{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T03:56:53Z","timestamp":1793332613420,"version":"4.5.0"},"reference-count":33,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,3,24]],"date-time":"2022-03-24T00:00:00Z","timestamp":1648080000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Biophotonics"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Ex vivo confocal laser scanning microscopy (ex vivo CLSM) is a novel diagnostic tool for a quick bedside evaluation of freshly excised tissue, comparable to histology. We aimed to assess the sensitivity and specificity of ex vivo CLSM in detecting malignant features, to validate its reliability in identifying various skin tumours based on a combination of confocal features and to evaluate the digital staining mode (DS). One\u2010hundred twenty freshly excised skin samples from 91 patients were evaluated. Each lesion was screened for the presence of 23 predefined confocal criteria with ex vivo CLSM, followed by a histopathological examination. The diagnostic agreement between ex vivo CLSM and histology was 89.2%. The diagnostic accuracy of ex vivo CLSM in detecting malignancy reached a sensitivity of 98% and a specificity of 76%. Ex vivo CLSM enabled a rapid identification of the most common skin tumours, the tumour dignity and cytological features. The DS demonstrated a close resemblance to conventional histopathology.\n                    <jats:inline-graphic xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"graphic\/jbio202100372-gra-0001.png\" xlink:title=\"image\"\/>\n                  <\/jats:p>","DOI":"10.1002\/jbio.202100372","type":"journal-article","created":{"date-parts":[[2022,3,1]],"date-time":"2022-03-01T23:34:01Z","timestamp":1646177641000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Ex vivo confocal laser scanning microscopy: A diagnostic technique for easy real\u2010time evaluation of benign and malignant skin tumours"],"prefix":"10.1002","volume":"15","author":[{"given":"Gabriela","family":"Vladimirova","sequence":"first","affiliation":[{"name":"Department of Dermatology and Allergy University Hospital, LMU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9860-1095","authenticated-orcid":false,"given":"Cristel","family":"Ruini","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy University Hospital, LMU Munich  Munich Germany"},{"name":"PhD School in Clinical and Experimental Medicine University of Modena and Reggio Emilia  Modena Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Kapp","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy University Hospital, LMU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benjamin","family":"Kendziora","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy University Hospital, LMU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ecem Z.","family":"Erg\u00fcn","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy University Hospital, LMU Munich  Munich Germany"},{"name":"Department of Dermatology and Venereology, Istanbul Training and Research Hospital Org. Abdurrahman Nafiz G\u00fcrman Cad. Etyemez  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"I\u015f\u0131n S.","family":"Ba\u011fc\u0131","sequence":"additional","affiliation":[{"name":"Department of Dermatology Stanford University School of Medicine  Redwood City California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7968-9821","authenticated-orcid":false,"given":"Sebastian","family":"Krammer","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy University Hospital, LMU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jawaher","family":"Jastaneyah","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy University Hospital, LMU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elke C.","family":"Sattler","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy University Hospital, LMU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Flaig","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy University Hospital, LMU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars E.","family":"French","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy University Hospital, LMU Munich  Munich Germany"},{"name":"Dr. Phillip Frost Department of Dermatology &amp; Cutaneous Surgery University of Miami, Miller School of Medicine  Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Hartmann","sequence":"additional","affiliation":[{"name":"Department of Dermatology and Allergy University Hospital, LMU Munich  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,3,24]]},"reference":[{"key":"e_1_2_9_2_1","first-page":"120","volume":"810","author":"Leiter U.","year":"2014","journal-title":"Adv. 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