About this trial
The incidence of skin cancer has been continuously increasing over the past decades und the number of non melanoma skin cancer is well as melanoma is still going to increase. Invasive biopsy and histological examination represents the gold standard in diagnosis of benign and malignant skin tumors. However, novel technologies such as reflectance confocal microscopy (RCM) and optical coherence tomography (OCT) have been introduced in dermatology. Multiple studies have shown the applicability of both technologies for diagnosis of skin tumors as well as other skin diseases and to increase the specificity of diagnosis resulting in the reduction of unnecessary biopsies.
New technological developments resulted in a high resolution OCT scanner (AMO, Taiwan), which allows vertical and horizontal evaluation (3D) of the skin at cellular resolution and up to a depth of around 400 μm and thus combines the advantages of both above mentioned techniques. ApolloVue® S100 Image System is a FDA-cleared 510(k) Class II medical device.
Other non-invasive imaging method (reflectance confocal microscopy and conventional optical coherence tomography) will be used to evaluate a subset of skin lesions.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients aged > 18 years
Willingness to participate in this study including the assessment with high resolution OCT
Skin lesion/tumor with suspicion for skin cancer that requires skin biopsy or complete excision
Benign skin tumor that is scheduled for excision due to suspicion, irritation or for cosmetic reason
Disqualifiers
Patients aged < 18 years
Any unstable medical or psychological conditions
Unwillingness to participate in this study including the assessment with high resolution OCT
Trial population
Patients with suspicious skin lesion/tumor that requires skin biopsy or complete excision
Trial design
Case-control
Prospective
Treatments tested in this trial
Cellular resolution full-field optical coherence tomography
DeviceDevice: ApolloVue® S100 Image System
Confocal microscopy
DeviceDevice: Vivascope® will be used for skin imaging for a subset of skin lesions.
Optical coherence tomography imaging
DeviceDevice: Vivosight® will be used for skin imaging for a subset of skin lesions.
Dermoscopy imaging
DeviceDevice: Dermoscopy imaging will be conducted using but not limited to dermoscope DermLite FotoX®
Treatment groups
Trial outcomes
Primary outcomes
Characterization of the disease features of pigmented and non-pigmented skin lesions
This is an observational study. The morphologic patterns of pigmented and non-pigmented skin lesions will be examined (% lesions that demonstrate descriptor examined).
Secondary outcomes
Diagnostic accuracy of pigmented and non-pigmented skin lesions
The diagnostic accuracy (sensitivity and specificity) of pigmented and non-pigmented skin lesions will be determined.
Sponsors and contacts
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