1. Articles in category: Dermatology

    1-24 of 694 1 2 3 4 ... 27 28 29 »
    1. Monte-Carlo simulation of OCT structural images of human skin using experimental B-scans and voxel based approach to optical properties distribution

      Monte-Carlo simulation of OCT structural images of human skin using experimental B-scans and voxel based approach to optical properties distribution

      A method of optical coherence tomography (OCT) structural images reconstruction using Monte Carlo simulations is described. Biological object is considered as a set of 3D elements that allow simulation of media, structure of which cannot be described analytically. Each voxel is characterized by its refractive index and anisotropy parameter, scattering and absorption coefficients. B-scans of the inner structure are used to reconstruct a simulated image instead of analytical representation of the boundary geometry. Henye-Greenstein scattering function, Beer-Lambert-Bouguer law and Fresnel equations are used for photon transport description. Efficiency of the described technique is checked by the comparison of the simulated ...

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    2. I can’t always play it safe with my patients. That’s why I cautiously innovate

      I can’t always play it safe with my patients. That’s why I cautiously innovate

      A s a profession, doctors are determined and cautious. We are determined to do our best and provide the best care for our patients. But we can be quite cautious about trying out new treatments or technologies to help provide that “best care.” Some hesitation makes sense. Countless treatments that sounded promising at the time fell by the wayside because they didn’t measure up — or caused harm. One example: Fifty years ago, dermatologists often used radiation to treat acne. It seemed to work, but researchers later learned that it increased the risk for thyroid, skin, and other cancers. Yet ...

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      Mentions: Orit Markowitz
    3. An intelligent despeckling method for swept source optical coherence tomography images of skin

      An intelligent despeckling method for swept source optical coherence tomography images of skin

      Optical Coherence Optical coherence tomography is a powerful high-resolution imaging method with a broad biomedical application. Nonetheless, OCT images suffer from a multiplicative artefacts so-called speckle, a result of coherent imaging of system. Digital filters become ubiquitous means for speckle reduction. Addressing the fact that there still a room for despeckling in OCT, we proposed an intelligent speckle reduction framework based on OCT tissue morphological, textural and optical features that through a trained network selects the winner filter in which adaptively suppress the speckle noise while preserve structural information of OCT signal. These parameters are calculated for different steps of ...

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    4. Secure fingerprint identification based on structural and microangiographic optical coherence tomography

      Secure fingerprint identification based on structural and microangiographic optical coherence tomography

      Optical coherence tomography (OCT) allows noncontact acquisition of fingerprints and hence is a highly promising technology in the field of biometrics. OCT can be used to acquire both structural and microangiographic images of fingerprints. Microangiographic OCT derives its contrast from the blood flow in the vasculature of viable skin tissue, and microangiographic fingerprint imaging is inherently immune to fake fingerprint attack. Therefore, dual-modality (structural and microangiographic) OCT imaging of fingerprints will enable more secure acquisition of biometric data, which has not been investigated before. Our study on fingerprint identification based on structural and microangiographic OCT imaging is, we believe, highly ...

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    5. From actinic keratosis to squamous cell carcinoma: pathophysiology revisited

      From actinic keratosis to squamous cell carcinoma: pathophysiology revisited

      The precursor of most cutaneous invasive squamous cell carcinomas (iSCCs) is intraepithelial UV-induced damage, known as field cancerization, which can eventually transform into actinic keratosis (AK). Although AK is the most common precursor of iSCC, many AKs will either persist in the same stage or regress, while only a few will progress into iSCC. Nevertheless, because the progression of individual AKs cannot be predicted, it has been proposed that all AKs, regardless of the grade, should be carefully monitored and appropriately treated in clinical practice. Modern imaging techniques such as dermatoscopy, reflectance confocal microscopy (RCM) and high-definition optical coherence tomography ...

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    6. Quantitative characterization of mechanically indented in vivo human skin in adults and infants using optical coherence tomography

      Quantitative characterization of mechanically indented in vivo human skin in adults and infants using optical coherence tomography

      Influenced by both the intrinsic viscoelasticity of the tissue constituents and the time-evolved redistribution of fluid within the tissue, the biomechanical response of skin can reflect not only localized pathology but also systemic physiology of an individual. While clinical diagnosis of skin pathologies typically relies on visual inspection and manual palpation, a more objective and quantitative approach for tissue characterization is highly desirable. Optical coherence tomography (OCT) is an interferometry-based imaging modality that enables in vivo assessment of cross-sectional tissue morphology with micron-scale resolution, which surpasses those of most standard clinical imaging tools, such as ultrasound imaging and magnetic resonance ...

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    7. A novel dermo-epidermal localization algorithm for swept source OCT images of human skin

      A novel dermo-epidermal localization algorithm for swept source OCT images of human skin

      Optical coherence tomography (OCT) is a noninvasive diagnostic method that offers a view into the superficial layers of the skin in vivo in real-time. OCT delivers morphological images of microstructures within the skin. Epidermal thickness in OCT images is of paramount importance, since dermo-epidermal junction (DEJ) location alteration is the start of several skin abnormalities. Due to the presence of speckle noise, devising an algorithm for locating DEJ in the OCT images is challenging. In this study we propose a semi-automatic DEJ detection algorithm based on graph theory that is resistant to speckle. In this novel approach we use attenuation ...

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    8. Textural analysis of optical coherence tomography skin images: quantitative differentiation between healthy and cancerous tissues

      Textural analysis of optical coherence tomography skin images: quantitative differentiation between healthy and cancerous tissues

      Optical Coherence Tomography (OCT) offers real-time high-resolution three-dimensional images of tissue microstructures. In this study, we used OCT skin images acquired from ten volunteers, neither of whom had any skin conditions addressing the features of their anatomic location. OCT segmented images are analyzed based on their optical properties (attenuation coefficient) and textural image features e.g., contrast, correlation, homogeneity, energy, entropy, etc. Utilizing the information and referring to their clinical insight, we aim to make a comprehensive computational model for the healthy skin. The derived parameters represent the OCT microstructural morphology and might provide biological information for generating an atlas ...

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    9. Vehicle type affects filling of fractional laser-ablated channels imaged by optical coherence tomography

      Vehicle type affects filling of fractional laser-ablated channels imaged by optical coherence tomography

      Ablative fractional laser (AFXL) is an emerging method that enhances topical drug delivery. Penetrating the skin in microscopic, vertical channels, termed microscopic treatment zones (MTZs), the fractional technique circumvents the skin barrier and allows increased uptake of topically applied drugs. This study aims to elucidate the impact of vehicle type on the filling of MTZs from application of liquid, gel, and cream vehicles. Ex vivo pig skin was exposed to 10,600 nm fractional CO 2 laser at 5% density, 120 μm beam diameter, and fluences of 40 and 80 mJ/microbeam (mJ/mb). Six repetitions were performed for each ...

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    10. Multi-beam optical coherence tomography for microvascular imaging of human skin in vivo

      Multi-beam optical coherence tomography for microvascular imaging of human skin in vivo

      In this paper, a multi-beam optical coherence tomography (OCT) was used to reconstruct the microvascular image of human skin in vivo with phase resolved Doppler OCT (PRDOCT), phase resolved Doppler variance (PRDV) and speckle variance OCT (svOCT), in which the blood flow image was calculated by averaging the four blood flow images obtained by the four beams. In PRDOCT method, it is difficult to detect the blood flow perpendicular to optical axis of the probe beam for single beam OCT, but the multi-beam scanning method can solve this because the input angles of the four probe beams are slightly different ...

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    11. Birefringence and vascular imaging of in vivo human skin by Jones-matrix optical coherence tomography

      Birefringence and vascular imaging of in vivo human skin by Jones-matrix optical coherence tomography

      A customized 1310-nm Jones-matrix optical coherence tomography (JM-OCT) for dermatological investigation was constructed and used for in vivo normal human skin tissue imaging. This system can simultaneously measure the threedimensional depth-resolved local birefringence, complex-correlation based OCT angiography (OCT-A), degree-ofpolarization- uniformity (DOPU) and scattering OCT intensity. By obtaining these optical properties of tissue, the morphology, vasculature, and collagen content of skin can be deduced and visualized. Structures in the deep layers of the epithelium were observed with depth-resolved local birefringence and polarization uniformity images. These results suggest high diagnostic and investigative potential of JM-OCT for dermatology.

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    12. Non-invasive skin imaging for the diagnosis of myiasis

      Non-invasive skin imaging for the diagnosis of myiasis

      A 52-year-old man presented with a painful ulceration of the scalp (Fig. 1a). He had returned from Guyana the previous week. Dermoscopic examination (FotoFinder Systems GmbH, Bad Birnbach, Germany) showed an intermittent dynamic aspect changing from a sanguineous roundish ulcer (Fig. 1b) to a peculiar roundish structure characterized by a yellowish peripheral ring and a central brownish part (Fig. 1c). High-definition optical coherence tomography (HD-OCT; Skintell ® ; Agfa Gevaert, Antverpen, Belgium) showed a skin cavity (Fig. 2a). Reflectance confocal microscopy (RCM; Vivascope 3000 ® , Caliber, New York, USA, distributed in Europe by MAVIG GmbH, München, Germany) showed the roundish structure observed ...

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      Mentions: AGFA Healthcare
    13. Optical coherence tomography imaging of bullous diseases

      Optical coherence tomography imaging of bullous diseases

      Background  Optical coherence tomography (OCT) is a non-invasive optical imaging technique with a micrometer resolution that may potentially offer real-time bedside imaging of sufficient detail to allow for morphological discrimination between different types of bullae. Objective  To explore the potential of OCT in bullous skin disorders by looking at a set of patients with skin blisters of known origin and study the OCT images for possible hallmarks of the blistering level. Materials and methods  OCT provides cross-sectional, tomographic images of the skin. A consecutive series of patients were recruited and their lesions imaged by OCT: 3 patients with bullous pemphigoid ...

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    14. Characterizing the microcirculation of atopic dermatitis using angiographic optical coherence tomography

      Characterizing the microcirculation of atopic dermatitis using angiographic optical coherence tomography

      Background and Aim: With inflammatory skin conditions such as atopic dermatitis (AD), epidermal thickness is mediated by both pathological hyperplasia and atrophy such as that resulting from corticosteroid treatment. Such changes are likely to influence the depth and shape of the underlying microcirculation. Optical coherence tomography (OCT) provides a non-invasive view into the tissue, however structural measures of epidermal thickness are made challenging due to the lack of a delineated dermal-epidermal junction in AD patients. Instead, angiographic extensions to OCT may allow for direct measurement of vascular depth, potentially presenting a more robust method of estimating the degree of epidermal ...

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    15. Optical coherence tomography for image-guided dermal filler injection and biomechanical evaluation

      Optical coherence tomography for image-guided dermal filler injection and biomechanical evaluation

      Dermal fillers are a very popular anti-aging treatment with estimated sales in the billions of dollars and millions of procedures performed. As the aging population continues to grow, these figures are only expected to increase. Dermal fillers have various compositions depending on their intended application. Reactions to dermal fillers can be severe, such as ischemic events and filler migration to the eyes. However, these adverse reactions are rare. Nevertheless, the capability to perform image-guided filler injections would minimize the risk of such reactions. In addition, the biomechanical properties of various fillers have been evaluated, but there has been no investigation ...

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    16. Optical coherence tomography in the diagnosis of actinic keratosis – A systematic review

      Optical coherence tomography in the diagnosis of actinic keratosis – A systematic review

      Background Optical coherence tomography (OCT) is a real-time non-invasive imaging tool, introduced in dermatology in the late 1990s. OCT uses near-infrared light impulses to produce images which can be displayed in cross-sectional and en-face mode. The technique has been used to image skin diseases especially non-melanoma skin cancer including actinic keratosis (AK). Morphological characteristics of AK can be visualized in OCT images and can be used for diagnosis as well as disease monitoring. Methods A systematic review of original papers on AK and OCT was performed on 31.03.16 and 24.10.16 in the major databases Pubmed, MEDLINE ...

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    17. An integrated skin marking tool for use with optical coherence tomography (OCT)

      An integrated skin marking tool for use with optical coherence tomography (OCT)

      Optical coherence tomography (OCT) has been shown to provide clinically valuable images that can aid in the assessment of the pre-surgical margin in basal cell carcinoma (BCC). The accuracy and speed with which these images can be used to help delineate margins in the clinic are currently constrained by the need to suspend imaging whilst a pen is used to mark the skin. This constraint has been circumvented here by the design of a trigger-activated ink-loaded nib integrated with the OCT probe. The adapted OCT probe enables a mark to be placed on the skin precisely where a region of ...

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    18. Three-dimensional multi-contrast imaging of in vivo human skin by Jones matrix optical coherence tomography

      Three-dimensional multi-contrast imaging of in vivo human skin by Jones matrix optical coherence tomography

      A custom made dermatological Jones matrix optical coherence tomography (JM-OCT) is presented. It uses a passive-polarization-delay component based swept-source JM-OCT configuration, but is specially designed for in vivo human skin measurement. The center wavelength of its probe beam is 1310 nm and the A-line rate is 49.6 kHz. The JM-OCT is capable of simultaneously providing birefringence (local retardation) tomography, degree-of-polarization-uniformity tomography, complex-correlation-based optical coherence angiography, and conventional scattering OCT. To evaluate the performance of this JM-OCT, we measured in vivo human skin at several locations. Using the four kinds of OCT contrasts, the morphological characteristics and optical properties of ...

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    19. Dermoscopy guided dark-field multi-functional optical coherence tomography

      Dermoscopy guided dark-field multi-functional optical coherence tomography

      Dermoscopy is a skin surface microscopic technique allowing specular reflection free observation of the skin, and has been used to examine pigmented skin lesions. However, dermoscopy has limitations in providing depth information due to lack of 3D resolution. In order to overcome the limitations, we developed dermoscopy guided multi-functional optical coherence tomography (MF-OCT) providing both high-contrast superficial information and depth-resolved structural, birefringent, and vascular information of the skin simultaneously. Dermoscopy and MF-OCT were combined by using a dichroic mirror, and dark-field configuration was adapted for MF-OCT to reduce specular reflection. After characterization, dermoscopy guided MF-OCT was applied to several human ...

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    20. Optical Coherence Tomography Imaging of Basal Cell Carcinoma Undergoing Photodynamic Therapy: A Pilot Study

      Optical Coherence Tomography Imaging of Basal Cell Carcinoma Undergoing Photodynamic Therapy: A Pilot Study

      The conversion of hyporeflective basal cell carcinoma nodules into hyperreflective ovoid structures was remarked with optical coherence tomography (OCT) as a sign of tumor regression under photodynamic therapy (PDT). OCT presented a higher accuracy in identifying residual and non-residual lesions after PDT treatment compared to clinical inspection alone.  OCT might be used in the future as a standard procedure for detecting non-melanoma skin cancer sparing patients invasive procedures.

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    21. Optical coherence tomography as a method for quantitative skin evaluation in systemic sclerosis

      Optical coherence tomography as a method for quantitative skin evaluation in systemic sclerosis

      Improved, non-invasive techniques for the diagnosis, classification and monitoring of patients with systemic sclerosis (SSc) are needed. One potential technique for quantifying the extent of cutaneous sclerosis in these patients is optical coherence tomography (OCT). 1 , 2 Recently, Abignano et al 3 suggested the use of OCT as a feasible and reliable technique to evaluate skin fibrosis in SSc. Based on that initial work, the aim of this study was to evaluate OCT images and compare the findings with the modified Rodnan skin score (mRSS) in patients with SSc. Thirty-three Brazilian patients with SSc (28 women; mean age 46.1 ...

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    1-24 of 694 1 2 3 4 ... 27 28 29 »
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