1. Articles in category: Dermatology

    265-288 of 759 « 1 2 ... 9 10 11 12 13 14 15 ... 30 31 32 »
    1. High-definition optical coherence tomography algorithm for the discrimination of actinic keratosis from normal skin and from squamous cell carcinoma

      High-definition optical coherence tomography algorithm for the discrimination of actinic keratosis from normal skin and from squamous cell carcinoma

      Background Preliminary studies described morphological features of actinic keratosis (AK) and squamous cell carcinoma (SCC) imaged by High-Definition Optical Coherence Tomography (HD-OCT) and suggested that this technique may aid in their diagnosis. However, systematic studies evaluating the accuracy of HD-OCT for the diagnosis of AK and SCC are lacking so far. Objective In this study, we sought to design an algorithm for AK classification that could (i) distinguish SCC from AK and normal skin, (ii) differentiate AK from normal skin and (iii) discriminate AKs with adnexal involvement from those without. Methods A total of 53 histopathologically confirmed lesions (37 AKs ...

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    2. Assessment of a scoring system for Basal Cell Carcinoma with multi-beam optical coherence tomography

      Assessment of a scoring system for Basal Cell Carcinoma with multi-beam optical coherence tomography

      Background Multi-beam optical coherence tomography (OCT) is a novel method of non-invasive skin imaging allowing the evaluation of tissue at high level of lateral and axial resolution. It permits the horizontal and vertical evaluation of the extent of diseases. Objective Herein, we aimed to validate diagnosing basal cell carcinoma (BCC) by OCT using a newly developed scoring system (‘Berlin Score’-BS). This was based on the predetermined criteria such as dark border underneath the tumour and ovoid structures. Their frequency and distribution in subtypes of BCC were evaluated. Methods The study was conducted in two phases, in which the experience ...

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    3. Extracting subsurface fingerprints using Optical Coherence Tomography

      Extracting subsurface fingerprints using Optical Coherence Tomography

      Physiologists have found that fingerprint patterns exist in the inner layers (viz. papillary junction) of the skin of the fingertip. However, conventional acquisition systems do not have capabilities to extract fingerprints at subsurface layers of the finger for use in identity authentication. The subsurface fingerprint representation is of a higher quality than the surface representation as it does not contain deformations such as creases or scars which may be present on the surface of the fingertip. This paper presents a novel approach to extract the subsurface fingerprint representation using a high-resolution imaging technology known as Optical Coherence Tomography (OCT).

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    4. Andy Hill Appointed Chief Executive Officer of Michelson Diagnostics

      Andy Hill Appointed Chief Executive Officer of Michelson Diagnostics

      Michelson Diagnostics, the UK based medical device company focused on multi-beam Optical Coherence Tomography (‘OCT’) technology, announces the appointment of Andy Hill as Chief Executive Officer, effective from 1 February 2015. Jon Holmes will remain with the Company and take up the newly created role of Chief Technology Officer. Andy, aged 52, has substantial commercial experience in the international medical device industry with a track record of building early stage businesses with new and disruptive technologies in a wide range of clinical settings. Most recently, Andy was CEO and co-founder of Intelligent Ultrasound, a medical imaging software spinout from the ...

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    5. Identification of layers in optical coherence tomography of skin: comparative analysis of experimental and Monte Carlo simulated images

      Identification of layers in optical coherence tomography of skin: comparative analysis of experimental and Monte Carlo simulated images

      Background/purpose The goal of the study is comparative analysis of the layers in OCT images and the morphological structure of skin with thick and thin epidermis. Methods We analyzed the difference between skin with thin and thick epidermis in two ways. The first approach consisted in determination of the thicknesses of layers of skin with thin and thick epidermis of different localizations from experimental OCT images. The second approach was to develop numerical models fitting experimental OCT images based on Monte Carlo simulations revealing structure and optical parameters of layers of skin with thick and thin epidermis. Results The ...

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    6. A case report of differentiating staphylococcal scalded skin syndrome and toxic epidermal necrolysis by optical coherence tomography

      A case report of differentiating staphylococcal scalded skin syndrome and toxic epidermal necrolysis by optical coherence tomography

      Background Staphylococcal scalded skin syndrome (SSSS) and toxic epidermal necrolysis (TEN) both present with acute onset, high morbidity and significant mortality. Rapid diagnosis is therefore of importance. The aim of this study was to investigate and compare the presentation of these diseases using optical coherence tomography (OCT). Methods Two male patients with bullous diseases, SSSS and TEN, respectively, were photographed digitally, examined using dermoscopy, OCT scanned and subsequently biopsied in the said order. Results The bullous skin was visualized by OCT showing two distinct images: the SSSS-patient displayed superficial hyporefletive flaccid structures with a split high in the thickened (0 ...

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    7. Measurements of the thermal coefficient of optical attenuation at different depth regions of in vivo human skins using optical coherence tomography: a pilot study

      Measurements of the thermal coefficient of optical attenuation at different depth regions of in vivo human skins using optical coherence tomography: a pilot study

      We present detailed measurement results of optical attenuation’s thermal coefficients (referenced to the temperature of the skin surface) in different depth regions of in vivo human forearm skins using optical coherence tomography (OCT). We first design a temperature control module with an integrated optical probe to precisely control the surface temperature of a section of human skin. We propose a method of using the correlation map to identify regions in the skin having strong correlations with the surface temperature of the skin and find that the attenuation coefficient in these regions closely follows the variation of the surface temperature ...

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    8. Processing Optical Coherence Tomography Scans Of A Subject'S Skin

      Processing Optical Coherence Tomography Scans Of A Subject'S Skin

      A method of processing optical coherence tomography (OCT) scans of a subject's skin (7), the skin (7) having a surface(8), the method comprising capturing a plurality of scans through the subject's skin(7), the scans representing an OCT signal in slices through the user's skin (7) in parallel planes, the scans being offset from one another along a direction perpendicular to the parallel planes, the method comprising determining the position of the surface (8) of the skin (7) in each scan and displaying the scans to a user with an indication (9) indicative of a predetermined ...

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    9. Optical Coherence Tomography and Its Role for Delineating the Thickness of Keratinocyte Dysplasia and Neoplasia

      Optical Coherence Tomography and Its Role for Delineating the Thickness of Keratinocyte Dysplasia and Neoplasia

      Optical coherence tomography (OCT) can produce cross-sectional and en face, non-invasive, real-time images of skin. OCT produces high-resolution images at a micrometre resolution and has a maximum 2-mm penetration depth, which places OCT in the imaging gap between ultrasound and confocal microscopy. Much OCT research has been performed on keratinocyte dysplasia and neoplasia, primarily including basal cell carcinoma (BCC) and actinic keratosis. In regards to BCC and actinic keratosis, architectural disarray of the epidermis is an overall characteristic finding in OCT images. OCT can reliably differentiate between normal and lesional skin, which is of great importance when identifying tumour borders ...

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    10. Imaging of skin birefringence for human scar assessment using polarization-sensitive optical coherence tomography aided by vascular masking

      Imaging of skin birefringence for human scar assessment using polarization-sensitive optical coherence tomography aided by vascular masking

      We demonstrate the in vivo assessment of human scars by parametric imaging of birefringence using polarization-sensitive optical coherence tomography (PS-OCT). Such in vivo assessment is subject to artifacts in the detected birefringence caused by scattering from blood vessels. To reduce these artifacts, we preprocessed the PS-OCT data using a vascular masking technique. The birefringence of the remaining tissue regions was then automatically quantified. Results from the scars and contralateral or adjacent normal skin of 13 patients show a correspondence of birefringence with scar type: the ratio of birefringence of hypertrophic scars to corresponding normal skin is 2.2 ± 0.2 ...

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    11. Assessment of laser-induced acceleration effects in optical clearing of in vivo human skin by optical coherence tomography

      Assessment of laser-induced acceleration effects in optical clearing of in vivo human skin by optical coherence tomography

      Laser irradiation is considered to be a promising innovative technology which has been developed in an attempt to increase transdermal drug delivery. In this study, a near-infrared CW diode laser (785 nm) was applied to increase permeability of glycerol solutions in human skin in vivo and improve the optical clearing efficacy. Results show that for both 15%v/v and 30%v/v glycerol, the permeability coefficient increased significantly if the detected area of the skin tissue was treated with laser irradiation before optical clearing agents (OCAs) were applied. This study based on optical coherence tomography imaging technique and optical ...

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    12. Cross-evaluation of optimal glycerol concentration to enhance optical tissue clearing efficacy

      Cross-evaluation of optimal glycerol concentration to enhance optical tissue clearing efficacy

      Background/aims The efficacy of light therapeutic and diagnostic applications can be enhanced by employing optical tissue clearing (OTC) agents to minimize light scattering in tissue. This study aimed to investigate the optimal concentration of glycerol, so that it can be efficiently used as an OTC agent in dermatology. Methods Glycerol was topically applied to avoid the possibility of edema that could be caused by dermal injection. The efficacy of glycerol was quantitatively evaluated for various concentrations using optical coherence tomography (OCT) to evaluate light scattering and ultrasound imaging modality to evaluate collagen dissociation. Results The intensity in the OCT ...

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    13. Optical coherence tomography: a potential tool for prediction of treatment response for port wine stain after photodynamic therapy

      Optical coherence tomography: a potential tool for prediction of treatment response for port wine stain after photodynamic therapy

      Response of port wine stain (PWS) to photodynamic therapy treatment (PDT) is variable and depends on treatment setting used and anatomic sites as well as on size and depth of ectatic vessels. Optical coherence tomography (OCT) is a non-destructive imaging modality which can reveal the layered structure of the upper part of the skin. The structural features of the PWS skin such as the diameter and depth of the blood vessels in different anatomic sites can be showed in the OCT images. In this study, the possible role of PWS skin structure in the response to PDT is assessed. 82 ...

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    14. Noninvasive monitoring of photodynamic therapy on skin neoplastic lesions using the optical attenuation coefficient measured by optical coherence tomograph

      Noninvasive monitoring of photodynamic therapy on skin neoplastic lesions using the optical attenuation coefficient measured by optical coherence tomograph

      Photodynamic therapy (PDT) has become a promising alternative for treatment of skin lesions such as squamous cell carcinoma. We propose a method to monitor the effects of PDT in a noninvasive way by using the optical attenuation coefficient (OAC) calculated from optical coherence tomography (OCT) images. We conducted a study on mice with chemically induced neoplastic lesions and performed PDT on these lesions using homemade photosensitizers. The response of neoplastic lesions to therapy was monitored using, at the same time, macroscopic clinical visualization, histopathological analysis, OCT imaging, and OCT-based attenuation coefficient measurement. Results with all four modalities demonstrated a positive ...

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    15. Feature Of The Week 11/16/14: In Vivo Analysis of Burns in a Mouse Model using Spectroscopic OCT

      Feature Of The Week 11/16/14: In Vivo Analysis of Burns in a Mouse Model using Spectroscopic OCT

      Evaluation of burn severity is a significant clinical problem with over 2 million burns reported each year in the United States [1]. The magnitude of this clinical need has inspired the development of many technologies to assess burn depth, but none of these have been widely adopted as clinical judgment still relies primarily on visual inspection, with an accuracy of about 70% [2]. A recent study by researchers at Duke University used spectroscopic optical coherence tomography (OCT) to evaluate burned animal tissues in vivo. Spectroscopic OCT is an extension of conventional OCT that can measure depth-resolved scattering and absorption spectra ...

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    16. In Vivo Imaging of Miliaria Profunda Using High-Definition Optical Coherence Tomography: Diagnosis, Pathogenesis, and Treatment

      In Vivo Imaging of Miliaria Profunda Using High-Definition Optical Coherence Tomography: Diagnosis, Pathogenesis, and Treatment

      Miliaria profunda (MP) is a condition of sweat duct obstruction manifesting with generalized papular eruption and anhidrosis. 1 , 2 Using imaging with high-definition optical coherence tomography (HD-OCT), we identified, in vivo, the depth of lesions in MP and the likely location of sweat duct obstruction. To our knowledge, this is the first time such an evaluation has been performed.

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    17. Fabrication of a novel dissolving polymer microneedle patch for transdermal drug delivery

      Fabrication of a novel dissolving polymer microneedle patch for transdermal drug delivery

      Polymer microneedles (MNs) have gained increasing attention as a minimally invasive method for efficiently delivering drugs and vaccines in a patient-friendly manner. Herein, an easy and mild process with O2 plasma treatment was used to fabricate polyvinylpyrrolidone (PVP)/polyvinyl alcohol (PVA) MN patches, and efficient, sustained transdermal delivery was achieved. The diffusion rate of the entrained molecules could be controlled by adjusting the ratio of PVP/PVA. Optical coherence tomography was used to monitor the in vitro penetration in real time and to measure the penetration depth. Rhodamine 6G and fluorescein isothiocyanate-labeled bovine serum albumin (BSA-FITC) were used to explore ...

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    18. In Vivo High-Definition Optical Coherence Tomography: A Bedside Diagnostic Aid for Morphea

      In Vivo High-Definition Optical Coherence Tomography: A Bedside Diagnostic Aid for Morphea

      Optical coherence tomography (OCT) is a noninvasive imaging technique that allows real-time high-definition cross-sectional visualization of tissues. Conventional OCT was introduced in dermatology in 1997 and has shown benefit in evaluating malignant neoplasms and inflammatory skin disorders. 1 , 2 High-definition OCT (HD-OCT) scanners have recently been developed; they provide a higher resolution than conventional OCT and horizontal, in additional to vertical, sectional imaging, which conventional OCT does not provide.

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    19. MedLumics Introduces NITID Skin Imaging System at EADV

      MedLumics Introduces NITID Skin Imaging System at EADV

      MedLumics, a medical imaging company specializing in advanced optical coherence tomography (OCT) technology, debuted its NITID TM skin imaging system at the 23 rd Annual European Academy of Dermatology and Venereology Congress in Amsterdam. NITID is a handheld diagnostic device designed to help dermatologists quickly and minimally invasively diagnose skin cancer. Once approved by regulatory bodies, it will be the first point-of-care OCT imaging device that can produce dynamic, real-time, high-resolution diagnostic images with tissue penetration capability of up to two millimeters. “NITID is the result of a decade of research in optical miniaturization technology, and we are thrilled to ...

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    20. Three-Dimensional High Definition-Optical Coherence Tomography Image Acquisition Procedure For Basal Cell Carcinoma

      Three-Dimensional High Definition-Optical Coherence Tomography Image Acquisition Procedure For Basal Cell Carcinoma

      We read with great interest the paper "Histopathological correlates of basal cell carcinoma in slice and en-face imaging modes of high-definition optical coherence tomography" by Gambichler et al. Optical Coherence Tomography (OCT) seems an interesting technology to study skin tumours. In particular it has been found helpful for basal cell carcinoma (BCC) diagnosis in several investigations. 

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