Introduction to reflectance confocal microscopy and its use in clinical practice

Reflectance confocal microscopy (RCM) is a novel technology that provides noninvasive, in vivo imaging of the skin at nearly histologic resolution. In 2016, the US Centers for Medicare and Medicaid Services (CMS) established reimbursement codes for RCM image acquisition and for the reading and inter...

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Veröffentlicht in:	JAAD Case Reports Jg. 4; H. 10; S. 1014 - 1023
Hauptverfasser:	Levine, Amanda, Markowitz, Orit
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	United States Elsevier Inc 01.11.2018 Elsevier
Schlagworte:	Confocal Microscopy Dermatology innovative technology lentigo maligna melanoma noninvasive imaging nonmelanoma skin cancer reflectance confocal microscopy skin cancer reflectance confocal microscopy skin cancer LM lentigo maligna NNT CPT nonmelanoma skin cancer CMS melanoma noninvasive imaging innovative technology RCM US Centers for Medicare and Medicaid Services current procedural terminology number needed to treat NNT, number needed to treat CPT, current procedural terminology LM, lentigo maligna RCM, reflectance confocal microscopy CMS, US Centers for Medicare and Medicaid Services
ISSN:	2352-5126, 2352-5126
Online-Zugang:	Volltext
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Zusammenfassung:	Reflectance confocal microscopy (RCM) is a novel technology that provides noninvasive, in vivo imaging of the skin at nearly histologic resolution. In 2016, the US Centers for Medicare and Medicaid Services (CMS) established reimbursement codes for RCM image acquisition and for the reading and interpretation of images. The combination of RCM imaging with dermoscopy has improved the accuracy of skin cancer diagnosis while reducing the number of biopsies of benign skin lesions. With that, we are starting to see more dermatologists and dermatopathologists using RCM in clinical practice. This editorial is to serve as an introduction on RCM imaging with a focus on its usefulness in both the diagnosis and management of skin cancers. We end by briefly describing the characteristic RCM features of normal skin to serve as a building block for later cases that will explore both the benefits and drawbacks of incorporating RCM imaging for benign and malignant lesions.
Bibliographie:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2352-5126 2352-5126
DOI:	10.1016/j.jdcr.2018.09.019