对焦激光显微镜的应用及其在手术活检样本的常规诊断中的可行性
Yea Ji Jeong1,2, Gabrielle S Fontes1, Laura E Selmic1
1The Ohio State University College of Veterinary Medicine, Columbus, OH.
Veterinary pathology
|February 25, 2026
概括
手持式共聚焦激光内微镜 (CLE) 提供了组织微观结构的快速,高分辨率的图像. 病理学家可以使用CLE进行初步诊断和对外科活检的边缘评估,只需接受最低限度的培训.
科学领域:
- 兽医病理学 兽医病理学
- 医疗成像医学成像
- 在瘤学瘤学.
背景情况:
- 手持式共聚焦激光内分显微镜 (CLE) 提供了实时细胞形态评估瘤和边缘ex vivo.
- 将CLE整合到外科活检样本评估中是可行的.
研究的目的:
- 为了将共聚焦激光内分显微镜 (CLE) 图像与组织学相关联.
- 评估使用CLE用于外科活检样本的可行性.
- 为了评估病理学家使用CLE的诊断准确性.
主要方法:
- 同焦激光内分显微镜 (CLE) 获得了17个手术活检和尸检样本的高清图像.
- 14名参与者 (病理学家和住院医生) 评估了有和没有临床病史的病例.
- 对诊断准确度进行了比较,并没有信号和临床病史.
主要成果:
- CLE捕获了详细的细胞形态和组织微型架构.
- 参与者在15/17例中区分了异常组织,在12/17例中区分了炎症和瘤.
- 诊断准确性与临床病史显著改善 (P值:3.07E-07至.005).
结论:
- 同焦激光内分显微镜 (CLE) 图像与组织学相关性很好.
- 最少的培训允许病理学家使用CLE进行快速的初步诊断和边际评估.
- CLE是评估外科活检样本的宝贵工具.
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