Mohs Micrographic Surgery (MMS) is resource intensive and generates a significant amount of anxiety for the patient.
Surgeon, MMS staff and the patient can benefit from the imaging capabilities of VivoSight to better evaluate the lesion to be treated.
Lesion Imaging Prior to Mohs Surgery
- Draw perimeter around clinical lesion including usual margin
- Observe shadow of margin marker in OCT image
- Assess whether (BCC) lesion is inside or outside margin border and redraw margin accordingly if needed. Images courtesy of Welzel [1]
References:
1. Schuh S., Welzel J. (2020) OCT-Guided Laser Treatment and Surgery. In: Bard R. (eds) Image Guided Dermatologic Treatments. Springer, Cham
2. De Carvalho N, Schuh S, Kindermann N, Kästle R, Holmes J, Welzel J. Optical coherence tomography for margin definition of basal cell carcinoma before micrographic surgery—recommendations regarding the marking and scanning technique. Skin Res Technol. 2017;00:1–7. https://doi.org/10.1111/srt.12407R
3. Markowitz O, Siegel D, Fisher J. Clinical Utility of Bedside Multibeam Optical Coherence Tomography Imaging in a Patient With Multiple Basal Cell Carcinomas. Dermatol Surg 2017;0:1–3
4. Markowitz O, Psomadakis CE. Patient-driven management using same-day noninvasive diagnosis and complete laser treatment of basal cell carcinomas: a pilot study. Cutis. 2019 Dec;104(6):345-348;350;351;E1;E2.
Applications
Explore the research and clinical applications for VivoSight
Advance Your Research and Development Programs
VivoSight Dx in combination with VivoTools image analysis software visualizes and quantifies treatment effects.
See the Whole Picture to Improve Outcomes
VivoSight Dx produces high resolution imaging and measurement of skin sub-structures and vascular networks to aid in patient care