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Confocal reflectance microscopy: diagnosis of skin cancer without biopsy?

机译:共聚焦反射显微镜:无需活检即可诊断皮肤癌?

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摘要

X-ray tomography, magnetic resonance imaging, and ultrasound are noninvasive biomedical imaging modalities commonly used in the clinic. These imaging modalities have resolutions of 10 to 1,000 mu m, which allows assessment of the gross (macro) structure of living tissue but not its detailed cellular and nuclear microstructures. Clinical assessment of cellular and nuclear microstructure (histology) requires a resolution of 0.1 to 10 mu m and is performed by conventional optical microscopy. Conventional microscopy is invasive: one must remove (biopsy) the tissue, fix or freeze, excise into thin sections (typically 5- mu m slices), and stain with dyes to enhance contrast. Biopsies destroy the site being investigated and prevent subsequent imaging of dynamic events. Tissue processing introduces artifacts and is expensive and time consuming. An alternative technique that potentially avoids biopsies or tissue processing is confocal reflectance microscopy. A confocal microscope can noninvasively image cellular and nuclear microstructures in thin sections within living tissue with high resolution and contrast (Pawley, 1995; Webb, 1996).
机译:X射线断层扫描,磁共振成像和超声检查是临床上常用的非侵入性生物医学成像方式。这些成像方式的分辨率为10到1,000微米,可以评估活组织的总体(宏观)结构,但不能评估其详细的细胞和核微结构。细胞和核微结构(组织学)的临床评估要求分辨率为0.1至10微米,并通过常规光学显微镜进行。常规显微镜是侵入性的:必须切除(活组织检查)组织,固定或冷冻,切成薄片(通常为5微米切片),并用染料染色以增强对比度。活组织检查会破坏正在研究的部位,并阻止后续的动态事件成像。组织处理会引入伪影,并且昂贵且耗时。可以避免活组织检查或组织处理的另一种技术是共聚焦反射显微镜。共聚焦显微镜可以以高分辨率和高对比度对活组织内薄切片中的细胞和核微结构进行无创成像(Pawley,1995; Webb,1996)。

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