Dynamic markers based on blood perfusion fluctuations for selecting skin melanocytic lesions for biopsy.

Abstract:

:Skin malignant melanoma is a highly angiogenic cancer, necessitating early diagnosis for positive prognosis. The current diagnostic standard of biopsy and histological examination inevitably leads to many unnecessary invasive excisions. Here, we propose a non-invasive method of identification of melanoma based on blood flow dynamics. We consider a wide frequency range from 0.005-2 Hz associated with both local vascular regulation and effects of cardiac pulsation. Combining uniquely the power of oscillations associated with individual physiological processes we obtain a marker which distinguishes between melanoma and atypical nevi with sensitivity of 100% and specificity of 90.9%. The method reveals valuable functional information about the melanoma microenvironment. It also provides the means for simple, accurate, in vivo distinction between malignant melanoma and atypical nevi, and may lead to a substantial reduction in the number of biopsies currently undertaken.

journal_name

Sci Rep

journal_title

Scientific reports

authors

Lancaster G,Stefanovska A,Pesce M,Marco Vezzoni G,Loggini B,Pingitore R,Ghiara F,Barachini P,Cervadoro G,Romanelli M,Rossi M

doi

10.1038/srep12825

subject

Has Abstract

pub_date

2015-08-11 00:00:00

pages

12825

issn

2045-2322

pii

srep12825

journal_volume

5

pub_type

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