三维视角下LC-OCT和皮肤镜检查与皮肤病变血管形态的相关性:一项初步研究。

IF 2.3 4区 医学 Q2 DERMATOLOGY
Clément Lenoir, Mariano Suppa, Susana Puig, Véronique Del Marmol, Raquel Albero, Llucia Also, Carmen Orte Cano, Gwendoline Diet, Margot Fontaine, Linda Tognetti, Elisa Cinotti, Pietro Rubegni, Jean Luc Perrot, Josep Malvehy, Javiera Perez-Anker
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引用次数: 0

摘要

导读:血管模式在皮肤病变的诊断和鉴别中起着至关重要的作用,它提供了对潜在病理的洞察,并有助于区分良性和恶性病变。虽然皮肤镜已经证明了这些血管结构的可视化价值,但线场共聚焦光学相干断层扫描(LC-OCT)提供了高分辨率的皮肤三维成像,有可能提供血管结构的详细可视化和皮肤镜中血管投影的新见解。目的:本初步研究旨在探讨LC-OCT和皮肤镜下皮肤病变血管形态的相关性,并探讨三维成像在评估微血管结构方面的作用。方法:采用皮肤镜和LC-OCT检查14例不同类型皮肤病变患者。对LC-OCT图像进行分析,并对血管结构进行三维重建进行人工分割。然后定性地评估这些血管结构与其皮肤镜投射之间的相关性。结果:LC-OCT在识别血管模式方面与皮肤镜具有很强的视觉相关性,提供了皮肤微结构与皮肤病变中特定血管模式发展之间复杂关系的额外深度和3D细节。结论:LC-OCT与皮肤镜在皮肤病变血管模式分析中的相关性。3D成像的额外优势帮助我们了解皮肤病变中血管结构的形成方式,这取决于它们的微结构。LC-OCT可能在精确评估皮肤病变血管环境方面发挥重要作用。需要进一步的研究来评估这种方法如何为诊断或监测皮肤病变提供临床价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correlation of Vascular Patterns in Skin Lesions with LC-OCT and Dermoscopy with a Tridimensional Perspective: A Pilot Study.

Introduction: Vascular patterns play a crucial role in the diagnosis and differentiation of skin lesions by providing insight into underlying pathology and aid in distinguishing between benign and malignant lesions. While dermoscopy has proven valuable for visualizing these vascular structures, line-field confocal optical coherence tomography (LC-OCT) offers high-resolution, 3-dimensional (3D) imaging of the skin, potentially providing detailed visualization of vascular architecture and new insights into their projection in dermoscopy.

Objectives: This pilot study aimed to investigate the correlation between vascular patterns in skin lesions with LC-OCT and dermoscopy and explored tridimensional imaging in assessing microvascular architecture.

Methods: A cohort of patients with 14 diverse skin lesions showing typical dermoscopic vascular patterns were examined using dermoscopy and LC-OCT. LC-OCT images were analyzed, and manual segmentation with tridimensional reconstruction of the vascular structures was performed. The correlation between these vascular structures and their dermoscopic projection was then assessed qualitatively.

Results: LC-OCT demonstrated a strong visual correlation with dermoscopy in identifying vascular patterns, offering additional depth and 3D details of the intricate relationship between skin micro-architecture and the development of specific vascular patterns in skin lesions.

Conclusions: LC-OCT correlates with dermoscopy in vascular pattern analysis in skin lesions. The added advantage of 3D imaging helped us understand the way vascular structures are formed in skin lesions depending on their micro-architecture. LC-OCT could potentially play a significant role in precisely assessing the vascular environment of skin lesions. Further studies are necessary to assess how this could provide clinical value for diagnosing or monitoring skin lesions.

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