Correlation of Vascular Patterns in Skin Lesions With LC-OCT and Dermoscopy With a Tridimensional Perspective: A Pilot Study

Introduction: Vascular patterns play a crucial role in the diagnosis and differentiation of skin lesions by providing insight into underlying pathology and aid in distinguishing between benign and malignant lesions. While dermoscopy has proven valuable for visualizing these vascular structures, Lin...

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Main Authors: Clément Lenoir, Mariano Suppa, Susana Puig, Véronique del Marmol, Raquel Albero, Llucia Also, Carmen Orte Cano, Gwendoline Diet, Margot Fontaine, Linda Tognetti, Elisa Cinotti, Pietro Rubegni, Jean Luc Perrot, Josep Malvehy, Javiera Pérez-Anker
Format: Article
Language:English
Published: Mattioli1885 2025-07-01
Series:Dermatology Practical & Conceptual
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Online Access:https://dpcj.org/index.php/dpc/article/view/5297
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author Clément Lenoir
Mariano Suppa
Susana Puig
Véronique del Marmol
Raquel Albero
Llucia Also
Carmen Orte Cano
Gwendoline Diet
Margot Fontaine
Linda Tognetti
Elisa Cinotti
Pietro Rubegni
Jean Luc Perrot
Josep Malvehy
Javiera Pérez-Anker
author_facet Clément Lenoir
Mariano Suppa
Susana Puig
Véronique del Marmol
Raquel Albero
Llucia Also
Carmen Orte Cano
Gwendoline Diet
Margot Fontaine
Linda Tognetti
Elisa Cinotti
Pietro Rubegni
Jean Luc Perrot
Josep Malvehy
Javiera Pérez-Anker
author_sort Clément Lenoir
collection DOAJ
description Introduction: Vascular patterns play a crucial role in the diagnosis and differentiation of skin lesions by providing insight into underlying pathology and aid in distinguishing between benign and malignant lesions. While dermoscopy has proven valuable for visualizing these vascular structures, Line-field confocal optical coherence tomography (LC-OCT) offers high-resolution, 3-dimensional (3D) imaging of the skin, potentially providing detailed visualization of vascular architecture and new insights about their projection in dermoscopy. Objectives: This pilot study aimed to investigate the correlation of vascular patterns in skin lesions with LC-OCT and dermoscopy and explored tridimensional imaging in assessing microvascular architecture. Methods: A cohort of patients with 14 diverse skin lesions showing typical dermoscopic vascular patterns were examined using dermoscopy and LC-OCT. LC-OCT images were analyzed and manual segmentation with tridimensional reconstruction of the vascular structures was performed. Correlation between these vascular structures and their dermoscopic projection was then assessed. Results: LC-OCT demonstrated a strong correlation with dermoscopy in identifying vascular patterns, offering additional depth and 3D details of the intricate relationship between skin micro-architecture and the development of specific vascular patterns in skin lesions. Conclusions: LC-OCT correlates with dermoscopy in vascular pattern analysis in skin lesions. The added advantage of 3D imaging helped us understand the way vascular structures are formed in skin lesions depending on its micro-architecture. LC-OCT could potentially play a significant role in precisely assessing the vascular environment of skin lesions. Further studies are necessary to assess how this could provide clinical value for diagnosing or monitoring of skin lesions.
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spelling doaj-art-14f57a61b7ca433582538f82e3ff9c212025-08-20T04:02:51ZengMattioli1885Dermatology Practical & Conceptual2160-93812025-07-0115310.5826/dpc.1503a5297Correlation of Vascular Patterns in Skin Lesions With LC-OCT and Dermoscopy With a Tridimensional Perspective: A Pilot StudyClément Lenoir0Mariano Suppa1Susana Puig2Véronique del Marmol3Raquel Albero4Llucia Also5Carmen Orte Cano6Gwendoline Diet7Margot Fontaine8Linda Tognetti9Elisa Cinotti10Pietro Rubegni11Jean Luc Perrot12Josep Malvehy13Javiera Pérez-Anker14Universitat de BarcelonaUniversité Libre de BruxellesUniversitat de BarcelonaUniversité Libre de BruxellesUniversitat de BarcelonaUniversitat de BarcelonaUniversité Libre de BruxellesUniversité Libre de BruxellesUniversité Libre de BruxellesUniversity of SienaUniversity of SienaUniversity of SienaUniversité de Saint-EtienneUniversitat de BarcelonaUniversitat de Barcelona Introduction: Vascular patterns play a crucial role in the diagnosis and differentiation of skin lesions by providing insight into underlying pathology and aid in distinguishing between benign and malignant lesions. While dermoscopy has proven valuable for visualizing these vascular structures, Line-field confocal optical coherence tomography (LC-OCT) offers high-resolution, 3-dimensional (3D) imaging of the skin, potentially providing detailed visualization of vascular architecture and new insights about their projection in dermoscopy. Objectives: This pilot study aimed to investigate the correlation of vascular patterns in skin lesions with LC-OCT and dermoscopy and explored tridimensional imaging in assessing microvascular architecture. Methods: A cohort of patients with 14 diverse skin lesions showing typical dermoscopic vascular patterns were examined using dermoscopy and LC-OCT. LC-OCT images were analyzed and manual segmentation with tridimensional reconstruction of the vascular structures was performed. Correlation between these vascular structures and their dermoscopic projection was then assessed. Results: LC-OCT demonstrated a strong correlation with dermoscopy in identifying vascular patterns, offering additional depth and 3D details of the intricate relationship between skin micro-architecture and the development of specific vascular patterns in skin lesions. Conclusions: LC-OCT correlates with dermoscopy in vascular pattern analysis in skin lesions. The added advantage of 3D imaging helped us understand the way vascular structures are formed in skin lesions depending on its micro-architecture. LC-OCT could potentially play a significant role in precisely assessing the vascular environment of skin lesions. Further studies are necessary to assess how this could provide clinical value for diagnosing or monitoring of skin lesions. https://dpcj.org/index.php/dpc/article/view/5297LC-OCT dermoscopyvascular patternskin lesion skin imagingnon-invasive imaging
spellingShingle Clément Lenoir
Mariano Suppa
Susana Puig
Véronique del Marmol
Raquel Albero
Llucia Also
Carmen Orte Cano
Gwendoline Diet
Margot Fontaine
Linda Tognetti
Elisa Cinotti
Pietro Rubegni
Jean Luc Perrot
Josep Malvehy
Javiera Pérez-Anker
Correlation of Vascular Patterns in Skin Lesions With LC-OCT and Dermoscopy With a Tridimensional Perspective: A Pilot Study
Dermatology Practical & Conceptual
LC-OCT
dermoscopy
vascular pattern
skin lesion
skin imaging
non-invasive imaging
title Correlation of Vascular Patterns in Skin Lesions With LC-OCT and Dermoscopy With a Tridimensional Perspective: A Pilot Study
title_full Correlation of Vascular Patterns in Skin Lesions With LC-OCT and Dermoscopy With a Tridimensional Perspective: A Pilot Study
title_fullStr Correlation of Vascular Patterns in Skin Lesions With LC-OCT and Dermoscopy With a Tridimensional Perspective: A Pilot Study
title_full_unstemmed Correlation of Vascular Patterns in Skin Lesions With LC-OCT and Dermoscopy With a Tridimensional Perspective: A Pilot Study
title_short Correlation of Vascular Patterns in Skin Lesions With LC-OCT and Dermoscopy With a Tridimensional Perspective: A Pilot Study
title_sort correlation of vascular patterns in skin lesions with lc oct and dermoscopy with a tridimensional perspective a pilot study
topic LC-OCT
dermoscopy
vascular pattern
skin lesion
skin imaging
non-invasive imaging
url https://dpcj.org/index.php/dpc/article/view/5297
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