Combined ultrasound and photoacoustic C-mode imaging system for skin lesion assessment

In Vivo Differentiation of Cutaneous Melanoma From Benign Nevi With Dual-Modal System of Optical Coherence Tomography and Raman Spectroscopy

A multimodal method comprising optical imaging using OCT and molecular detection using Raman spectroscopy was developed to explore its capability for noninvasive differentiation between melanoma skin cancer and benign skin lesions. Key OCT parameters like the attenuation coefficient, R2, and RMSE, extracted through exponential fitting, were incorporated into machine learning, achieving 96.9% accuracy and an AUC-ROC of 0.99 in 10-fold cross-validation. Raman spectroscopy revealed differences in carotenoid, amide-I, and CH2-CH3 structures between melanoma and nevi, supporting the OCT findings. Autofluorescence background intensity variations further distinguished lesion types and enhanced lesion assessment. Future work will include the investigation of larger patient groups and the combination of both data sets in a combined algorithm. Also, the integration of both modalities and the developed method with photoacoustic tomography and high-frequency ultrasound appears beneficial toward achieving an optical biopsy of melanoma skin cancer and improving diagnostics.

Enhancing image reconstruction in photoacoustic imaging using spatial coherence mean-to-standard-deviation factor beamforming

In photoacoustic imaging (PAI), a delay-and-sum (DAS) beamforming reconstruction algorithm is widely used due to its ease of implementation and fast execution. However, it is plagued by issues such as high sidelobe artifacts and low contrast, that significantly hinder the ability to differentiate various structures in the reconstructed images. In this study, we propose an adaptive weighting factor called spatial coherence mean-to-standard deviation factor (scMSF) in DAS, which is extended into the spatial frequency domain. By combining scMSF with a minimum variance (MV) algorithm, the clutter level is reduced, thereby enhancing the image contrast. Quantitative results obtained from the phantom experiment demonstrate that our proposed method improves contrast ratio (CR) by 30.15 dB and signal-to-noise ratio (SNR) by 8.62 dB compared to DAS while also improving full-width at half maxima (FWHM) by 56%. From the in-vivo experiments, the scMSF-based reconstruction image exhibits a higher generalized contrast-to-noise ratio (gCNR), indicating improved target detectability with a 25.6% enhancement over DAS and a 22.5% improvement over MV.

Integrating generative AI with ABCDE rule analysis for enhanced skin cancer diagnosis, dermatologist training and patient education

Significance

The early detection and accurate monitoring of suspicious skin lesions are critical for effective dermatological diagnosis and treatment, particularly for reliable identification of the progression of nevi to melanoma. The traditional diagnostic framework, the ABCDE rule, provides a foundation for evaluating lesion characteristics by visual examination using dermoscopes. Simulations of skin lesion progression could improve the understanding of melanoma growth patterns.

Aim

This study aims to enhance lesion analysis and understanding of lesion progression by providing a simulated potential progression of nevi into melanomas.

Approach

The study generates a dataset of simulated lesion progressions, from nevi to simulated melanoma, based on a Cycle-Consistent Adversarial Network (Cycle-GAN) and frame interpolation. We apply an optical flow analysis to the generated dermoscopic image sequences, enabling the quantification of lesion transformation. In parallel, we evaluate changes in ABCDE rule metrics as example to assess the simulated evolution.

Results

We present the first simulation of nevi progressing into simulated melanoma counterparts, consisting of 152 detailed steps. The ABCDE rule metrics correlate with the simulation in a natural manner. For the seven samples studied, the asymmetry metric increased by an average of 19%, the border gradient metric increased by an average of 63%, the convexity metric decreased by an average of 3%, the diameter increased by an average of 2%, and the color dispersion metric increased by an average of 45%. The diagnostic value of the ABCDE rule is enhanced through the addition of insights based on optical flow. The outward expansion of lesions, as captured by optical flow vectors, correlates strongly with the expected increase in diameter, confirming the simulation's fidelity to known lesion growth patterns. The heatmap visualizations further illustrate the degree of change within lesions, offering an intuitive visual proxy for lesion evolution.

Conclusion

The achieved simulations of potential lesion progressions could facilitate improved early detection and understanding of how lesions evolve. By combining the optical flow analysis with the established criteria of the ABCDE rule, this study presents a significant advancement in dermatoscopic diagnostics and patient education. Future research will focus on applying this integrated approach to real patient data, with the aim of enhancing the understanding of lesion progression and the personalization of dermatological care.

Diagnostic accuracy of high-frequency ultrasound for cutaneous neoplasms: a narrative review of the literature

High-frequency ultrasound has been used to visualize depth and vascularization of cutaneous neoplasms, but little has been synthesized as a review for a robust level of evidence about the diagnostic accuracy of high-frequency ultrasound in dermatology. A narrative review of the PubMed database was performed to establish the correlation between ultrasound findings and histopathologic/dermoscopic findings for cutaneous neoplasms. Articles were divided into the following four categories: melanocytic, keratinocytic/epidermal, appendageal, and soft tissue/neural neoplasms. Review of the literature revealed that ultrasound findings and histopathology findings were strongly correlated regarding the depth of a cutaneous neoplasm. Morphological characteristics were correlated primarily in soft tissue/neural neoplasms. Overall, there is a paucity of literature on the correlation between high-frequency ultrasound and histopathology of cutaneous neoplasms. Further studies are needed to investigate this correlation in various dermatologic conditions.

Non-invasive 3D imaging of human melanocytic lesions by combined ultrasound and photoacoustic tomography: a pilot study

The accurate determination of the size and depth of infiltration is critical to the treatment and excision of melanoma and other skin cancers. However, current techniques, such as skin biopsy and histological examination, pose invasiveness, time-consumption, and have limitations in measuring at the deepest level. Non-invasive imaging techniques like dermoscopy and confocal microscopy also present limitations in accurately capturing contrast and depth information for various skin types and lesion locations. Thus, there is a pressing need for non-invasive devices capable of obtaining high-resolution 3D images of skin lesions. In this study, we introduce a novel device that combines 18 MHz ultrasound and photoacoustic tomography into a single unit, enabling the acquisition of colocalized 3D images of skin lesions. We performed in vivo measurements on 25 suspicious human skin nevi that were promptly excised following measurements. The combined ultrasound/photoacoustic tomography imaging technique exhibited a strong correlation with histological Breslow thickness between 0.2 and 3 mm, achieving a coefficient of determination (R[Formula: see text]) of 0.93, which is superior to the coefficients from the individual modalities. The results procured in our study underscore the potential of combined ultrasound and photoacoustic tomography as a promising non-invasive 3D imaging approach for evaluating human nevi and other skin lesions. Furthermore, the system allows for integration of other optical modalities such as optical coherence tomography, microscopy, or Raman spectroscopy in future applications.