Dynamic Optical Coherence Tomography in Dermatology

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Presentation transcript:

Dynamic Optical Coherence Tomography in Dermatology Dermatology 2016;232:298-311 - DOI:10.1159/000444706 Fig. 1. 3D surface reconstruction for a sample scan. © 2016 S. Karger AG, Basel

Dynamic Optical Coherence Tomography in Dermatology Dermatology 2016;232:298-311 - DOI:10.1159/000444706 Fig. 2. A comparison between the standard en face view and the depth-preserving en face view. © 2016 S. Karger AG, Basel

Dynamic Optical Coherence Tomography in Dermatology Dermatology 2016;232:298-311 - DOI:10.1159/000444706 Fig. 3. A reconstructed vascular network. © 2016 S. Karger AG, Basel

Dynamic Optical Coherence Tomography in Dermatology Dermatology 2016;232:298-311 - DOI:10.1159/000444706 Fig. 4. D-OCT en face view of normal skin located on the wrist of a 58-year-old patient (size: 6 mm × 6 mm). The image shown is at a skin depth of 0.44 mm. The vessels appear well defined, and the vascular pattern is well organized. © 2016 S. Karger AG, Basel

Dynamic Optical Coherence Tomography in Dermatology Dermatology 2016;232:298-311 - DOI:10.1159/000444706 Fig. 5. D-OCT en face view of normal skin located on the face of the same patient as in figure 4 (size: 6 mm × 6 mm). The image is at a skin depth of 0.44 mm. The diameters of the vessels appear larger, and the network is cruder compared to the vessels in figure 4; however, the vascular pattern still appears well organized. © 2016 S. Karger AG, Basel

Dynamic Optical Coherence Tomography in Dermatology Dermatology 2016;232:298-311 - DOI:10.1159/000444706 Fig. 6. En face view of BCC located on the cheek (size: 6 mm × 6 mm). The image shows that the calibre of the blood vessels varies greatly. The vessels are arranged in a disorganized way with a multitude of minute vessels. © 2016 S. Karger AG, Basel

Dynamic Optical Coherence Tomography in Dermatology Dermatology 2016;232:298-311 - DOI:10.1159/000444706 Fig. 7. En face view of a BCC located on the leg (size: 6 mm × 6 mm). The image shows a characteristic network of vessels lining the periphery of the tumour islands. © 2016 S. Karger AG, Basel

Dynamic Optical Coherence Tomography in Dermatology Dermatology 2016;232:298-311 - DOI:10.1159/000444706 Fig. 8. D-OCT en face view of an AK located on the face showing a reticular network of vessels around the adnexal structures (size: 6 mm × 6 mm). In comparison to the vessels in the normal skin, these appear slightly more enlarged and less well organized as in normal skin. © 2016 S. Karger AG, Basel

Dynamic Optical Coherence Tomography in Dermatology Dermatology 2016;232:298-311 - DOI:10.1159/000444706 Fig. 9. D-OCT en face view of Bowen's disease (SCC in situ) located on the trunk (size: 6 mm × 6 mm). In contrast to the vasculature in AK (fig. 8), the vessels are not arranged in a network but as predominantly dotted vessels. © 2016 S. Karger AG, Basel

Dynamic Optical Coherence Tomography in Dermatology Dermatology 2016;232:298-311 - DOI:10.1159/000444706 Fig. 10. D-OCT en face view of an invasive SCC located on the forehead (size: 6 mm × 6 mm). The vessels are irregularly distributed and show marked differences in their calibre and morphology. © 2016 S. Karger AG, Basel

Dynamic Optical Coherence Tomography in Dermatology Dermatology 2016;232:298-311 - DOI:10.1159/000444706 Fig. 11. D-OCT en face view of an irritated congenital naevus on the leg (size: 6 mm × 6 mm). The vessels are dotted and very regularly distributed within the lesion. © 2016 S. Karger AG, Basel

Dynamic Optical Coherence Tomography in Dermatology Dermatology 2016;232:298-311 - DOI:10.1159/000444706 Fig. 12. D-OCT en face view of a nodular melanoma with the presence of long linear vessels in a chaotic distribution (size: 6 mm × 6 mm). © 2016 S. Karger AG, Basel

Dynamic Optical Coherence Tomography in Dermatology Dermatology 2016;232:298-311 - DOI:10.1159/000444706 Fig. 13. Cheek of a rosacea patient (view size: 6 mm × 6 mm en face), directly below the epidermis in the stratum papillare (a), stratum reticulare of the dermis (b) and same depth directly after dye laser treatment (c). The bright broad vessel network in rosacea disappeared completely. © 2016 S. Karger AG, Basel

Dynamic Optical Coherence Tomography in Dermatology Dermatology 2016;232:298-311 - DOI:10.1159/000444706 Fig. 14. Nail fold of a patient with late stage of scleroderma (a) compared to a healthy control person (b). In scleroderma, the epidermis and dermis are severely thickened. There is a rarefaction of the blood vessels. The dense network with small vessels is replaced by broader vessels with a Y-shaped branching. In the nail fold of the scleroderma patient, the number of vessels is increased (arrow). 6 mm × 6 mm en face, 6 mm × 2 mm trans-sectional. © 2016 S. Karger AG, Basel

Dynamic Optical Coherence Tomography in Dermatology Dermatology 2016;232:298-311 - DOI:10.1159/000444706 Fig. 15. Burn wound with subepidermal blister formation. At the bottom of the blister, blood vessels are visible, corresponding to a burn depth of grade IIa. 6 mm × 6 mm en face, 6 mm × 2 mm trans-sectional. © 2016 S. Karger AG, Basel

Dynamic Optical Coherence Tomography in Dermatology Dermatology 2016;232:298-311 - DOI:10.1159/000444706 Fig. 16. Burn wound with a superficial necrosis, 5 days after thermal injury (boiling water; view size: 6 mm × 6 mm). Increased number of blood vessels below the necrosis (a), corresponding to inflammation and wound healing, compared to healthy adjacent skin of the same depth (b). A burn depth of grade IIa was confirmed by OCT. © 2016 S. Karger AG, Basel

Dynamic Optical Coherence Tomography in Dermatology Dermatology 2016;232:298-311 - DOI:10.1159/000444706 Fig. 17. Lower leg of a patient with a chronic venous ulcer. 6 mm × 6 mm en face, 6 × 2 mm trans-sectional. a Healthy-appearing skin outside the sclerotic area. Severely dilated lymphatic vessels without flow signal are seen. b Dermatosclerosis with slightly increased dotted vessels in the stratum papillare. c Border of the ulcer with bright larger dots of vessels. d Centre of the ulcer. The granulation tissue shows knots of blood vessels. © 2016 S. Karger AG, Basel

Dynamic Optical Coherence Tomography in Dermatology Dermatology 2016;232:298-311 - DOI:10.1159/000444706 Fig. 18. Scar on the cheek (view size: 6 mm × 6 mm). The vessels are increased in number and oriented in a parallel direction instead of a network pattern. © 2016 S. Karger AG, Basel

Dynamic Optical Coherence Tomography in Dermatology Dermatology 2016;232:298-311 - DOI:10.1159/000444706 Fig. 19. Psoriasis (a) compared to healthy adjacent skin (b). Despite marked morphological differences (thickened and bright stratum corneum, acanthosis), the number of blood vessels is increased in psoriasis. Especially in the upper stratum papillare, loops of dilated capillaries are present (arrows). 6 mm × 6 mm en face, 6 mm × 2 mm trans-sectional. © 2016 S. Karger AG, Basel