Abstract
Optical coherence tomography (OCT) is an optical imaging technology that provides high-resolution images in the micrometer range. OCT creates in vivo images of the skin to a depth of up to 2 mm and can be used as an adjunct tool for diagnosing and monitoring specific lesions.
The literature on OCT imaging of the skin has focused on tumors, identifying OCT characteristics that may serve as diagnostic hallmarks. Other diseases have also been studied in small series, e.g., blistering diseases and wounds, with early data suggesting that OCT imaging may provide sufficient detail for monitoring these diseases. Recently, OCT has been utilized to describe dermal changes in fibrotic diseases, broadening the utility of the method.
High-definition OCT images provide images with a higher resolution, but with a lower penetration than conventional OCT. This method is less well described, but preliminary data imply that it may be useful in the study of not only of the abovementioned disease categories but also of inflammatory diseases, providing a further step in the quest for a true optical biopsy of the skin.
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References
Abignano G, Aydin SZ, Castillo-Gallego C, Liakouli V, Woods D, Meekings A, Wakefield RJ, McGonagle DG, Emery P, Del Galdo F. Virtual skin biopsy by optical coherence tomography: the first quantitative imaging biomarker for scleroderma.Ann Rheum Dis. 2013;72(11):1845–51.
Alawi SA, Kuck M, Wahrlich C, Batz S, McKenzie G, Fluhr JW, et al. Optical coherence tomography for presurgical margin assessment of non-melanoma skin cancer – a practical approach. Exp Dermatol. 2013;22(8):547–51.
Aydin SZ, Ash Z, Del Galdo F, Marzo-Ortega H, Wakefield RJ, Emery P, et al. Optical coherence tomography: a new tool to assess nail disease in psoriasis? Dermatology (Basel). 2011;222(4):311–3.
Aydin SZ, Castillo-Gallego C, Ash ZR, Abignano G, Marzo-Ortega H, Wittmann M, et al. Potential use of optical coherence tomography and high-frequency ultrasound for the assessment of nail disease in psoriasis and psoriatic arthritis. Dermatology (Basel). 2013;227(1):45–51.
Banzhaf C, Jemec GB. Imaging granulomatous lesions with optical coherence tomography. Case Rep Dermatol. 2012;4(1):14–8.
Banzhaf CA, Themstrup L, Ring HC, Mogensen M, Jemec GB. Optical coherence tomography imaging of non-melanoma skin cancer undergoing imiquimod therapy. Skin Res Technol. 2014;20(2):170–6.
Banzhaf CA, et al. Spatiotemporal closure of fractional laser-ablated channels imaged by optical coherence tomography and reflectance confocal microscopy. Lasers Surg Med. 2016;48(2):157–165.
Boone M, Jemec GB, Del Marmol V. High-definition optical coherence tomography enables visualization of individual cells in healthy skin: comparison to reflectance confocal microscopy. Exp Dermatol. 2012a;21(10):740–4.
Boone MA, Norrenberg S, Jemec GB, Del Marmol V. Imaging of basal cell carcinoma by high-definition optical coherence tomography: histomorphological correlation. A pilot study. Br J Dermatol. 2012b;167(4):856–64.
Boone M, Norrenberg S, Jemec G, Del Marmol V. High-definition optical coherence tomography: adapted algorithmic method for pattern analysis of inflammatory skin diseases: a pilot study. Arch Dermatol Res. 2013;305(4):283–97.
Chan CS, Rohrer TE. Optical coherence tomography and its role in mohs micrographic surgery: a case report. Case Rep Dermatol. 2012;4(3):269–74.
Christian Ring H, Hansen I, Stamp M, Jemec GB. Imaging cutaneous T-cell lymphoma with optical coherence tomography. Case Rep Dermatol. 2012;4(2):139–43.
Gambichler T, Moussa G, Sand M, Sand D, Altmeyer P, Hoffmann K. Applications of optical coherence tomography in dermatology. J Dermatol Sci. 2005;40(2):85–94.
Grover C, Khurana A. Onychomycosis: newer insights in pathogenesis and diagnosis. Indian J Dermatol Venereol Leprol. 2012;78(3):263–70.
Huang D, Swanson EA, Lin CP, Schuman JS, Stinson WG, Chang W, et al. Optical coherence tomography. Science (New York). 1991;254(5035):1178–81.
Hussain AA, Themstrup L, Jemec GB. Optical coherence tomography in the diagnosis of basal cell carcinoma. Arch Dermatol Res. 2015;307(1):1–10.
Jemec GB, Holm EA. Nonmelanoma skin cancer in organ transplant patients. Transplantation. 2003;75(3):253–7.
Kempf W, Mertz KD, Hofbauer GF, Tinguely M. Skin cancer in organ transplant recipients. Pathobiology. 2013;80(6):302–9.
Kuck M, Strese H, Alawi SA, Meinke MC, Fluhr JW, Burbach GJ, et al. Evaluation of optical coherence tomography as a non-invasive diagnostic tool in cutaneous wound healing. Skin Res Technol. 2014;20(1):1–7.
Madan V, Lear JT, Szeimies RM. Non-melanoma skin cancer. Lancet. 2010;375(9715):673–85.
Maier T, Braun-Falco M, Laubender RP, Ruzicka T, Berking C. Actinic keratosis in the en-face and slice imaging mode of high-definition optical coherence tomography and comparison with histology. Br J Dermatol. 2013;168(1):120–8.
Mogensen M, Jemec GB. Diagnosis of nonmelanoma skin cancer/keratinocyte carcinoma: a review of diagnostic accuracy of nonmelanoma skin cancer diagnostic tests and technologies. Dermatol Surg. 2007;33(10):1158–74.
Mogensen M, Morsy HA, Nurnberg BM, Jemec GB. Optical coherence tomography imaging of bullous diseases. J Eur Acad Dermatol Venereol. 2008;22(12):1458–64.
Mogensen M, Thrane L, Jorgensen TM, Andersen PE, Jemec GB. OCT imaging of skin cancer and other dermatological diseases. J Biophotonics. 2009a;2(6–7):442–51.
Mogensen M, Joergensen TM, Nurnberg BM, Morsy HA, Thomsen JB, Thrane L, et al. Assessment of optical coherence tomography imaging in the diagnosis of non-melanoma skin cancer and benign lesions versus normal skin: observer-blinded evaluation by dermatologists and pathologists. Dermatol Surg. 2009b;35(6):965–72.
Mogensen M, Nurnberg BM, Forman JL, Thomsen JB, Thrane L, Jemec GB. In vivo thickness measurement of basal cell carcinoma and actinic keratosis with optical coherence tomography and 20-MHz ultrasound. Br J Dermatol. 2009c;160(5):1026–33.
Mogensen M, Jorgensen TM, Thrane L, Nurnberg BM, Jemec GB. Improved quality of optical coherence tomography imaging of basal cell carcinomas using speckle reduction. Exp Dermatol. 2010;19(8):e293–5.
Mogensen M, Nurnberg BM, Thrane L, Jorgensen TM, Andersen PE, Jemec GB. How histological features of basal cell carcinomas influence image quality in optical coherence tomography. J Biophotonics. 2011;4(7–8):544–51.
Morsy H, Kamp S, Thrane L, Behrendt N, Saunder B, Zayan H, et al. Optical coherence tomography imaging of psoriasis vulgaris: correlation with histology and disease severity. Arch Dermatol Res. 2010;302(2):105–11.
Olsen J, Themstrup L, Jemec GB. Optical coherence tomography in dermatology. G Ital Dermatol Venereol. 2015;150(5):603–15.
Ring HC, Mogensen M, Hussain AA, Steadman N, Banzhaf C, Themstrup L, Jemec GB. Imaging of collagen deposition disorders using optical coherence tomography. J Eur Acad Dermatol Venereol. 2015;29(5):890–8.
Sattler EC, Poloczek K, Kastle R, Welzel J. Confocal laser scanning microscopy and optical coherence tomography for the evaluation of the kinetics and quantification of wound healing after fractional laser therapy. J Am Acad Dermatol. 2013;69(4):e165–73.
Schmitt AR, Bordeaux JS. Solar keratoses: photodynamic therapy, cryotherapy, 5-fluorouracil, imiquimod, diclofenac, or what? Facts and controversies. Clin Dermatol. 2013;31(6):712–7.
Serup J, Jemec GBE, Grove GL, editors. Handbook of non-invasive methods and the skin. 2nd ed. Boca Raton: Taylor and Francis Group; 2006.
Swanson EA, Izatt JA, Hee MR, Huang D, Lin CP, Schuman JS, et al. In vivo retinal imaging by optical coherence tomography. Opt Lett. 1993;18(21):1864–6.
Themstrup L, Banzhaf C, Mogensen M, Jemec GB. Cryosurgery treatment of actinic keratoses monitored by optical coherence tomography: a pilot study. Dermatology (Basel). 2012;225(3):242–7.
Themstrup L, Banzhaf CA, Mogensen M, Jemec GB. Optical coherence tomography imaging of non-melanoma skin cancer undergoing photodynamic therapy reveals subclinical residual lesions. Photodiagnosis Photodyn Ther. 2014;11(1):7–12.
Wang Z, Pan H, Yuan Z, Liu J, Chen W, Pan Y. Assessment of dermal wound repair after collagen implantation with optical coherence tomography. Tissue Eng Part C Methods. 2008;14(1):35–45.
Wang KX, Meekings A, Fluhr JW, McKenzie G, Lee DA, Fisher J, et al. Optical coherence tomography-based optimization of mohs micrographic surgery of Basal cell carcinoma: a pilot study. Dermatol Surg. 2013;39(4):627–33.
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Hussain, A.A., Themstrup, L., Mogensen, M., Jemec, G.B.E. (2017). Optical Coherence Tomography Imaging of the Skin. In: Humbert, P., Fanian, F., Maibach, H., Agache, P. (eds) Agache's Measuring the Skin. Springer, Cham. https://doi.org/10.1007/978-3-319-32383-1_53
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DOI: https://doi.org/10.1007/978-3-319-32383-1_53
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