Übersichtsarbeit
Julia Welzel
Optische Kohärenztomographie zur nichtinvasiven Diagnostik in der Dermatologie
Optical coherence tomography for non-invasive diagnostics in dermatology
Keywords | Summary | Correspondence | Literature
Keywords
non-invasive diagnosis, optical coherence tomography, skin cancer, therapy monitoring, wound healing
Schlüsselworte
Hautkrebs, nichtinvasive Diagnostik, Optische Kohärenztomographie, Therapiemonitoring, Wundheilung
Summary
Optical coherence tomography is a non-invasive imaging method. It provides in vivo real-time cross-sectional images of several millimetres length and a depth penetration down to lower parts of the dermis. the epidermis, upper dermis, blood vessels and adnex structures can be distinguished. Oct allows diagnosis of basal cell carcinomas and actinic keratoses as well as monitoring of inflammatory skin diseases and wound healing. In cosmetic dermatology, Oct can be used for objective quantification of treatment effects. Especially results of laser therapy can be visualized and evaluated using this method.
Zusammenfassung
Die optische Kohärenztomographie ist eine nichtinvasive bildgebende Methode. mit ihr lassen sich in vivo Schnittbilder von einigen millimetern Breite und einer tiefe bis in die mittlere Dermis in Echtzeit aufnehmen. An den Bildern können Epidermis, obere Dermis, Blutgefäße und Adnexe differenzieret werden. Die Methode eignet sich zur Diagnostik von Basalzellkarzinomen und aktinischen Keratosen sowie zur Verlaufsbeobachtung entzündlicher Dermatosen und von Wundheilung. Im Bereich der kosmetischen Dermatologie sind Einsatzmöglichkeiten zur Objektivierung und Quantifizierung von Therapieeffekten interessant. Insbesondere Effekte einer Lasertherapie lassen sich mit dieser Methode visualisieren und evaluieren.
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Korrespondenz-Adresse
Prof. Dr. med. Julia Welzel
''Klinik für Dermatologie und Allergologie
Sauerbruchstraße 6
D-86179 Augsburg
E-mail: julia.welzel@klinikum-augsburg.de
Literatur
1. Abignano G, Aydin SZ, Castillo-Gallego C, Liakouli V, Woods D, Meekings A, Wakefield RJ, McGonagle DG, Emery P, Del Galdo F (2013) Virtual skin biopsy by optical coherence tomography: the first quantitative imaging biomarker for scleroderma. Ann Rheum Dis 72: 1845-1851.
2. Alawi SA, Kuck M, Wahrlich C, Batz S, McKenzie G,Fluhr JW, Lademann J, Ulrich M (2013) Optical coherence tomography for presurgical margin assessment of non-melanoma skin cancer - a practical approach. Exp Dermatol 22: 547-551.
3. Banzhaf CA, Themstrup L, Ring HC, Welzel J, Mogensen M, Jemec GB (2013) In vivo Imaging of sarcoptes scabiei infestation using optical coherence tomography. Case Rep Dermatol 5: 156-162.
4. Coßmann M, Welzel J (2006) Evaluation of the atrophogenic potential of different glucocorticoids using optical coherence tomography, 20-MHz ultrasound and profilometry; a double-blind, placebo-controlled trial. Br J Dermatol 155: 700-706.
5. Gambichler T, Matip R, Moussa G, Altmeyer P, Hoffmann K (2006) In vivo data of epidermal thickness evaluated by optical coherence tomography: Effects of age, gender, skin type, and anatomic site. J Derm Sci 44: 145-152.
6. Gambichler T, Regeniter P, Bechara FG, Orlikov A, Vasa R, Moussa G, Stücker M, AltmeyerP, Hoffmann K (2007) Characterization of benign and malignant melanocytic skin lesions using optical coherence tomography in vivo. J Am Acad Dermatol 57: 629-637.
7. Hinz T, Ehler LK, Hornung T, Voth H, Fortmeier I, Maier T, Höller T, Schmid-Wendtner MH (2012) Preoperative characterization of basal cell carcinoma comparing tumour thickness measurement by optical coherence tomgraphy, 20-MHz ultrasound and histopathology. Acta Derm Venereol 92: 132-137.
8. Huang D, Swanson EA, Lin CP, Shuman JS, Stinson WG, Chang W, et al. (1991) Optical coherence tomography. Science 254: 1178-1181.
9. König K, Speicher M, Bückle R, Reckfort J, McKenzie G, Welzel J, Köhler MJ, Elsner P, Kaatz M (2009) Clinical optical coherence tomography combined with multiphoton tomography of patients with skin diseases. J Biophoton 2: 389–397.
10. Korde VR, Bonnema GT, Xu W, Krishnamurthy C, Ranger-Moore J, Saboda K, Slayton LD, Salasche SJ, Warneke JA, Alberts DS, Barton JK (2007) Using optical coherence tomography to evaluate skin sun damage and precancer. Lasers Surg Med 39: 687-695.
11. Kuck M, Strese H, Alawi SA, Meinke MC, Fluhr JW, Burbach GJ, Krah M, Sterry W, Lademann J (2013) Evaluation of optical coherence tomography as a non-invasive diagnostic tool in cutaneous wound healing. Skin Res Technol 2013 Jun 19. doi: 10.1111/srt.12077. [Epub ahead of print]
12. Maier T, Braun-Falco M, Laubender RP, Ruzicka T, Berking C (2012) Actinic keratosis in the en-face and slice imaging mode of high-definition optical coherence tomography and comparison with histology. Br J Dermatol 168: 120-128.
13. Maier T, Sattler E, Braun-Falco M, Ruzicka T, Berking C (2012) High-definition optical coherence tomography for the in vivo detection of demodex mites. Dermatology 225: 271-276.
14. Maier T, Braun-Falco M, Hinz T, Schmid-Wendtner MH, Ruzicka T, Berking C (2013) Morphology of basal cell carcinoma in high definition optical coherence tomography: en-face and slice imaging mode, and comparison with histology. J Eur Acad Dermatol Venereol 27: e97-104.
15. Morsy H, Kamp S, Thrane L. Behrendt N, Zayan H, Elmagid EA, Jemec GBE (2010) Optical coherence tomography imaging of psoriasis vulgaris: correlation with histology and disease severity. Arch Dermatol Res 302: 105-111.
16. Neerken S, Lucassen GW, Bisschop MA, et al. (2004) Characterization of age-related effects in human skin: a comparative study that applies confocal laser scanning microscopy and optical coherence tomography. J Biomed Opt 9: 274-281.
17. Olmedo JM, Karen EW, Joseph MS, David LS (2007) Correlation of thickness of basal cell carcinoma by optical coherence tomography in vivo and routine histologic findings: A pilot study. Dermatol Surg 33: 421-426.
18. Rothmund G, Sattler E, Kästle R, Fischer C, Haas CJ, Starz H, Welzel J (2013) Confocal laser scanning microscopy as a new valuable tool in the diagnosis of onychomycosis – comparison of six diagnostic methods. Mycoses 56:47-55.
19. Sattler E, Kaestle R, Rothmund G, Welzel J (2012) Confocal laser scanning microscopy, optical coherence tomography and transonychial water loss for in vivo investigation of nails. Br J Dermatol 166: 740-746.
20. Sattler EC, Poloczek K, Kästle R, Welzel J (2013) 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 69: e165-173.
21. Sattler E, Kästle R, Welzel J (2013) Optical coherence tomography in dermatology. J Biomed Opt 18: 061224.
22. Wang KX, Meekings A, Fluhr JW, McKenzie G, Lee DA, Fisher J, Markowitz O, Siegel DM (2013) Optical coherence tomography-based
optimization of mohs micrographic surgery of Basal cell carcinoma: a pilot study. Dermatol Surg 39: 627-33.
23. Welzel J, Lankenau E, Birngruber R, Engelhardt R (1997) Optical coherence tomography of the human skin. J Am Acad Dermatol 37: 958-963.
24. Welzel J, Bruhns M, Wolff HH (2003) Optical coherence tomography in contact dermatitis and psoriasis. Arch Dermatol Res 295: 50-55.
25. Welzel J, Reinhardt C, Lakenau E, et al. (2004) Changes in function and morphology of normal human skin: evaluation using optical coherence tomography. Br J Dermatol 150: 220-225.
26. Zafar H, Enfield J, O‘Connell ML, Ramsay B, Lynch M, Leahy MJ (2013) Assessment of psoriatic plaque in vivo with correlation mapping optical coherence tomography. Skin Res Technol. 2013 Jul 22. doi: 10.1111/ srt.12096. [Epub ahead of print]