University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.
Dermatology & Plastic Surgery Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Exp Dermatol. 2022 Aug;31(8):1128-1135. doi: 10.1111/exd.14624. Epub 2022 Jun 19.
Vision is essential in the diagnostic capabilities in the speciality of dermatology. However, humans are limited in colour vision by the trichromatic visual system that we possess. Multispectral and hyperspectral imaging can overcome this limitation and non-invasively provide novel information about a skin lesion at the cellular level. A literature review from January 2019 to March 2021 for hyperspectral and multispectral imaging in the field of dermatology was conducted. Multispectral/Hyperspectral imaging continues to generate significant research and interest in dermatology. Much of this research is on distinguishing melanoma from benign nevi as this could allow for a diagnosis without biopsy. In addition, adding multispectral/hyperspectral imaging to smartphones is being researched in order to create a portable and low-cost device that can be used in remote areas. One of the limitations in developing devices utilizing hyperspectral imaging has been a sacrifice in specificity in order to maximize sensitivity. Potential solutions to combat this that are being researched include combining multispectral/hyperspectral imaging with other imaging modalities such as photoacoustic imaging in order to overcome the limitations of using each individually. Multispectral/Hyperspectral imaging could be an instrumental aid for clinicians in examining, diagnosing and developing the management plan for patient's skin lesions.
视觉在皮肤科的诊断能力中至关重要。然而,人类的三色视觉系统限制了我们的色彩视觉。多光谱和高光谱成像是可以克服这一限制的非侵入性技术,可以在细胞水平上为皮肤病变提供新的信息。本文对 2019 年 1 月至 2021 年 3 月皮肤科领域的多光谱/高光谱成像进行了文献回顾。多光谱/高光谱成像在皮肤科领域继续产生着重要的研究和兴趣。其中大部分研究都集中在区分黑色素瘤和良性痣上,因为这可以实现无需活检的诊断。此外,研究人员正在将多光谱/高光谱成像添加到智能手机中,以创建一种便携式、低成本的设备,可用于偏远地区。利用高光谱成像开发设备的一个限制是为了最大化灵敏度而牺牲了特异性。正在研究潜在的解决方案来克服这一问题,包括将多光谱/高光谱成像与其他成像方式(如光声成像)相结合,以克服单独使用每种方式的局限性。多光谱/高光谱成像可以成为临床医生检查、诊断和制定患者皮肤病变管理计划的重要辅助手段。