Evidence map›Paper›PMID 40590261›Full record

ArticleExperimental dermatology2025

Precision at the Cutting Edge: Ex Vivo Confocal Microscopy for Perioperative Tumour Thickness Assessment in Melanoma.

D Hartmann, A Swarlik, L Buttgereit, L Stärr, K Kerl-French, M Flaig, E C Sattler, L E French, M Deußing

Abstract read
In one paragraph

Article in Experimental dermatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Article
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

9 authors.

D HartmannDepartment of Dermatology and Allergy, LMU University Hospital, LMU Munich, Munich, Germany.
A SwarlikDepartment of Dermatology and Allergy, LMU University Hospital, LMU Munich, Munich, Germany.
L ButtgereitDepartment of Dermatology and Allergy, LMU University Hospital, LMU Munich, Munich, Germany.
L StärrDepartment of Dermatology and Allergy, LMU University Hospital, LMU Munich, Munich, Germany.
K Kerl-FrenchDepartment of Dermatology and Allergy, LMU University Hospital, LMU Munich, Munich, Germany.
M FlaigDepartment of Dermatology and Allergy, LMU University Hospital, LMU Munich, Munich, Germany.
E C SattlerDepartment of Dermatology and Allergy, LMU University Hospital, LMU Munich, Munich, Germany.
L E FrenchDepartment of Dermatology and Allergy, LMU University Hospital, LMU Munich, Munich, Germany.
M DeußingDepartment of Dermatology and Allergy, LMU University Hospital, LMU Munich, Munich, Germany.ORCID https://orcid.org/0000-0003-4935-9877

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ex vivo confocal laser microscopy (EVCM) represents a promising diagnostic tool for the immediate assessment of fresh tissue, with significant potential for the management of melanoma. This study aimed to evaluate the accuracy of EVCM in determining perioperative tumour thickness, a critical factor in guiding treatment strategies for melanoma. A total of 27 confirmed melanomas of varying thickness and from multiple anatomic sites were analysed using both EVCM and gold standard conventional histopathology. Tumour thickness was independently measured using confocal tumour thickness (CTT) and histopathological tumour thickness (HTT) and subsequently compared using correlation analysis, Spearman's correlation coefficient and Bland-Altman plot. Our findings demonstrate a high correlation between HTT and CTT, with a Spearman's correlation coefficient of 0.94. Bland-Altman analysis revealed a mean difference of -0.19 ± 0.72 mm between CTT and HTT, indicating a strong agreement between the two measurement methods. These results underscore the potential of EVCM as a reliable tool for perioperative evaluation of tumour thickness in melanoma, potentially streamlining the decision-making process for surgical margins and improving patient outcomes. Further studies with larger sample sizes are warranted to validate these findings and explore the broader applicability of EVCM in clinical practice.

Indexed as

MelanomaSkin NeoplasmsAdultAgedAged, 80 and overFemaleHumansMaleMargins of ExcisionMicroscopy, ConfocalMiddle Ageddermatologyfluorescence microscopymelanomanon‐invasive imagingreflectance microscopy

Identifiers

PMID40590261
PMCPMC12210341

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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.