Reflectance confocal microscopy: Principles, basic terminology, clinical indications, limitations, and practical considerations

Neda Shahriari, Jane M. Grant-Kels, Harold Rabinovitz, Margaret Oliviero, Alon Scope

Research output: Contribution to journalReview articlepeer-review

8 Scopus citations

Abstract

Reflectance confocal microscopy (RCM) is a noninvasive imaging tool used for in vivo visualization of the skin. It has been extensively studied for use in the evaluation of equivocal cutaneous neoplasms to decrease the number of biopsy procedures in patients with benign lesions. Furthermore, its applications are broadening to include presurgical cancer margin mapping, tumor recurrence surveillance, monitoring of ablative and noninvasive therapies, and stratification of inflammatory disorders. With the approval of category I Current Procedural Terminology reimbursement codes for RCM image acquisition and interpretation, use of this technology has been increasingly adopted by dermatologists. The first article in this 2-part continuing medical education series highlights basic terminology, principles, clinical applications, limitations, and practical considerations in the clinical use of RCM technology.

Original languageEnglish (US)
Pages (from-to)1-14
Number of pages14
JournalJournal of the American Academy of Dermatology
Volume84
Issue number1
DOIs
StatePublished - Jan 2021

Keywords

  • basic terminology
  • billing
  • logistics
  • optical principles
  • presurgical planning
  • reflectance confocal microscopy
  • specificity and sensitivity
  • tumor recurrence surveillance

ASJC Scopus subject areas

  • Dermatology

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