Evidence map›Paper›PMID 39358676›Full record

ArticleInternational journal of dermatology2025

Novel imaging techniques for tumor margin detection in basal cell carcinoma: a systematic scoping review of FDA and EMA-approved imaging modalities.

Mehdi Boostani, Szabolcs Bozsányi, Mariano Suppa, Carmen Cantisani, Kende Lőrincz, András Bánvölgyi, Péter Holló, Norbert M Wikonkál, Wendy J Huss, Kimberly L Brady and 2 more

Abstract readScoping Review
In one paragraph

Article in International journal of dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  18. Dermoscopy-guided high-frequency ultrasound: Principles and applications in dermatology.JID innovations : skin science from molecules to population health · 2026
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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

12 authors.

Mehdi BoostaniDepartment of Dermatology, Venereology and Dermatooncology, Semmelweis University, Budapest, Hungary.ORCID https://orcid.org/0000-0001-9728-1117
Szabolcs BozsányiDepartment of Dermatology, Venereology and Dermatooncology, Semmelweis University, Budapest, Hungary.
Mariano SuppaGroupe d'Imagerie Cutanée Non-Invasive (GICNI) of the Société Française de Dermatologie (SFD), Paris, France.
Carmen CantisaniDepartment of Dermatology, Sapienza University of Rome, Rome, Italy.
Kende LőrinczDepartment of Dermatology, Venereology and Dermatooncology, Semmelweis University, Budapest, Hungary.
András BánvölgyiDepartment of Dermatology, Venereology and Dermatooncology, Semmelweis University, Budapest, Hungary.
Péter HollóDepartment of Dermatology, Venereology and Dermatooncology, Semmelweis University, Budapest, Hungary.
Norbert M WikonkálDepartment of Dermatology, Venereology and Dermatooncology, Semmelweis University, Budapest, Hungary.
Wendy J HussDepartment of Dermatology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Kimberly L BradyDepartment of Dermatology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Gyorgy Paragh *Department of Dermatology, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.ORCID https://orcid.org/0000-0002-6612-9267
Norbert Kiss *Department of Dermatology, Venereology and Dermatooncology, Semmelweis University, Budapest, Hungary.ORCID https://orcid.org/0000-0002-9947-1755

Funding

Development and Innovation FundNational Research ÚNKP-23-4-II-SE-8New National Excellence Program of the Ministry for Innovation and TechnologyRoswell Park Alliance Foundation, Roswell Park Cancer InstituteSE 250+ Excellence PhD ScholarshipSemmelweis University
6 · The paper itself

Abstract

Mohs micrographic surgery (MMS) is the gold standard for removing basal cell carcinomas (BCCs) due to its ability to guarantee 100% margin evaluation through frozen section histopathology, offering the highest cure rate among current treatments. However, noninvasive imaging technologies have emerged as promising alternatives to clinical assessment for defining presurgical margins. This systematic scoping review examines the efficacy of these imaging modalities, focusing on those approved for clinical use by the United States Food and Drug Administration (FDA) or the European Medicines Agency (EMA). A systematic search of EMBASE, Scopus, PubMed, and the Cochrane Public Library databases identified 11 relevant studies out of 2123 records, encompassing 644 lesions across five imaging techniques. The findings suggest that dermoscopy, high-frequency ultrasound (HFUS), optical coherence tomography (OCT), line-field optical coherence tomography (LC-OCT), and reflectance confocal microscopy (RCM) show potential in detecting BCC margins, which could enhance MMS by providing better preoperative planning, informing patients of expected defect size, aiding in reconstruction decisions, and reducing overall procedure costs. This review discusses the benefits and limitations of each technique, offering insights into how these innovations could influence the future of BCC management. Emerging imaging techniques could enhance MMS by improving BCC margin assessment and reducing costs. Their adoption will depend on price and ease of use.

Indexed as

Basal Cell CarcinomaMargins of ExcisionSkin NeoplasmsDermoscopyEuropeHumansMicroscopy, ConfocalMohs SurgeryTomography, Optical CoherenceUltrasonographyUnited StatesUnited States Food and Drug Administrationbasal cell carcinomadermatoscopydermoscopyEuropean Medicines AgencyFood and Drug Administrationhigh‐frequency ultrasoundimagingline‐field confocal optical coherence tomographymarginMohs micrographic surgeryoptical coherence tomographyreflectance confocal microscopy

Identifiers

PMID39358676
PMCPMC11771686

What OpenQuestion holds

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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.