In this paper we summarize our recent advances in the development of a combined optical coherence tomography (OCT)/ reflectance confocal microscopy (RCM) approach for diagnosing non-melanoma skin cancers and guiding laser ablation therapy. After developing and clinically demonstrating a hand-held probe [1], our current focus is in adding the capability for generating rapid mosaic images of large areas of the skin (~15 mm x 15mm), as well as on developing a post-processing software that allows for rapid 3-D rendering of the collected data. We are also developing an automated segmentation algorithm that might be used to more objectively assess the depth of the non-melanoma tumors. With these capabilities, our integrated RCM and OCT imaging approach will provide 3-D microscopic views in orthogonally oriented and enfaceoriented planes with a range of resolutions and fields of view, which should further advance optical imaging to noninvasively guide both diagnosis as well as therapy of non-melanoma skin cancers.
[1]. N. Iftimia et al., Handheld optical coherence tomography–reflectance confocal microscopy probe for detection of basal cell carcinoma and delineation of margins. J. Biomed. Opt. 22(7), 076006
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