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Hyperspectral imaging as a diagnostic tool to differentiate between amalgam tattoos and other dark pigmented intraoral lesions.

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INTRODUCTION The goal of this project is to identify any in-depth benefits and drawbacks in the diagnosis of amalgam tattoos and other pigmented intraoral lesions using hyperspectral imagery collected from… Click to show full abstract

INTRODUCTION The goal of this project is to identify any in-depth benefits and drawbacks in the diagnosis of amalgam tattoos and other pigmented intraoral lesions using hyperspectral imagery collected from amalgam tattoos, benign, and malignant melanocytic neoplasms. Software solutions capable of classifying pigmented lesions of the skin already exist, but conventional red, green and blue images may be reaching an upper limit in their performance.. Emerging technologies, such as hyperspectral imaging utilize more than a hundred, continuous data channels, while also collecting data in the infrared. MATERIAL AND METHODS A total of 18 paraffin-embedded human tissue specimens of dark pigmented intraoral lesions (including the lip) were analyzed using visible and near-infrared (VIS-NIR) hyperspectral imagery obtained from HE-stained histopathological slides. Transmittance data were collected between 450 and 900 nm using a snapshot camera mounted to a microscope with a halogen light source. RESULTS VIS-NIR spectra collected from different specimens, such as melanocytic cells and other tissues (e.g., epithelium), produced distinct and diagnostic spectra that were used to identify these materials in several regions of interest, making it possible to distinguish between intraoral amalgam tattoos (intramucosal metallic foreign bodies) and melanocytic lesions of the intraoral mucosa and the lip (each with p <0.01 using the independent t-test). CONCLUSION Hyperspectral imaging is presented as a diagnostic tool for the rapidly growing field of digital pathology. In this preliminary study, amalgam tattoos were reliably differentiated from melanocytic lesions of the oral cavity and the lip. This article is protected by copyright. All rights reserved.

Keywords: hyperspectral imaging; amalgam tattoos; pigmented intraoral; tattoos; intraoral lesions; dark pigmented

Journal Title: Journal of biophotonics
Year Published: 2020

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