Department of Dermatology, University of Connecticut Health Center, Farmington, Connecticut.
Department of Dermatology, University of Connecticut Health Center, Farmington, Connecticut; Department of Dermatology, University of Florida, Gainesville, Florida.
J Am Acad Dermatol. 2021 Jan;84(1):1-14. doi: 10.1016/j.jaad.2020.05.153. Epub 2020 Jun 15.
Reflectance confocal microscopy (RCM) is a noninvasive imaging tool used for in vivo visualization of the skin. It has been extensively studied for use in the evaluation of equivocal cutaneous neoplasms to decrease the number of biopsy procedures in patients with benign lesions. Furthermore, its applications are broadening to include presurgical cancer margin mapping, tumor recurrence surveillance, monitoring of ablative and noninvasive therapies, and stratification of inflammatory disorders. With the approval of category I Current Procedural Terminology reimbursement codes for RCM image acquisition and interpretation, use of this technology has been increasingly adopted by dermatologists. The first article in this 2-part continuing medical education series highlights basic terminology, principles, clinical applications, limitations, and practical considerations in the clinical use of RCM technology.
反射共聚焦显微镜（RCM）是一种用于体内皮肤可视化的非侵入性成像工具。它已被广泛研究用于评估有疑问的皮肤肿瘤，以减少良性病变患者的活检次数。此外，其应用范围正在扩大，包括术前癌症边缘绘图、肿瘤复发监测、消融和非侵入性治疗的监测以及炎症性疾病的分层。随着 I 类当前程序术语（Current Procedural Terminology）报销代码对 RCM 图像采集和解释的批准，皮肤科医生越来越多地采用这项技术。这篇由两部分组成的继续教育系列的第一篇文章重点介绍了 RCM 技术在临床应用中的基本术语、原理、临床应用、局限性和实际考虑因素。
