10.5826/dpc.1401a10
text/xml
2160-9381
3317
en
Javiera Perez-Anker
https://creativecommons.org/licenses/by-nc/4.0
Dermatology Practical & Conceptual
Simple Paper Tape as a Navigation Guide for Handheld in Vivo Imaging Techniques: Line-field Confocal Optical Coherence Tomography (LC-OCT) and Reflectance Confocal Microscopy (RCM)
Text.Serial.Journal
https://dpcj.org/index.php/dpc
Image Letter
2024-01-31
2023-03-06
2024-01-31
2024-02-21
e2024010
Dermatol Pract Concept
Javiera Perez-Anker
2024/01/31
10.5826/dpc.1401a10
e2024010
Melanoma Unit, Hospital Clinic Barcelona, University of Barcelona, Barcelona, Spain
2160-9381
en
e2024010
Marino ML, Rogers T, Sierra Gil H, Rajadhyaksha M, Cordova MA, Marghoob AA. Improving lesion localization when imaging with handheld reflectance confocal microscope. Skin Res Technol. 2016 Nov;22(4):519-520.
Simple Paper Tape as a Navigation Guide for Handheld in Vivo Imaging Techniques: Line-field Confocal Optical Coherence Tomography (LC-OCT) and Reflectance Confocal Microscopy (RCM)
https://dpcj.org/index.php/dpc/article/download/3317/2542
    Simple Paper Tape as a Navigation Guide for
   Handheld in Vivo Imaging Techniques: Line-field
  Confocal Optical Coherence Tomography (LC-OCT)
    and Reflectance Confocal Microscopy (RCM)
                                    Alvaro Abarzúa-Araya2, Javiera Perez-Anker1


1 Melanoma Unit, Hospital Clinic Barcelona, University of Barcelona, Barcelona, Spain
2 Melanoma and Skin Cancer Unit, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile



Citation: Abarzúa-Araya A, Perez-Anker J. Simple Paper Tape as a Navigation Guide for Handheld in Vivo Imaging Techniques: Line-
field Confocal Optical Coherence Tomography (LC-OCT) and Reflectance Confocal Microscopy (RCM). Dermatol Pract Concept.
2024;14(1):e2024010. DOI: https://doi.org/10.5826/dpc.1401a10
Accepted: July 6, 2023; Published: January 2024
Copyright: ©2024 Abarzúa-Araya et al. This is an open-access article distributed under the terms of the Creative Commons Attribution-
NonCommercial License (BY-NC-4.0), https://creativecommons.org/licenses/by-nc/4.0/, which permits unrestricted noncommercial use,
distribution, and reproduction in any medium, provided the original authors and source are credited.
Funding: None.
Competing Interests: None.
Authorship: Both the authors have contributed significantly to this publication.
Corresponding Author: Alvaro Abarzúa-Araya, MD, Melanoma Unit, Hospital Clinic Barcelona, University of Barcelona, Barcelona,
Spain, Melanoma and Skin Cancer Unit, Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
E-mail: alvaroabarzuaaraya@gmail.com




Case Presentation                                                       use of paper rings; however, they are expensive and not read-
                                                                        ily available [2].
Image acquisition and navigation with a handheld probe
when using reflectance confocal microscopy (RCM) and
                                                                        Teaching Point
line-field confocal optical coherence tomography (LC-OCT)
is not easy. It is operator dependent and requires a high level         To aid in the lesion navigation, a surgical paper tape is per-
of precision to capture the lesion of interest. It is also nec-         forated with a punch scalpel at the center line of the tape
essary to maintain the exact position of the probe over the             using the specific size (3 mm – 6 mm) required according
lesion being evaluated for long periods of time. Specifically,          to the lesion size (Figure 1A). The paper tape is then at-
when evaluating facial lesions, the probe can easily slide              tached to the skin with the opening centered over the lesion
from the skin, making the in vivo diagnostic procedure chal-            of interest (Figure 1B). The paper tape is easily visualized
lenging [1].                                                            under RCM or LC-OCT. This strategy is simple, reproduc-
    Moreover, it is sometimes difficult to determine an ac-             ible, cost-effective, and easy to use and does not interfere
curate evaluation of small lesions with handheld probes. To             with the acquisition of in vivo imaging techniques such as
overcome this limitation, other authors have proposed the               LC-OCT or RCM.




Image Letter | Dermatol Pract Concept. 2024;14(1):e2024010                                                                              1
Figure 1. (A) Paper tape perforated with a 3-mm punch each 1cm in the middle line. (B) line-field confocal optical coherence tomography
3D view. Note the transition between de normal epidermis and the paper tape fibers.

References                                                            2. Marino ML, Rogers T, Sierra Gil H, Rajadhyaksha M,
                                                                         ­Cordova MA, Marghoob AA. Improving lesion localization when
 1. Navarrete-Dechent C, Cordova M, Aleissa S, et al. Use of ­paper      imaging with handheld reflectance confocal microscope. Skin Res
    tape to guide reflectance confocal microscopy navigation of          Technol. 2016;22(4):519-520. DOI: 10.1111/srt.12280. PMID:
    large skin lesions. J Am Acad Dermatol. 2020;82(6):e199-e201.        26792361.
    DOI: 10.1016/j.jaad.2019.07.039. PMID: 31326468. PMCID:
    PMC6980414.




2                                                                           Image Letter | Dermatol Pract Concept. 2024;14(1):e2024010
