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Enhanced visualization of blood and pigment in multispectral skin dermoscopy

(2020) SKIN RESEARCH AND TECHNOLOGY. 26(5). p.708-712
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Abstract
Background and objectives Dermoscopy has proven its value in the diagnosis of skin cancer and, therefore, is well established in daily dermatology practice. Up until now, analogue white light dermoscopy is the standard. Multispectral dermoscopy is based on illumination of the skin with narrowband light sources with different wavelengths. Each of these wavelengths is differently absorbed by skin chromophores, such as pigment or (de)oxygenated blood. Multispectral dermoscopy could be a way to enhance the visualization of vasculature and pigment. We illustrate possible additional information by such "skin parameter maps" in some cases of basal cell carcinoma and Bowen's disease. Methods Using a new digital multispectral dermatoscope, skin images at multiple wavelengths are collected from different types of skin lesions. These particular images together with the knowledge on skin absorption properties, result in so called "skin parameter maps". Results A "pigment contrast map," which shows the relative concentration of primarily pigment, and a "blood contrast map" which shows the relative concentration of primarily blood were created. Especially, the latter is of importance in diagnosing keratinocyte skin cancer hence vascular structures are a characteristic feature, as further illustrated in the study. Conclusions Skin parameter maps based on multispectral images can give better insight in the inner structures of lesions, especially in lesions with characteristic blood vessels such as Bowen's disease and basal cell carcinoma. Skin parameter maps can be used complementary to regular dermoscopy and could potentially facilitate diagnosing skin lesions.
Keywords
Dermatology, basal cell carcinoma, bowen's disease, dermoscopy, multispectral, skin parameter maps, MELANOMA DIAGNOSIS

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MLA
Janssen, Laudine, et al. “Enhanced Visualization of Blood and Pigment in Multispectral Skin Dermoscopy.” SKIN RESEARCH AND TECHNOLOGY, vol. 26, no. 5, 2020, pp. 708–12, doi:10.1111/srt.12859.
APA
Janssen, L., Mylle, S., Van Kelst, S., De Smedt, J., Diricx, B., Kimpe, T., … Garmyn, M. (2020). Enhanced visualization of blood and pigment in multispectral skin dermoscopy. SKIN RESEARCH AND TECHNOLOGY, 26(5), 708–712. https://doi.org/10.1111/srt.12859
Chicago author-date
Janssen, Laudine, Sofie Mylle, Sofie Van Kelst, Julie De Smedt, Bart Diricx, Tom Kimpe, Marc Boone, Evelien Verhaeghe, Lieve Brochez, and Marjan Garmyn. 2020. “Enhanced Visualization of Blood and Pigment in Multispectral Skin Dermoscopy.” SKIN RESEARCH AND TECHNOLOGY 26 (5): 708–12. https://doi.org/10.1111/srt.12859.
Chicago author-date (all authors)
Janssen, Laudine, Sofie Mylle, Sofie Van Kelst, Julie De Smedt, Bart Diricx, Tom Kimpe, Marc Boone, Evelien Verhaeghe, Lieve Brochez, and Marjan Garmyn. 2020. “Enhanced Visualization of Blood and Pigment in Multispectral Skin Dermoscopy.” SKIN RESEARCH AND TECHNOLOGY 26 (5): 708–712. doi:10.1111/srt.12859.
Vancouver
1.
Janssen L, Mylle S, Van Kelst S, De Smedt J, Diricx B, Kimpe T, et al. Enhanced visualization of blood and pigment in multispectral skin dermoscopy. SKIN RESEARCH AND TECHNOLOGY. 2020;26(5):708–12.
IEEE
[1]
L. Janssen et al., “Enhanced visualization of blood and pigment in multispectral skin dermoscopy,” SKIN RESEARCH AND TECHNOLOGY, vol. 26, no. 5, pp. 708–712, 2020.
@article{8656753,
  abstract     = {{Background and objectives Dermoscopy has proven its value in the diagnosis of skin cancer and, therefore, is well established in daily dermatology practice. Up until now, analogue white light dermoscopy is the standard. Multispectral dermoscopy is based on illumination of the skin with narrowband light sources with different wavelengths. Each of these wavelengths is differently absorbed by skin chromophores, such as pigment or (de)oxygenated blood. Multispectral dermoscopy could be a way to enhance the visualization of vasculature and pigment. We illustrate possible additional information by such "skin parameter maps" in some cases of basal cell carcinoma and Bowen's disease.

Methods Using a new digital multispectral dermatoscope, skin images at multiple wavelengths are collected from different types of skin lesions. These particular images together with the knowledge on skin absorption properties, result in so called "skin parameter maps".

Results A "pigment contrast map," which shows the relative concentration of primarily pigment, and a "blood contrast map" which shows the relative concentration of primarily blood were created. Especially, the latter is of importance in diagnosing keratinocyte skin cancer hence vascular structures are a characteristic feature, as further illustrated in the study.

Conclusions Skin parameter maps based on multispectral images can give better insight in the inner structures of lesions, especially in lesions with characteristic blood vessels such as Bowen's disease and basal cell carcinoma. Skin parameter maps can be used complementary to regular dermoscopy and could potentially facilitate diagnosing skin lesions.}},
  author       = {{Janssen, Laudine and Mylle, Sofie and Van Kelst, Sofie and De Smedt, Julie and Diricx, Bart and Kimpe, Tom and Boone, Marc and Verhaeghe, Evelien and Brochez, Lieve and Garmyn, Marjan}},
  issn         = {{0909-752X}},
  journal      = {{SKIN RESEARCH AND TECHNOLOGY}},
  keywords     = {{Dermatology,basal cell carcinoma,bowen's disease,dermoscopy,multispectral,skin parameter maps,MELANOMA DIAGNOSIS}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{708--712}},
  title        = {{Enhanced visualization of blood and pigment in multispectral skin dermoscopy}},
  url          = {{http://doi.org/10.1111/srt.12859}},
  volume       = {{26}},
  year         = {{2020}},
}

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