Preoperative measurement of cutaneous melanoma and nevi thickness with photoacoustic imaging

Aedán Breathnach, Elizabeth Concannon, Jemima J. Dorairaj, Shazrinizam Shaharan, James McGrath, Jithin Jose, Jack L. Kelly, Martin J. Leahy

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43 Citations (Scopus)

Abstract

Photoacoustic imaging (PAI) is an emerging biomedical imaging technology, which can potentially be used in the clinic to preoperatively measure melanoma thickness and guide biopsy depth and sample location. We recruited 27 patients with pigmented cutaneous lesions suspicious for melanoma to test the feasibility of a handheld linear-array photoacoustic probe in imaging lesion architecture and measuring tumor depth. The probe was assessed in terms of measurement accuracy, image quality, and ease of application. Photoacoustic scans included single wavelength, spectral unmixing, and three-dimensional (3-D) scans. The photoacoustically measured lesion thickness gave a high correlation with the histological thickness measured from resected surgical samples (r=0.99, P<0.001 for melanomas, r=0.98, P<0.001 for nevi). Thickness measurements were possible for 23 of 26 cases for nevi and all (6) cases for melanoma. Our results show that handheld, linear-array PAI is highly reliable in measuring cutaneous lesion thickness in vivo, and can potentially be used to inform biopsy procedure and improve patient management.

Original languageEnglish
Article number015004
JournalJournal of Medical Imaging
Volume5
Issue number1
DOIs
Publication statusPublished - 1 Jan 2018

Keywords

  • Breslow depth
  • biopsy
  • histology
  • spectral unmixing
  • staging

Authors (Note for portal: view the doc link for the full list of authors)

  • Authors
  • Breathnach, A,Concannon, E,Dorairaj, JJ,Shaharan, S,McGrath, J,Jose, J,Kelly, JL,Leahy, MJ

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