspect, in at least one example embodiment, in accordance with the teachings herein, there is provided a method of identification of material by mass spectrometry, wherein the method comprises: identifying and exposing a surface of a material to be analyzed; generating a gaseous variant of the material using any of the methods described in accordance with the teachings herein; transporting the gaseous material towards a heat source; generating ionized molecules by using the heat source to facilitate heat-induced evaporative soft ionization of molecules in the gaseous material using any of the methods described in accordance with the teachings herein; analyzing the ionized molecules with a mass spectrometer to obtain mass spectra; comparing the mass spectra against a database of known mass spectrometer profiles; and identifying the material through matches with the database.
In some embodiments, the identifying comprises matching the material based on a type of cancer or a type of disease. Alternatively, in some embodiments, the identifying comprises matching the material based on cancer subtypes or closely related subclasses of a same cancer type.
In some embodiments, the identifying act involves using multivariate statistical comparison between a mass spectrometry profile of the material to known profiles of the material present in a library and in which the multivariate statistical comparison uses only a portion of the entire mass spectrum. For example, only a selected subset of mass peaks in the mass spectrum are used. Preferably, the selected subset of mass peaks can be those mass peaks that correspond to at least one of known biomarkers of a disease, a cancer type and a cancer subtype.
In embodiments in which only a selected subset of mass peaks in the mass spectrum are used, the multivariate statistical comparison may comprise using MS data normalized to total intensity of the selected subset of mass peaks.
While the applicant's teachings described herein are in conjunction with various embodiments for illustrative purposes, it is not intended that the applicant's teachings be limited to such embodiments. On the contrary, the applicant's teachings described and illustrated herein encompass various alternatives, modifications, and equivalents, without generally departing from the embodiments described herein.
IMPULSIVE HEAT DEPOSITION IN THE IR WAVELENGTH RANGE FOR DIRECT-DRIVE ABLATION issued on Oct. 4, 2011 to Miller, R J Dwayne.
M. Kool, C. Dufour, G. Vassal, T. Milde, 0. Witt, K. von Hoff, T. Pietsch, P. A. Northcott, A. Gajjar, G. W. Robinson, L. Padovani, N. Andre, M. Massimino, B. Pizer, R. Packer, S. Rutkowski, S. M. Pfister, M. D. Taylor and S. L. Pomeroy (2016). “Risk stratification of childhood medulloblastoma in the molecular era: the current consensus.” Acta Neuropathol 131(6): 821-831.
This Application claims the benefit of U.S. Provisional Patent Application No. 62/348,478 filed Jun. 10, 2016; the entire contents of 62/348,478 is hereby incorporated herein in its entirety.
Filing Document | Filing Date | Country | Kind |
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PCT/CA2017/050713 | 6/9/2017 | WO | 00 |
Number | Date | Country | |
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62348478 | Jun 2016 | US |