The project
Strategy and implementation
Current methods for assessing tumor margins in breast-conserving surgery are slow, subjective, and often result in incomplete tumor removal, leading to high reoperation rates and increased healthcare costs. Postoperative histopathological analysis can take days, while intraoperative frozen-section analysis is time-consuming, prone to sampling errors, and not widely accessible.
Spectra-BREAST will introduce an advanced multimodal solution that combines a custom-designed Hyperspectral Imaging (HSI) system, fiber-optic Raman Spectroscopy (RS), and hybrid AI algorithms. First (1), a next-generation HSI camera will rapidly scan the entire resected specimen in 2 minutes, detecting suspicious or close tumor margins. Then (2), AI models will guide a robotic arm equipped with a fiber-optic Raman probe to precisely target these regions and perform in-depth spectral analysis (3) to confirm tumor presence up to 2 mm beneath the tissue surface. This integrated workflow will deliver real-time, highly accurate feedback (sensitivity and specificity >95%) in under 5 minutes, enabling surgeons to achieve complete tumor removal in a single procedure and reducing reoperations by up to 90%.
Implementation
Workplan
Spectra-BREAST’s structured work plan integrates cutting-edge technology development, clinical validation, and strategic dissemination to deliver a transformative solution for breast cancer surgery.
WP1 Development of the Hyperspectral imaging system
Activities Leader: NIREOS
A custom hyperspectral imaging system will be designed and optimized for detecting cancer cells in breast tissue.
WP2 Development of the fiberoptic Raman technology
Activities Leader: RiverD
A fiber-optic Raman probe will be developed to analyze tissue surfaces and subsurfaces up to 2 mm deep.
WP3 AI modeling
Activities Leader: UPM
Advanced hybrid AI models (Transformer + CNN) will be created to classify hyperspectral and Raman data with >95% accuracy.
WP4 Integration
Activities Leader: PoliMI
All developed technologies (HSI, Raman, AI) will be integrated into a single, user-friendly device for intraoperative use.
WP5 Specimen collection and validation
Activities Leader: ICS Maugeri
The integrated device will be validated on freshly excised breast cancer samples to assess performance against clinical standards.
WP6 Dissemination, Communications and Exploitation
Activities Leader: CNR
A strategic plan will ensure effective communication, dissemination, and exploitation of project results for maximum impact.
WP7 Project and Ethical & Legal requirements Management
Activities Leader: ICS Maugeri
Efficient project management will ensure timely progress, scientific quality, and compliance with ethical and legal standards.
About Us
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