PMID- 23456144 OWN - NLM STAT- MEDLINE DCOM- 20130606 LR - 20191210 IS - 1560-2281 (Electronic) IS - 1083-3668 (Linking) VI - 18 IP - 6 DP - 2013 Jun TI - In vivo detection of basal cell carcinoma: comparison of a reflectance confocal microscope and a multiphoton tomograph. PG - 61229 LID - 10.1117/1.JBO.18.6.061229 [doi] AB - The standard diagnostic procedure for basal cell carcinoma (BCC) is invasive tissue biopsy with time-consuming histological examination. To reduce the number of biopsies, noninvasive optical methods have been developed providing high-resolution skin examination. We present direct comparison of a reflectance confocal microscope (RLSM) and a multiphoton tomograph (MPT) for BCC diagnosis. Both systems are applied to nine patients prior to surgery, and the results are analyzed, including histological results. Both systems prove suitable for detecting typical characteristics of BCC in various stages. The RLSM allows large horizontal overview images to be obtained, enabling the investigator to find the regions of interest quickly, e.g., BCC nests. Elongated cells and palisading structures are easily recognized using both methods. Due to the higher resolution, changes in nucleus diameter or cytoplasm could be visualized with the MPT. Therefore, the nucleus diameter, nucleus/cytoplasm ratio, and cell density are estimated for normal and BCC cells using the MPT. The nucleus of elongated BCC cells is significantly longer than other measured normal skin cells, whereas the cell density and nucleus/cytoplasm ratio of BCC cannot be significantly distinguished from granular cells. FAU - Ulrich, Martina AU - Ulrich M AD - Department of Dermatology, Allergology and Venerology, Charite-Universitatsmedizin Berlin, Chariteplatz 1, 10117 Berlin, Germany. FAU - Klemp, Marisa AU - Klemp M FAU - Darvin, Maxim E AU - Darvin ME FAU - Konig, Karsten AU - Konig K FAU - Lademann, Jurgen AU - Lademann J FAU - Meinke, Martina C AU - Meinke MC LA - eng PT - Comparative Study PT - Evaluation Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Biomed Opt JT - Journal of biomedical optics JID - 9605853 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Carcinoma, Basal Cell/*diagnosis/pathology MH - Cell Count MH - Cell Nucleus/pathology MH - Cell Nucleus Shape MH - Cell Nucleus Size MH - Cytoplasm/pathology MH - Female MH - Humans MH - Male MH - Microscopy, Confocal/*methods MH - Microscopy, Fluorescence, Multiphoton/*methods MH - Middle Aged MH - Optical Phenomena MH - Skin Neoplasms/*diagnosis/pathology MH - Tomography, Optical/*methods EDAT- 2013/03/05 06:00 MHDA- 2013/06/07 06:00 CRDT- 2013/03/05 06:00 PHST- 2013/03/05 06:00 [entrez] PHST- 2013/03/05 06:00 [pubmed] PHST- 2013/06/07 06:00 [medline] AID - 1659721 [pii] AID - 10.1117/1.JBO.18.6.061229 [doi] PST - ppublish SO - J Biomed Opt. 2013 Jun;18(6):61229. doi: 10.1117/1.JBO.18.6.061229.