Evidence map›Paper›PMID 42646909›Full record

ArticleLasers in surgery and medicine2026

Reflectance Confocal Microscopy-Optical Coherence Tomography-Guided Laser Ablation of Low-Risk Basal Cell Carcinoma: A Long-Term Prospective Follow-Up Study.

Noa Kremer, Miguel Cordova, Aditi Sahu, Larissa M Pastore, Rachel Manci, Zaeem H Nazir, Rozina Zeidan, Cristian Navarrete-Dechent, Oriol Yélamos, Stephen W Dusza and 5 more

Abstract read
In one paragraph

Article in Lasers in surgery and medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

15 authors.

Noa KremerDepartment of Dermatology, Icahn School of Medicine at Mount Sinai, New York, New York, USA.ORCID https://orcid.org/0000-0002-9533-6222
Miguel CordovaDepartment of Medicine, Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID https://orcid.org/0000-0002-2962-0671
Aditi SahuDepartment of Medicine, Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Larissa M PastoreDepartment of Medicine, Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID https://orcid.org/0000-0003-1374-3850
Rachel ManciDepartment of Medicine, Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID https://orcid.org/0000-0002-6215-1520
Zaeem H NazirDepartment of Medicine, Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Rozina ZeidanDepartment of Medicine, Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA.
Cristian Navarrete-DechentDepartment of Medicine, Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID https://orcid.org/0000-0003-4040-3640
Oriol YélamosDepartment of Medicine, Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID https://orcid.org/0000-0002-8058-3095
Stephen W DuszaDepartment of Medicine, Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID https://orcid.org/0000-0002-0747-2479
Nicusor IftimiaPhysical Sciences Inc, Andover, Massachusetts, USA.ORCID https://orcid.org/0000-0002-7713-6972
Melissa GillDepartment of Pathology, State University of New York Downstate Health Sciences University, Brooklyn, New York, USA.ORCID https://orcid.org/0000-0002-2413-1916
Ashfaq A MarghoobDepartment of Medicine, Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID https://orcid.org/0000-0001-6068-0114
Milind RajadhyakshaDepartment of Medicine, Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID https://orcid.org/0000-0002-6323-4547
Chih-Shan Jason ChenDepartment of Medicine, Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA.ORCID https://orcid.org/0000-0002-0977-2707

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Confocal video-mosaicking microscopy to guide surgery of superficially spreading skin cancersR01CA240771 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI CAMPS, OCTAVIA IRMA, RAJADHYAKSHA, MILIND · 2019 to 2023
$3.4M
Simultaneous coaxial widefield imaging and reflectance confocal microscopy for improved diagnosis of skin cancers in vivoR01EB028752 · NIBIB · MONTANA STATE UNIVERSITY - BOZEMAN · PI CAMPS, OCTAVIA IRMA, DICKENSHEETS, DAVID LEE · 2020 to 2023
$2.4M
FOREIGN BODY REACTION AND DEVICE CENTERED INFECTIONR01EB000287 · NIBIB · UNIVERSITY OF TEXAS ARLINGTON · PI TANG, LIPING · 2002 to 2002
$243k
National Cancer Institute Cancer Center P30 CA008748National Cancer Institute Cancer Center R01CA240771National Cancer Institute Cancer Center R01EB028752NCI NIH HHS P30 CA008748NCI NIH HHS R01 CA240771NIBIB NIH HHS R01 EB000287NIBIB NIH HHS R01 EB028752
6 · The paper itself

Abstract

objectivesThe primary objective was to evaluate the long-term recurrence rate following RCM-OCT-guided laser ablation of basal cell carcinomas (BCCs). The secondary objective was to assess patient-reported outcomes, including willingness to undergo the treatment again, scar acceptability, and adverse effects.

methodsA prospective cohort study evaluated 104 patients with 148 BCCs (2017-2021). Low risk BCC subtypes and with tumor depth of ≤ 300 µm were determined using RCM-OCT, and eligible lesions underwent same-day Er:YAG laser ablation with immediate post-treatment imaging to confirm clearance. Patients underwent clinical and RCM-OCT or RCM surveillance at 6 and 12 months and annually thereafter to assess recurrence. A patient-reported questionnaire was conducted in 2023.

resultsFifty-eight lesions (39.2%) in 39 patients met the criteria for laser ablation. Most lesions were located on the trunk (29/58, 50.0%), with median tumor depth and lesion size of 200 µm and 9.8 mm, respectively. Immediate post-ablation RCM-OCT demonstrated imaging-defined complete clearance after a single session in 53/58 lesions (91.4%). Residual tumors (5/58, 8.6%) were successfully treated during the same visit. Fifty-four of 58 lesions (93.1%) had at least 6 months of follow-up (median 32 months; min/max 8-70). One recurrence occurred at 53 months and was successfully retreated, corresponding to 1.04 recurrences per 100 person-years of follow-up. The patient-reported questionnaire response rate was 79.5% (31/39). Overall, 96.8% (30/31) reported acceptable scar appearance, 83.9% (26/31) were likely to choose laser ablation again (Score 1-2 of 5), and 9.7% (3/31) reported mild, transient side effects.

conclusionsRCM-OCT-guided Er:YAG laser ablation offers a "one-stop" treatment approach for selected low-risk BCCs, demonstrating low long-term recurrence rates and high patient satisfaction.

Indexed as

Basal Cell CarcinomaLasers, Solid-StateLaser TherapySkin NeoplasmsSurgery, Computer-AssistedTomography, Optical CoherenceAgedAged, 80 and overFemaleFollow-Up StudiesHumansMaleMicroscopy, ConfocalMiddle AgedNeoplasm Recurrence, LocalProspective StudiesEr:YAG laserimaging‐guided laser treatmentlow‐risk basal cell carcinoma“one stop” treatment approachoptical coherence tomographyreflectance confocal microscopy

Identifiers

PMID42646909
PMCPMC13671760

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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.