Evidence map›Paper›PMID 34619003›Full record

ArticleSkin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI)2022

Perfusion measured by laser speckle contrast imaging as a predictor for expansion of psoriasis lesions.

Mirjam J Schaap, Ata Chizari, Tom Knop, Hans M M Groenewoud, Piet E J van Erp, Elke M G J de Jong, Wiendelt Steenbergen, Marieke M B Seyger

Open access · hybridAbstract read
In one paragraph

Article in Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.2field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Cold stimulation test in patients with plaque psoriasis.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2023
    Article
  5. Applications of Laser Speckle Contrast Imaging Technology in Dermatology.JID innovations : skin science from molecules to population health · 2023
    Review
  6. Article
  7. Perfusion measured by laser speckle contrast imaging as a predictor for expansion of psoriasis lesions.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2022
    Article
  8. Non-invasive techniques to accessFrontiers in medicine · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Mirjam J SchaapDepartment of Dermatology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0002-7887-6737
Ata ChizariBiomedical Photonic Imaging, Technical Medical Centre, Faculty of Science and Technology, University of Twente, Enschede, The Netherlands.ORCID https://orcid.org/0000-0001-7679-7077
Tom KnopBiomedical Photonic Imaging, Technical Medical Centre, Faculty of Science and Technology, University of Twente, Enschede, The Netherlands.
Hans M M GroenewoudDepartment for Health Evidence, Radboud University, Nijmegen, The Netherlands.
Piet E J van ErpDepartment of Dermatology, Radboud University Medical Center, Nijmegen, The Netherlands.
Elke M G J de JongDepartment of Dermatology, Radboud University Medical Center, Nijmegen, The Netherlands.
Wiendelt SteenbergenBiomedical Photonic Imaging, Technical Medical Centre, Faculty of Science and Technology, University of Twente, Enschede, The Netherlands.
Marieke M B SeygerDepartment of Dermatology, Radboud University Medical Center, Nijmegen, The Netherlands.
Radboud University Nijmegen · NLUniversity of Twente · NL

Funding

NWO Domain Applied and Engineering Sciences (AES) 14538
6 · The paper itself

Abstract

backgroundSkin microvasculature changes are crucial in psoriasis development and correlate with perfusion. The noninvasive Handheld Perfusion Imager (HAPI) examines microvascular skin perfusion in large body areas using laser speckle contrast imaging (LSCI).

objectivesTo (i) assess whether increased perilesional perfusion and perfusion inhomogeneity are predictors for expansion of psoriasis lesions and (ii) assess feasibility of the HAPI system in a mounted modality.

methodsIn this interventional pilot study in adults with unstable plaque psoriasis, HAPI measurements and color photographs were performed for lesions present on one body region at week 0, 2, 4, 6 and 8. The presence of increased perilesional perfusion and perfusion inhomogeneity was determined. Clinical outcome was categorized as increased, stable or decreased lesion surface between visits. Patient feedback was collected on a 10-point scale.

resultsIn total, 110 lesions with a median follow-up of 6 (IQR 6.0) weeks were assessed in 6 patients with unstable plaque psoriasis. Perfusion data was matched to 281 clinical outcomes after two weeks. A mixed multinomial logistic regression model revealed a predictive value of perilesional increased perfusion (OR 9.90; p < 0.001) and perfusion inhomogeneity (OR 2.39; p = 0.027) on lesion expansion after two weeks compared to lesion stability. HAPI measurements were considered fast, patient-friendly and important by patients.

conclusionVisualization of increased perilesional perfusion and perfusion inhomogeneity by noninvasive whole field LSCI holds potential for prediction of psoriatic lesion expansion. Furthermore, the HAPI is a feasible and patient-friendly tool.

Indexed as

Laser Speckle Contrast ImagingPsoriasisAdultHumansLaser-Doppler FlowmetryMicrocirculationPerfusionPerfusion ImagingPilot ProjectsRegional Blood FlowReproducibility of Resultsangiogenesisdisease stabilityinflammatory skin diseaseLSCImicrovasculature

Identifiers

PMID34619003
PMCPMC9293292
OpenAlexW3203199026

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.