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无创性仪器评估色素性皮肤病变深度的初步结果:数值模拟和实验测量。

Preliminary results on the use of a noninvasive instrument for the evaluation of the depth of pigmented skin lesions: numerical simulations and experimental measurements.

机构信息

Department of Materials and Environment Engineering and Physics (FIMET), Faculty of Engineering, Università Politecnica delle Marche, 60131 Ancona, Italy.

出版信息

Lasers Med Sci. 2010 May;25(3):403-10. doi: 10.1007/s10103-009-0724-x. Epub 2009 Sep 8.

Abstract

The early detection of cutaneous pigmented lesions is an important aid to the clinician in recognizing malignant melanoma. In an attempt to correlate the depth of a pigmented skin lesion with its malignant potential, phantoms able to simulate the diffuse reflectance of some lesions of different thicknesses were manufactured and tested to validate a diagnostic instrument developed in-house. Such optical skin-tissue phantoms may be useful for accelerating and optimizing the diagnosis of suspicious lesions of the skin. In fact, benign melanocytic lesions are different in terms of their diffuse reflectance from melanoma. The diffuse reflectance of pigmented skin lesions depends on the amount and distribution of the absorbing/diffusing chromophores embedded in the skin layers. The basic phantom material is a PVA hydrogel in which appropriate amounts of optical scatter are added extraneously at the time of formation to achieve tunability of the optical properties. Liquid Indian ink is used to simulate melanin and all the other chromophores. Slabs were prepared to mimic lesions of different depths. The optical properties of the tissue phantoms were determined in the visible and near-infrared spectral ranges using a noninvasive instrument made from a purpose-modified digital camera. The measured reflectance was correlated with the depth of the lesion both in a Monte Carlo simulation environment and in a laboratory experiment.

摘要

皮肤色素性病变的早期检测是临床医生识别恶性黑色素瘤的重要辅助手段。为了将色素性皮肤病变的深度与其恶性潜能相关联,我们制作并测试了能够模拟某些不同厚度病变漫反射率的体模,以验证我们内部开发的诊断仪器。这种光学皮肤组织体模可能有助于加速和优化可疑皮肤病变的诊断。事实上,良性黑素细胞病变在其漫反射率方面与黑色素瘤不同。色素性皮肤病变的漫反射率取决于嵌入皮肤层中的吸收/散射色团的数量和分布。基本的体模材料是 PVA 水凝胶,在形成时会额外添加适量的光学散射体,以实现光学性能的可调谐性。液体印度墨水用于模拟黑色素和所有其他色团。我们制备了平板来模拟不同深度的病变。使用经过特殊改装的数码相机制成的非侵入性仪器,在可见和近红外光谱范围内确定组织体模的光学特性。在蒙特卡罗模拟环境和实验室实验中,将测量得到的反射率与病变的深度进行了相关分析。

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