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      In vivo skin optical clearing for improving imaging and light-induced therapy: a review

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          Abstract.

          Significance

          Skin is the largest organ and also the first barrier of body. Skin diseases are common, and cutaneous microcirculation is relative to various diseases. Researchers attempt to develop novel imaging techniques to obtain the complex structure, components, and functions of skin. Modern optical techniques provide a powerful tool with non-invasiveness, but the imaging performance suffers from the turbid character of skin. In vivo skin optical clearing technique has been proposed to reduce tissue scattering and enhance penetration depth of light and became a hot topic of research.

          Aim

          The aim of this review is to provide a comprehensive overview of recent development of in vivo skin optical clearing methods, how in vivo skin optical clearing enhances imaging performance, and its applications in study and light therapy of various diseases.

          Approach

          Based on the references published over the last decade, the important milestones on the mechanism, methods, and its fundamental and clinical applications of in vivo skin optical clearing technique are provided.

          Results

          With the deepening understanding of skin optical clearing mechanisms, efficient in vivo skin optical clearing methods were constantly screened out. These methods have been combined with various optical imaging techniques to improve imaging performances and acquire deeper and finer skin-related information. In addition, in vivo skin optical clearing technique has been widely applied in assisting study of diseases as well as achieving safe, high-efficiency light-induced therapy.

          Conclusions

          In the last decade, in vivo skin optical clearing technique has developed rapidly and played an important role in skin-related studies.

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          Most cited references96

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          Biomedical Applications of Terahertz Spectroscopy and Imaging.

          Terahertz (THz=10(12)Hz) radiation has attracted wide attention for its unprecedented sensing ability and its noninvasive and nonionizing properties. Tremendous strides in THz instrumentation have prompted impressive breakthroughs in THz biomedical research. Here, we review the current state of THz spectroscopy and imaging in various biomedical applications ranging from biomolecules, including DNA/RNA, amino acids/peptides, proteins, and carbohydrates, to cells and tissues. We also address the potential biological effects of THz radiation during its biological applications and propose future prospects for this cutting-edge technology.
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            Light propagation in tissues with controlled optical properties.

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              An overview of clinical and experimental treatment modalities for port wine stains.

              Port wine stains (PWS) are the most common vascular malformation of the skin, occurring in 0.3% to 0.5% of the population. Noninvasive laser irradiation with flashlamp-pumped pulsed dye lasers (selective photothermolysis) currently comprises the gold standard treatment of PWS; however, the majority of PWS fail to clear completely after selective photothermolysis. In this review, the clinically used PWS treatment modalities (pulsed dye lasers, alexandrite lasers, neodymium:yttrium-aluminum-garnet lasers, and intense pulsed light) and techniques (combination approaches, multiple passes, and epidermal cooling) are discussed. Retrospective analysis of clinical studies published between 1990 and 2011 was performed to determine therapeutic efficacies for each clinically used modality/technique. In addition, factors that have resulted in the high degree of therapeutic recalcitrance are identified, and emerging experimental treatment strategies are addressed, including the use of photodynamic therapy, immunomodulators, angiogenesis inhibitors, hypobaric pressure, and site-specific pharmaco-laser therapy. Copyright © 2011 American Academy of Dermatology, Inc. Published by Mosby, Inc. All rights reserved.
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                Author and article information

                Contributors
                Journal
                J Biomed Opt
                J Biomed Opt
                JBOPFO
                JBO
                Journal of Biomedical Optics
                Society of Photo-Optical Instrumentation Engineers
                1083-3668
                1560-2281
                6 June 2023
                June 2023
                6 June 2023
                : 28
                : 6
                : 060901
                Affiliations
                [a ]Huazhong University of Science and Technology , Britton Chance Center for Biomedical Photonics – MoE Key Laboratory for Biomedical Photonics, Wuhan National Laboratory for Optoelectronics – Advanced Biomedical Imaging Facility, Wuhan, China
                [b ]Huazhong University of Science and Technology , School of Optical Electronic Information – Advanced Biomedical Imaging Facility, Wuhan, China
                Author notes
                [* ]Address all correspondence to Dongyu Li, li_dongyu@ 123456hust.edu.cn ; Dan Zhu, dawnzh@ 123456mail.hust.edu.cn
                Author information
                https://orcid.org/0000-0002-8793-3238
                https://orcid.org/0000-0001-6596-9566
                https://orcid.org/0000-0002-3640-4758
                Article
                JBO-230051VR 230051VR
                10.1117/1.JBO.28.6.060901
                10242353
                37288448
                8adb61da-fb95-4b43-9788-e7f48409e088
                © 2023 The Authors

                Published by SPIE under a Creative Commons Attribution 4.0 International License. Distribution or reproduction of this work in whole or in part requires full attribution of the original publication, including its DOI.

                History
                : 4 March 2023
                : 18 May 2023
                : 22 May 2023
                Page count
                Figures: 5, Tables: 0, References: 96, Pages: 14
                Funding
                Funded by: The National Natural Science Foundation of China (NSFC)
                Award ID: 61860206009
                Categories
                Review Papers
                Paper
                Custom metadata
                Xia et al.: Review: In vivo skin optical clearing for improving imaging…

                Biomedical engineering
                in vivo skin optical clearing,optical imaging,skin lesion,laser treatment

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