array:24 [
  "pii" => "S0001731009733800"
  "issn" => "00017310"
  "doi" => "10.1016/S0001-7310(09)73380-0"
  "estado" => "S300"
  "fechaPublicacion" => "2009-12-01"
  "aid" => "73380"
  "copyright" => "Academia Española de Dermatología y Venereología"
  "copyrightAnyo" => "2009"
  "documento" => "article"
  "crossmark" => 0
  "subdocumento" => "fla"
  "cita" => "Actas Dermosifiliogr. 2009;100 Supl 2:59-69"
  "abierto" => array:3 [
    "ES" => true
    "ES2" => true
    "LATM" => true
  ]
  "gratuito" => true
  "lecturas" => array:2 [
    "total" => 1876
    "formatos" => array:3 [
      "EPUB" => 32
      "HTML" => 1281
      "PDF" => 563
    ]
  ]
  "itemSiguiente" => array:18 [
    "pii" => "S0001731009733812"
    "issn" => "00017310"
    "doi" => "10.1016/S0001-7310(09)73381-2"
    "estado" => "S300"
    "fechaPublicacion" => "2009-12-01"
    "aid" => "73381"
    "copyright" => "Academia Española de Dermatología y Venereología"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Actas Dermosifiliogr. 2009;100 Supl 2:70-4"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1688
      "formatos" => array:3 [
        "EPUB" => 32
        "HTML" => 1138
        "PDF" => 518
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "The Skin Neurotrophic Network in Health and Disease"
      "tienePdf" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "70"
          "paginaFinal" => "74"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "La red neurotrófica cutánea en piel sana y enferma"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:2 [
        "en" => true
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "R.G. Borroni, F. Truzzi, C. Pincelli"
          "autores" => array:3 [
            0 => array:2 [
              "nombre" => "R.G."
              "apellidos" => "Borroni"
            ]
            1 => array:2 [
              "nombre" => "F."
              "apellidos" => "Truzzi"
            ]
            2 => array:2 [
              "nombre" => "C."
              "apellidos" => "Pincelli"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731009733812?idApp=UINPBA000044"
    "url" => "/00017310/00000100000000S2/v1_201304241226/S0001731009733812/v1_201304241226/en/main.assets"
  ]
  "itemAnterior" => array:18 [
    "pii" => "S0001731009733794"
    "issn" => "00017310"
    "doi" => "10.1016/S0001-7310(09)73379-4"
    "estado" => "S300"
    "fechaPublicacion" => "2009-12-01"
    "aid" => "73379"
    "copyright" => "Academia Española de Dermatología y Venereología"
    "documento" => "article"
    "crossmark" => 0
    "subdocumento" => "fla"
    "cita" => "Actas Dermosifiliogr. 2009;100 Supl 2:55-8"
    "abierto" => array:3 [
      "ES" => true
      "ES2" => true
      "LATM" => true
    ]
    "gratuito" => true
    "lecturas" => array:2 [
      "total" => 1975
      "formatos" => array:3 [
        "EPUB" => 31
        "HTML" => 1295
        "PDF" => 649
      ]
    ]
    "en" => array:10 [
      "idiomaDefecto" => true
      "titulo" => "Field Treatment of Actinic Keratoses – Focus on COX-2-Inhibitors"
      "tienePdf" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "tieneTextoCompleto" => 0
      "tieneResumen" => array:2 [
        0 => "en"
        1 => "es"
      ]
      "paginas" => array:1 [
        0 => array:2 [
          "paginaInicial" => "55"
          "paginaFinal" => "58"
        ]
      ]
      "titulosAlternativos" => array:1 [
        "es" => array:1 [
          "titulo" => "Tratamiento del campo de queratosis actínicas: especial interés en los inhibidores de COX-2"
        ]
      ]
      "contieneResumen" => array:2 [
        "en" => true
        "es" => true
      ]
      "contienePdf" => array:2 [
        "en" => true
        "es" => true
      ]
      "autores" => array:1 [
        0 => array:2 [
          "autoresLista" => "M. Ulrich, E. Stockfleth"
          "autores" => array:2 [
            0 => array:2 [
              "nombre" => "M."
              "apellidos" => "Ulrich"
            ]
            1 => array:2 [
              "nombre" => "E."
              "apellidos" => "Stockfleth"
            ]
          ]
        ]
      ]
    ]
    "idiomaDefecto" => "en"
    "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731009733794?idApp=UINPBA000044"
    "url" => "/00017310/00000100000000S2/v1_201304241226/S0001731009733794/v1_201304241226/en/main.assets"
  ]
  "en" => array:12 [
    "idiomaDefecto" => true
    "titulo" => "Confocal Reflectance Microscopy in Dermatology: Promise and Reality of Non-Invasive Diagnosis and Monitoring"
    "tieneTextoCompleto" => 0
    "paginas" => array:1 [
      0 => array:2 [
        "paginaInicial" => "59"
        "paginaFinal" => "69"
      ]
    ]
    "autores" => array:1 [
      0 => array:4 [
        "autoresLista" => "S. González"
        "autores" => array:1 [
          0 => array:4 [
            "nombre" => "S."
            "apellidos" => "González"
            "email" => array:1 [
              0 => "gonzals6@mskcc.org"
            ]
            "referencia" => array:1 [
              0 => array:2 [
                "etiqueta" => "<span class="elsevierStyleSup">¿</span>"
                "identificador" => "cor1"
              ]
            ]
          ]
        ]
        "afiliaciones" => array:1 [
          0 => array:1 [
            "entidad" => "Dermatology Service&#46; Memorial Sloan-Kettering Cancer Center&#46; New York&#46; United States of America&#46; Hospital Ram&#243;n y Cajal&#46; Universidad de Alcal&#225; de Henares&#46; Madrid&#46; Spain"
          ]
        ]
        "correspondencia" => array:1 [
          0 => array:3 [
            "identificador" => "cor1"
            "etiqueta" => "&#8270;"
            "correspondencia" => "Correspondence&#58; Faculty of Dermatology Service&#46; Memorial Sloan-Kettering Cancer Center&#46; New York&#46; 160 E 53rd Street&#44; NY-10022&#46;"
          ]
        ]
      ]
    ]
    "titulosAlternativos" => array:1 [
      "es" => array:1 [
        "titulo" => "Microscop&#237;a confocal de reflectancia en dermatolog&#237;a&#58; promesa y realidad de diagn&#243;stico y seguimiento no invasivos"
      ]
    ]
    "pdfFichero" => "main.pdf"
    "tienePdf" => true
    "PalabrasClave" => array:2 [
      "en" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Key words"
          "identificador" => "xpalclavsec82468"
          "palabras" => array:4 [
            0 => "reflectance confocal microscopy"
            1 => "non-invasive imaging techniques"
            2 => "<span class="elsevierStyleItalic">in vivo</span> microscopy"
            3 => "skin cancer"
          ]
        ]
      ]
      "es" => array:1 [
        0 => array:4 [
          "clase" => "keyword"
          "titulo" => "Palabras clave"
          "identificador" => "xpalclavsec82467"
          "palabras" => array:4 [
            0 => "microscop&#237;a confocal de reflectancia"
            1 => "t&#233;cnica no invasiva"
            2 => "microscop&#237;a <span class="elsevierStyleItalic">in vivo</span>"
            3 => "c&#225;ncer cut&#225;neo"
          ]
        ]
      ]
    ]
    "tieneResumen" => true
    "resumen" => array:2 [
      "en" => array:2 [
        "titulo" => "Summary"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall"><span class="elsevierStyleItalic">In vivo</span> reflectance confocal microscopy &#40;RCM&#41; constitutes a novel non-invasive imaging method that enables visualization of cells and structures in living skin in real time with resolution close to histological analysis&#46; RCM has been successfully implemented in the assessment of benign and malignant lesions&#46; It also enables monitoring dynamic changes in the skin over time and in response to different stimuli&#44; such as ultraviolet exposure or specific treatments&#46; The non-invasive nature of this technique allows repetitive sampling without biopsy collection&#44; causing no further damage to the areas under investigation&#46; In this article&#44; I provide an overview of RCM&#44; including the latest technological advances as well as novel applications in the characterization of both normal and pathological skin&#46;</p>"
      ]
      "es" => array:2 [
        "titulo" => "Resumen"
        "resumen" => "<p class="elsevierStyleSimplePara elsevierViewall">La microscop&#237;a confocal de reflectancia &#40;MCR&#41; <span class="elsevierStyleItalic">in vivo</span> constituye un novedoso m&#233;todo de imagen no invasivo que permite la visualizaci&#243;n de c&#233;lulas y estructuras de la piel viva en tiempo real&#44; con una resoluci&#243;n pr&#243;xima al estudio histol&#243;gico&#46; La MCR tambi&#233;n se ha implementado con &#233;xito para la valoraci&#243;n de lesiones benignas y malignas&#46; Asimismo&#44; permite detectar los cambios din&#225;micos en la piel con el paso del tiempo y en respuesta a diferentes est&#237;mulos&#44; como la exposici&#243;n a la radiaci&#243;n ultravioleta o a tratamientos espec&#237;ficos&#46; La naturaleza no invasiva de esta t&#233;cnica permite repetir las muestras sin realizar una biopsia&#44; evitando as&#237; causar m&#225;s da&#241;o a las zonas que est&#225;n siendo estudiadas&#46; En este art&#237;culo se aporta una visi&#243;n de conjunto sobre la MCR&#44; incluyendo los &#250;ltimos avances tecnol&#243;gicos&#44; as&#237; como las aplicaciones novedosas para la caracterizaci&#243;n de la piel sana y enferma&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:57 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dermoscopy&#58; what&#39;s new&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "R&#46;P&#46; Braun"
                            1 => "M&#46; Oliviero"
                            2 => "I&#46; Kolm"
                            3 => "L&#46;E&#46; French"
                            4 => "A&#46;A&#46; Marghoob"
                            5 => "H&#46; Rabinovitz"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.clindermatol.2008.09.003"
                      "Revista" => array:6 [
                        "tituloSerie" => "Clin Dermatol"
                        "fecha" => "2009"
                        "volumen" => "27"
                        "paginaInicial" => "26"
                        "paginaFinal" => "34"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19095151"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Technology Insight&#58; optical coherence tomography-current status and future development"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "A&#46;F&#46; Low"
                            1 => "G&#46;J&#46; Tearney"
                            2 => "B&#46;E&#46; Bouma"
                            3 => "I&#46;K&#46; Jang"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/ncpcardio0482"
                      "Revista" => array:6 [
                        "tituloSerie" => "Nat Clin Pract Cardiovasc Med"
                        "fecha" => "2006"
                        "volumen" => "3"
                        "paginaInicial" => "154"
                        "paginaFinal" => "162"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16505861"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Basic principles and advanced technical aspects of ultrasound imaging"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "L&#46; Mansotti"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "LibroEditado" => array:4 [
                        "titulo" => "Physics and Engineering of Medical Imaging"
                        "paginaInicial" => "263"
                        "paginaFinal" => "317"
                        "serieFecha" => "1987"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Technical Magnetic resonance Imaging"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "J&#46; Markisz"
                            1 => "M&#46; Aquilia"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:3 [
                        "fecha" => "1996"
                        "editorial" => "Appleton &#38; Lange"
                        "editorialLocalizacion" => "Stanford"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Fluorescence fibre-optic confocal microscopy of skin <span class="elsevierStyleItalic">in vivo</span>&#58; microscope and fluorophores"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "C&#46; Suihko"
                            1 => "L&#46;D&#46; Swindle"
                            2 => "S&#46;G&#46; Thomas"
                            3 => "J&#46; Serup"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.0909-725X.2005.00152.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Skin Res Technol"
                        "fecha" => "2005"
                        "volumen" => "11"
                        "paginaInicial" => "254"
                        "paginaFinal" => "267"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16221142"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "<span class="elsevierStyleItalic">In vivo</span> confocal scanning laser microscopy of human skin II&#58; advances in instrumentation and comparison with histology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Rajadhyaksha"
                            1 => "S&#46; Gonz&#225;lez"
                            2 => "J&#46;M&#46; Zavislan"
                            3 => "R&#46;R&#46; Anderson"
                            4 => "R&#46;H&#46; Webb"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1046/j.1523-1747.1999.00690.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Invest Dermatol"
                        "fecha" => "1999"
                        "volumen" => "113"
                        "paginaInicial" => "293"
                        "paginaFinal" => "303"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10469324"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Confocal imaging of sebaceous gland hyperplasia <span class="elsevierStyleItalic">in vivo</span> to assess efficacy and mechanism of pulsed dye laser treatment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46; Gonz&#225;lez"
                            1 => "W&#46;M&#46; White"
                            2 => "M&#46; Rajadhyaksha"
                            3 => "R&#46;R&#46; Anderson"
                            4 => "E&#46; Gonz&#225;lez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Lasers Surg Med"
                        "fecha" => "1999"
                        "volumen" => "25"
                        "paginaInicial" => "8"
                        "paginaFinal" => "12"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10421881"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Real-time evidence of <span class="elsevierStyleItalic">in vivo</span> leukocyte trafficking in human skin by reflectance confocal microscopy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "S&#46; Gonz&#225;lez"
                            1 => "R&#46; Sackstein"
                            2 => "R&#46;R&#46; Anderson"
                            3 => "M&#46; Rajadhyaksha"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1046/j.0022-202x.2001.01420.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Invest Dermatol"
                        "fecha" => "2001"
                        "volumen" => "117"
                        "paginaInicial" => "384"
                        "paginaFinal" => "386"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11511322"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Elucidating the pulsed-dye laser treatment of sebaceous hyperplasia <span class="elsevierStyleItalic">in vivo</span> with real-time confocal scanning laser microscopy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46; Aghassi"
                            1 => "E&#46; Gonz&#225;lez"
                            2 => "R&#46;R&#46; Anderson"
                            3 => "M&#46; Rajadhyaksha"
                            4 => "S&#46; Gonz&#225;lez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1067/mjd.2000.105566"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2000"
                        "volumen" => "43"
                        "paginaInicial" => "49"
                        "paginaFinal" => "53"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10863223"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Time-sequence histologic imaging of laser-treated cherry angiomas with <span class="elsevierStyleItalic">in vivo</span> confocal microscopy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46; Aghassi"
                            1 => "R&#46;R&#46; Anderson"
                            2 => "S&#46; Gonz&#225;lez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1067/mjd.2000.105560"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2000"
                        "volumen" => "43"
                        "paginaInicial" => "37"
                        "paginaFinal" => "41"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10863221"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "<span class="elsevierStyleItalic">In vivo</span> reflectance confocal microscopy imaging of melanocytic skin lesions&#58; consensus terminology glossary and illustrative images"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Scope"
                            1 => "C&#46; Benvenuto-Andrade"
                            2 => "A&#46;L&#46; Agero"
                            3 => "J&#46; Malvehy"
                            4 => "S&#46; Puig"
                            5 => "M&#46; Rajadhyaksha"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2007.05.044"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2007"
                        "volumen" => "57"
                        "paginaInicial" => "644"
                        "paginaFinal" => "658"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17630045"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12&#46;"
              "referencia" => array:1 [
                0 => array:1 [
                  "referenciaCompleta" => "Minsky M&#46; Microscopy apparatus&#46; US Patent No&#46; 3013467&#59; 1957&#46;"
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Confocal microscopy of the living eye"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "H&#46;D&#46; Cavanagh"
                            1 => "J&#46;V&#46; Jester"
                            2 => "J&#46; Essepian"
                            3 => "W&#46; Shields"
                            4 => "M&#46;A&#46; Lemp"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "CLAO J"
                        "fecha" => "1990"
                        "volumen" => "16"
                        "paginaInicial" => "65"
                        "paginaFinal" => "73"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2407380"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0010782409000328"
                          "estado" => "S300"
                          "issn" => "00107824"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "<span class="elsevierStyleItalic">In vivo</span>&#44; real-time confocal imaging"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46;V&#46; Jester"
                            1 => "P&#46;M&#46; Andrews"
                            2 => "W&#46;M&#46; Petroll"
                            3 => "M&#46;A&#46; Lemp"
                            4 => "H&#46;D&#46; Cavanagh"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/jemt.1060180108"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Electron Microsc Tech"
                        "fecha" => "1991"
                        "volumen" => "18"
                        "paginaInicial" => "50"
                        "paginaFinal" => "60"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2056351"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tandem scanning confocal microscopy &#40;TSCM&#41; of normal and ischemic living kidneys"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "P&#46;M&#46; Andrews"
                            1 => "W&#46;M&#46; Petroll"
                            2 => "H&#46;D&#46; Cavanagh"
                            3 => "J&#46;V&#46; Jester"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/aja.1001910110"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Anat"
                        "fecha" => "1991"
                        "volumen" => "191"
                        "paginaInicial" => "95"
                        "paginaFinal" => "102"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1905877"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "<span class="elsevierStyleItalic">In vivo</span> confocal scanning laser microscopy of human skin&#58; melanin provides strong contrast"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Rajadhyaksha"
                            1 => "M&#46; Grossman"
                            2 => "D&#46; Esterowitz"
                            3 => "R&#46;H&#46; Webb"
                            4 => "R&#46;R&#46; Anderson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:7 [
                        "tituloSerie" => "J Invest Dermatol"
                        "fecha" => "1995"
                        "volumen" => "104"
                        "paginaInicial" => "946"
                        "paginaFinal" => "952"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7769264"
                            "web" => "Medline"
                          ]
                        ]
                        "itemHostRev" => array:3 [
                          "pii" => "S0010782408004083"
                          "estado" => "S300"
                          "issn" => "00107824"
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Confocal reflectance microscopy&#58; diagnosis of skin cancer without biopsy&#63;"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:1 [
                            0 => "M&#46; Rajadhyaksha"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Libro" => array:4 [
                        "titulo" => "Frontiers of Engineering"
                        "fecha" => "1999"
                        "editorial" => "National Academies Press"
                        "editorialLocalizacion" => "Washington&#44; DC"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The optics of human skin"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "R&#46;R&#46; Anderson"
                            1 => "J&#46;A&#46; Parrish"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Invest Dermatol"
                        "fecha" => "1981"
                        "volumen" => "77"
                        "paginaInicial" => "13"
                        "paginaFinal" => "19"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7252245"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Morphologic features of melanocytes&#44; pigmented keratinocytes&#44; and melanophages by <span class="elsevierStyleItalic">in vivo</span> confocal scanning laser microscopy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "K&#46;J&#46; Busam"
                            1 => "C&#46; Charles"
                            2 => "G&#46; Lee"
                            3 => "A&#46;C&#46; Halpern"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/modpathol.3880402"
                      "Revista" => array:6 [
                        "tituloSerie" => "Mod Pathol"
                        "fecha" => "2001"
                        "volumen" => "14"
                        "paginaInicial" => "862"
                        "paginaFinal" => "868"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11557781"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Topographic variations in normal skin&#44; as viewed by <span class="elsevierStyleItalic">in vivo</span> reflectance confocal microscopy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Huzaira"
                            1 => "F&#46; Rius"
                            2 => "M&#46; Rajadhyaksha"
                            3 => "R&#46;R&#46; Anderson"
                            4 => "S&#46; Gonz&#225;lez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1046/j.0022-202x.2001.01337.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Invest Dermatol"
                        "fecha" => "2001"
                        "volumen" => "116"
                        "paginaInicial" => "846"
                        "paginaFinal" => "852"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11407970"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Confocal laser microscopic imaging of actinic keratoses <span class="elsevierStyleItalic">in vivo</span>&#58; a preliminary report"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D&#46; Aghassi"
                            1 => "R&#46;R&#46; Anderson"
                            2 => "S&#46; Gonz&#225;lez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1067/mjd.2000.105565"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2000"
                        "volumen" => "43"
                        "paginaInicial" => "42"
                        "paginaFinal" => "48"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10863222"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Discrimination of actinic keratoses from normal skin with reflectance mode confocal microscopy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; Horn"
                            1 => "A&#46; Gerger"
                            2 => "V&#46; Ahlgrimm-Siess"
                            3 => "W&#46; Weger"
                            4 => "S&#46; Koller"
                            5 => "H&#46; Kerl"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1524-4725.2008.34195.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Dermatol Surg"
                        "fecha" => "2008"
                        "volumen" => "34"
                        "paginaInicial" => "620"
                        "paginaFinal" => "625"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18429925"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical applicability of <span class="elsevierStyleItalic">in vivo</span> reflectance confocal microscopy for the diagnosis of actinic keratoses"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; Ulrich"
                            1 => "A&#46; Maltusch"
                            2 => "F&#46; Rius-Diaz"
                            3 => "J&#46; R&#246;wert-Huber"
                            4 => "S&#46; Gonz&#225;lez"
                            5 => "W&#46; Sterry"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1524-4725.2007.34117.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Dermatol Surg"
                        "fecha" => "2008"
                        "volumen" => "34"
                        "paginaInicial" => "610"
                        "paginaFinal" => "619"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18261097"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Actinic keratoses&#58; non-invasive diagnosis for field cancerisation"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M&#46; Ulrich"
                            1 => "A&#46; Maltusch"
                            2 => "J&#46; Rowert-Huber"
                            3 => "S&#46; Gonz&#225;lez"
                            4 => "W&#46; Sterry"
                            5 => "E&#46; Stockfleth"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2133.2007.07865.x"
                      "Revista" => array:7 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "2007"
                        "volumen" => "156"
                        "numero" => "Suppl 3"
                        "paginaInicial" => "13"
                        "paginaFinal" => "17"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17488401"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Multimodal confocal microscopy for diagnosing nonmelanoma skin cancers"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "M&#46; Al-Arashi"
                            1 => "E&#46; Salomatina"
                            2 => "A&#46; Yaroslavsky"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/lsm.20578"
                      "Revista" => array:6 [
                        "tituloSerie" => "Lasers Surg Med"
                        "fecha" => "2007"
                        "volumen" => "39"
                        "paginaInicial" => "696"
                        "paginaFinal" => "705"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17960751"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "<span class="elsevierStyleItalic">In vivo</span> imaging of oral neoplasia using a miniaturized fiber optic confocal reflectance microscope"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "K&#46;C&#46; Maitland"
                            1 => "A&#46;M&#46; Gillenwater"
                            2 => "M&#46;D&#46; Williams"
                            3 => "A&#46;K&#46; El-Naggar"
                            4 => "M&#46;R&#46; Descour"
                            5 => "R&#46;R&#46; Richards-Kortum"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.oraloncology.2008.02.002"
                      "Revista" => array:6 [
                        "tituloSerie" => "Oral Oncol"
                        "fecha" => "2008"
                        "volumen" => "44"
                        "paginaInicial" => "1059"
                        "paginaFinal" => "1066"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18396445"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Noninvasive imaging of human oral mucosa <span class="elsevierStyleItalic">in vivo</span> by confocal reflectance microscopy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "W&#46;M&#46; White"
                            1 => "M&#46; Rajadhyaksha"
                            2 => "S&#46; Gonz&#225;lez"
                            3 => "R&#46;L&#46; Fabian"
                            4 => "R&#46;R&#46; Anderson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1097/00005537-199910000-00029"
                      "Revista" => array:6 [
                        "tituloSerie" => "Laryngoscope"
                        "fecha" => "1999"
                        "volumen" => "109"
                        "paginaInicial" => "1709"
                        "paginaFinal" => "1717"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10522947"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Real-time&#44; <span class="elsevierStyleItalic">in vivo</span> confocal reflectance microscopy of basal cell carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "S&#46; Gonz&#225;lez"
                            1 => "Z&#46; Tannous"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1067/mjd.2002.124690"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2002"
                        "volumen" => "47"
                        "paginaInicial" => "869"
                        "paginaFinal" => "874"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12451371"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sensitivity and specificity of reflectance-mode confocal microscopy for <span class="elsevierStyleItalic">in vivo</span> diagnosis of basal cell carcinoma&#58; a multicenter study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46; Nori"
                            1 => "F&#46; Rius-Diaz"
                            2 => "J&#46; Cuevas"
                            3 => "M&#46; Goldgeier"
                            4 => "P&#46; Jaen"
                            5 => "A&#46; Torres"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2004.06.028"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2004"
                        "volumen" => "51"
                        "paginaInicial" => "923"
                        "paginaFinal" => "930"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15583584"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Noninvasive imaging&#44; treatment&#44; and microscopic confirmation of clearance of basal cell carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Goldgeier"
                            1 => "C&#46;A&#46; Fox"
                            2 => "J&#46;M&#46; Zavislan"
                            3 => "D&#46; Harris"
                            4 => "S&#46; Gonz&#225;lez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Dermatol Surg"
                        "fecha" => "2003"
                        "volumen" => "29"
                        "paginaInicial" => "205"
                        "paginaFinal" => "210"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12614409"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            30 => array:3 [
              "identificador" => "bib31"
              "etiqueta" => "31&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "5&#37; imiquimod cream and reflectance-mode confocal microscopy as adjunct modalities to Mohs micrographic surgery for treatment of basal cell carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Torres"
                            1 => "A&#46; Niemeyer"
                            2 => "B&#46; Berkes"
                            3 => "D&#46; Marra"
                            4 => "C&#46; Schanbacher"
                            5 => "S&#46; Gonz&#225;lez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1524-4725.2004.30504.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Dermatol Surg"
                        "fecha" => "2004"
                        "volumen" => "30"
                        "paginaInicial" => "1462"
                        "paginaFinal" => "1469"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15606733"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            31 => array:3 [
              "identificador" => "bib32"
              "etiqueta" => "32&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "<span class="elsevierStyleItalic">In vivo</span> reflectance confocal microscopy of mycosis fungoides&#58; A preliminary study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A&#46;L&#46; Agero"
                            1 => "M&#46; Gill"
                            2 => "M&#46; Ardigo"
                            3 => "P&#46; Myskowski"
                            4 => "A&#46;C&#46; Halpern"
                            5 => "S&#46; Gonz&#225;lez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2007.02.026"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2007"
                        "volumen" => "57"
                        "paginaInicial" => "435"
                        "paginaFinal" => "441"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17433849"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            32 => array:3 [
              "identificador" => "bib33"
              "etiqueta" => "33&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Sensitivity and specificity of confocal laser-scanning microscopy for <span class="elsevierStyleItalic">in vivo</span> diagnosis of malignant skin tumors"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46; Gerger"
                            1 => "S&#46; Koller"
                            2 => "W&#46; Weger"
                            3 => "E&#46; Richtig"
                            4 => "H&#46; Kerl"
                            5 => "H&#46; Samonigg"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1002/cncr.21910"
                      "Revista" => array:6 [
                        "tituloSerie" => "Cancer"
                        "fecha" => "2006"
                        "volumen" => "107"
                        "paginaInicial" => "193"
                        "paginaFinal" => "200"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16615102"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            33 => array:3 [
              "identificador" => "bib34"
              "etiqueta" => "34&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Correlation of dermoscopic globule-like structures of dermatofibroma using reflectance confocal microscopy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "A&#46; Scope"
                            1 => "M&#46; Ardigo"
                            2 => "A&#46;A&#46; Marghoob"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1159/000109364"
                      "Revista" => array:6 [
                        "tituloSerie" => "Dermatology"
                        "fecha" => "2008"
                        "volumen" => "216"
                        "paginaInicial" => "81"
                        "paginaFinal" => "82"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18032905"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            34 => array:3 [
              "identificador" => "bib35"
              "etiqueta" => "35&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reflectance confocal microscopy of pigmented basal cell carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A&#46;L&#46; Agero"
                            1 => "K&#46;J&#46; Busam"
                            2 => "C&#46; Benvenuto-Andrade"
                            3 => "A&#46; Scope"
                            4 => "M&#46; Gill"
                            5 => "A&#46;A&#46; Marghoob"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2005.11.1096"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2006"
                        "volumen" => "54"
                        "paginaInicial" => "638"
                        "paginaFinal" => "643"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16546585"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            35 => array:3 [
              "identificador" => "bib36"
              "etiqueta" => "36&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Dendritic cells in pigmented basal cell carcinoma&#58; a relevant finding by reflectance-mode confocal microscopy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46; Segura"
                            1 => "S&#46; Puig"
                            2 => "C&#46; Carrera"
                            3 => "J&#46; Palou"
                            4 => "J&#46; Malvehy"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archderm.143.7.883"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2007"
                        "volumen" => "143"
                        "paginaInicial" => "883"
                        "paginaFinal" => "886"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17638732"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            36 => array:3 [
              "identificador" => "bib37"
              "etiqueta" => "37&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pigmented mammary Paget disease&#58; dermoscopic&#44; <span class="elsevierStyleItalic">in vivo</span> reflectance-mode confocal microscopic&#44; and immunohistochemical study of a case"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "C&#46; Longo"
                            1 => "F&#46; Fantini"
                            2 => "A&#46;M&#46; Cesinaro"
                            3 => "S&#46; Bassoli"
                            4 => "S&#46; Seidenari"
                            5 => "G&#46; Pellacani"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archderm.143.6.752"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2007"
                        "volumen" => "143"
                        "paginaInicial" => "752"
                        "paginaFinal" => "754"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17576941"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            37 => array:3 [
              "identificador" => "bib38"
              "etiqueta" => "38&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Confocal scanning laser microscopy of benign and malignant melanocytic skin lesions <span class="elsevierStyleItalic">in vivo</span>"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "R&#46;G&#46; Langley"
                            1 => "M&#46; Rajadhyaksha"
                            2 => "P&#46;J&#46; Dwyer"
                            3 => "A&#46;J&#46; Sober"
                            4 => "T&#46;J&#46; Flotte"
                            5 => "R&#46;R&#46; Anderson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1067/mjd.2001.117395"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2001"
                        "volumen" => "45"
                        "paginaInicial" => "365"
                        "paginaFinal" => "376"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11511832"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            38 => array:3 [
              "identificador" => "bib39"
              "etiqueta" => "39&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Microscopic <span class="elsevierStyleItalic">in vivo</span> description of cellular architecture of dermoscopic pigment network in nevi and melanomas"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "G&#46; Pellacani"
                            1 => "A&#46;M&#46; Cesinaro"
                            2 => "C&#46; Longo"
                            3 => "C&#46; Grana"
                            4 => "S&#46; Seidenari"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archderm.141.2.147"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2005"
                        "volumen" => "141"
                        "paginaInicial" => "147"
                        "paginaFinal" => "154"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15724010"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            39 => array:3 [
              "identificador" => "bib40"
              "etiqueta" => "40&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Correlation of dermoscopic structures of melanocytic lesions to reflectance confocal microscopy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "A&#46; Scope"
                            1 => "C&#46; Benvenuto-Andrade"
                            2 => "A&#46;L&#46; Agero"
                            3 => "A&#46;C&#46; Halpern"
                            4 => "S&#46; Gonz&#225;lez"
                            5 => "A&#46;A&#46; Marghoob"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archderm.143.2.176"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2007"
                        "volumen" => "143"
                        "paginaInicial" => "176"
                        "paginaFinal" => "185"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17309998"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            40 => array:3 [
              "identificador" => "bib41"
              "etiqueta" => "41&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The classification of malignant melanoma and its histologic reporting"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "V&#46;J&#46; McGovern"
                            1 => "M&#46;C&#46; Mihm Jr&#46;"
                            2 => "C&#46; Bailly"
                            3 => "J&#46;C&#46; Booth"
                            4 => "W&#46;H&#46; Clark Jr&#46;"
                            5 => "A&#46;J&#46; Cochran"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cancer"
                        "fecha" => "1973"
                        "volumen" => "32"
                        "paginaInicial" => "1446"
                        "paginaFinal" => "1457"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/4757934"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            41 => array:3 [
              "identificador" => "bib42"
              "etiqueta" => "42&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "The histogenesis and biologic behavior of primary human malignant melanomas of the skin"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "W&#46;H&#46; Clark Jr&#46;"
                            1 => "L&#46; From"
                            2 => "E&#46;A&#46; Bernardino"
                            3 => "M&#46;C&#46; Mihm"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Cancer Res"
                        "fecha" => "1969"
                        "volumen" => "29"
                        "paginaInicial" => "705"
                        "paginaFinal" => "727"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/5773814"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            42 => array:3 [
              "identificador" => "bib43"
              "etiqueta" => "43&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Noninvasive imaging of melanoma with reflectance mode confocal scanning laser microscopy in a murine model"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "D&#46;S&#46; Gareau"
                            1 => "G&#46; Merlino"
                            2 => "C&#46; Corless"
                            3 => "M&#46; Kulesz-Martin"
                            4 => "S&#46;L&#46; Jacques"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1038/sj.jid.5700829"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Invest Dermatol"
                        "fecha" => "2007"
                        "volumen" => "127"
                        "paginaInicial" => "2184"
                        "paginaFinal" => "2190"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17460734"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            43 => array:3 [
              "identificador" => "bib44"
              "etiqueta" => "44&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Imaging melanoma in a murine model using reflectance-mode confocal scanning laser microscopy and polarized light imaging"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46;S&#46; Gareau"
                            1 => "J&#46; Lagowski"
                            2 => "V&#46;M&#46; Rossi"
                            3 => "J&#46;A&#46; Viator"
                            4 => "G&#46; Merlino"
                            5 => "M&#46; Kulesz-Martin"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1087-0024.2005.200408.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Investig Dermatol Symp Proc"
                        "fecha" => "2005"
                        "volumen" => "10"
                        "paginaInicial" => "164"
                        "paginaFinal" => "169"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16363066"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            44 => array:3 [
              "identificador" => "bib45"
              "etiqueta" => "45&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "<span class="elsevierStyleItalic">In vivo</span> microscopic features of nodular melanomas&#58; dermoscopy&#44; confocal microscopy&#44; and histopathologic correlates"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "S&#46; Segura"
                            1 => "G&#46; Pellacani"
                            2 => "S&#46; Puig"
                            3 => "C&#46; Longo"
                            4 => "S&#46; Bassoli"
                            5 => "P&#46; Guitera"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archderm.144.10.1311"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2008"
                        "volumen" => "144"
                        "paginaInicial" => "1311"
                        "paginaFinal" => "1320"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/18936395"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            45 => array:3 [
              "identificador" => "bib46"
              "etiqueta" => "46&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Detection of clinically amelanotic malignant melanoma and assessment of its margins by <span class="elsevierStyleItalic">in vivo</span> confocal scanning laser microscopy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "K&#46;J&#46; Busam"
                            1 => "K&#46; Hester"
                            2 => "C&#46; Charles"
                            3 => "D&#46;L&#46; Sachs"
                            4 => "C&#46;R&#46; Antonescu"
                            5 => "S&#46; Gonz&#225;lez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2001"
                        "volumen" => "137"
                        "paginaInicial" => "923"
                        "paginaFinal" => "929"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11453812"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            46 => array:3 [
              "identificador" => "bib47"
              "etiqueta" => "47&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reflectance-mode confocal microscopy of pigmented skin lesions&#8211;improvement in melanoma diagnostic specificity"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G&#46; Pellacani"
                            1 => "A&#46;M&#46; Cesinaro"
                            2 => "S&#46; Seidenari"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.jaad.2005.08.022"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "2005"
                        "volumen" => "53"
                        "paginaInicial" => "979"
                        "paginaFinal" => "985"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16310058"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            47 => array:3 [
              "identificador" => "bib48"
              "etiqueta" => "48&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Reflectance-mode confocal microscopy for the <span class="elsevierStyleItalic">in vivo</span> characterization of pagetoid melanocytosis in melanomas and nevi"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "G&#46; Pellacani"
                            1 => "A&#46;M&#46; Cesinaro"
                            2 => "S&#46; Seidenari"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.0022-202X.2005.23813.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Investig Dermatol"
                        "fecha" => "2005"
                        "volumen" => "125"
                        "paginaInicial" => "532"
                        "paginaFinal" => "537"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16117795"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            48 => array:3 [
              "identificador" => "bib49"
              "etiqueta" => "49&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Allergic contact dermatitis&#58; correlation of <span class="elsevierStyleItalic">in vivo</span> confocal imaging to routine histology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46; Gonz&#225;lez"
                            1 => "E&#46; Gonz&#225;lez"
                            2 => "W&#46;M&#46; White"
                            3 => "M&#46; Rajadhyaksha"
                            4 => "R&#46;R&#46; Anderson"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "J Am Acad Dermatol"
                        "fecha" => "1999"
                        "volumen" => "40"
                        "paginaInicial" => "708"
                        "paginaFinal" => "713"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10321598"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            49 => array:3 [
              "identificador" => "bib50"
              "etiqueta" => "50&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Multimodal <span class="elsevierStyleItalic">in vivo</span> optical imaging&#44; including confocal microscopy&#44; facilitates presurgical margin mapping for clinically complex lentigo maligna melanoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "C&#46;S&#46; Chen"
                            1 => "M&#46; Elias"
                            2 => "K&#46; Busam"
                            3 => "M&#46; Rajadhyaksha"
                            4 => "A&#46;A&#46; Marghoob"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2133.2005.06831.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Br J Dermatol"
                        "fecha" => "2005"
                        "volumen" => "153"
                        "paginaInicial" => "1031"
                        "paginaFinal" => "1036"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/16225620"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            50 => array:3 [
              "identificador" => "bib51"
              "etiqueta" => "51&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "<span class="elsevierStyleItalic">In vivo</span> real-time confocal reflectance microscopy&#58; a noninvasive guide for Mohs micrographic surgery facilitated by aluminum chloride&#44; an excellent contrast enhancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "Z&#46; Tannous"
                            1 => "A&#46; Torres"
                            2 => "S&#46; Gonz&#225;lez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Dermatol Surg"
                        "fecha" => "2003"
                        "volumen" => "29"
                        "paginaInicial" => "839"
                        "paginaFinal" => "846"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12859385"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            51 => array:3 [
              "identificador" => "bib52"
              "etiqueta" => "52&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Use of <span class="elsevierStyleItalic">in vivo</span> confocal microscopy in malignant melanoma&#58; an aid in diagnosis and assessment of surgical and nonsurgical therapeutic approaches"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "C&#46; Curiel-Lewandrowski"
                            1 => "C&#46;M&#46; Williams"
                            2 => "K&#46;J&#46; Swindells"
                            3 => "S&#46;R&#46; Tahan"
                            4 => "S&#46; Astner"
                            5 => "R&#46;A&#46; Frankenthaler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1001/archderm.140.9.1127"
                      "Revista" => array:6 [
                        "tituloSerie" => "Arch Dermatol"
                        "fecha" => "2004"
                        "volumen" => "140"
                        "paginaInicial" => "1127"
                        "paginaFinal" => "1132"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15381554"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            52 => array:3 [
              "identificador" => "bib53"
              "etiqueta" => "53&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Confocal examination of nonmelanoma cancers in thick skin excisions to potentially guide Mohs micrographic surgery without frozen histopathology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M&#46; Rajadhyaksha"
                            1 => "G&#46; Menaker"
                            2 => "T&#46; Flotte"
                            3 => "P&#46;J&#46; Dwyer"
                            4 => "S&#46; Gonz&#225;lez"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1046/j.0022-202x.2001.01524.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Invest Dermatol"
                        "fecha" => "2001"
                        "volumen" => "117"
                        "paginaInicial" => "1137"
                        "paginaFinal" => "1143"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11710924"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            53 => array:3 [
              "identificador" => "bib54"
              "etiqueta" => "54&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Use of <span class="elsevierStyleItalic">ex vivo</span> confocal scanning laser microscopy during Mohs surgery for nonmelanoma skin cancers"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "V&#46;Q&#46; Chung"
                            1 => "P&#46;J&#46; Dwyer"
                            2 => "K&#46;S&#46; Nehal"
                            3 => "M&#46; Rajadhyaksha"
                            4 => "G&#46;M&#46; Menaker"
                            5 => "C&#46; Charles"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1524-4725.2004.30505.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Dermatol Surg"
                        "fecha" => "2004"
                        "volumen" => "30"
                        "paginaInicial" => "1470"
                        "paginaFinal" => "1478"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15606734"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            54 => array:3 [
              "identificador" => "bib55"
              "etiqueta" => "55&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Confocal mosaicing microscopy in skin excisions&#58; a demonstration of rapid surgical pathology"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "D&#46;S&#46; Gareau"
                            1 => "Y&#46;G&#46; Patel"
                            2 => "Y&#46; Li"
                            3 => "I&#46; Aranda"
                            4 => "A&#46;C&#46; Halpern"
                            5 => "K&#46;S&#46; Nehal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1365-2818.2008.03105.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Microsc"
                        "fecha" => "2009"
                        "volumen" => "233"
                        "paginaInicial" => "149"
                        "paginaFinal" => "159"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/19196421"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            55 => array:3 [
              "identificador" => "bib56"
              "etiqueta" => "56&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Confocal reflectance mosaicing of basal cell carcinomas in Mohs surgical skin excisions"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "Y&#46;G&#46; Patel"
                            1 => "K&#46;S&#46; Nehal"
                            2 => "I&#46; Aranda"
                            3 => "Y&#46; Li"
                            4 => "A&#46;C&#46; Halpern"
                            5 => "M&#46; Rajadhyaksha"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1117/1.2750294"
                      "Revista" => array:5 [
                        "tituloSerie" => "J Biomed Opt"
                        "fecha" => "2007"
                        "volumen" => "12"
                        "paginaInicial" => "034027"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/17614735"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            56 => array:3 [
              "identificador" => "bib57"
              "etiqueta" => "57&#46;"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Confocal microscopy&#58; innovative diagnostic tools for monitoring of noninvasive therapy in cutaneous malignancies"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "S&#46; Astner"
                            1 => "K&#46; Swindells"
                            2 => "S&#46; Gonz&#225;lez"
                            3 => "E&#46; Stockfleth"
                            4 => "J&#46; Lademann"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "Drug Discov Today Dis Mech"
                        "fecha" => "2008"
                        "volumen" => "5"
                        "paginaInicial" => "81"
                        "paginaFinal" => "91"
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
      ]
    ]
  ]
  "idiomaDefecto" => "en"
  "url" => "/00017310/00000100000000S2/v1_201304241226/S0001731009733800/v1_201304241226/en/main.assets"
  "Apartado" => null
  "PDF" => "https://static.elsevier.es/multimedia/00017310/00000100000000S2/v1_201304241226/S0001731009733800/v1_201304241226/en/main.pdf?idApp=UINPBA000044&text.app=https://actasdermo.org/"
  "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S0001731009733800?idApp=UINPBA000044"
  "pdfAlternativo" => array:1 [
    0 => array:3 [
      "idioma" => "es"
      "documentoPdf" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/file/00017310/addon/S0001731009733800/S300/es/103v100nSupl.2a13146419pdf001_2.pdf"
      "portada" => "103v100nSupl.2a13146419pdf001_2.png"
    ]
  ]
]
Share
Journal Information
Vol. 100. Issue S2.
Mirando hacia el futuro en Dermatología Extraordinario del Centenario. Parte II
Pages 59-69 (December 2009)
Vol. 100. Issue S2.
Mirando hacia el futuro en Dermatología Extraordinario del Centenario. Parte II
Pages 59-69 (December 2009)
Full text access
Confocal Reflectance Microscopy in Dermatology: Promise and Reality of Non-Invasive Diagnosis and Monitoring
Microscopía confocal de reflectancia en dermatología: promesa y realidad de diagnóstico y seguimiento no invasivos
Visits
4773
S. González
Corresponding author
gonzals6@mskcc.org

Correspondence: Faculty of Dermatology Service. Memorial Sloan-Kettering Cancer Center. New York. 160 E 53rd Street, NY-10022.
Dermatology Service. Memorial Sloan-Kettering Cancer Center. New York. United States of America. Hospital Ramón y Cajal. Universidad de Alcalá de Henares. Madrid. Spain
This item has received
Article information
Summary

In vivo reflectance confocal microscopy (RCM) constitutes a novel non-invasive imaging method that enables visualization of cells and structures in living skin in real time with resolution close to histological analysis. RCM has been successfully implemented in the assessment of benign and malignant lesions. It also enables monitoring dynamic changes in the skin over time and in response to different stimuli, such as ultraviolet exposure or specific treatments. The non-invasive nature of this technique allows repetitive sampling without biopsy collection, causing no further damage to the areas under investigation. In this article, I provide an overview of RCM, including the latest technological advances as well as novel applications in the characterization of both normal and pathological skin.

Key words:
reflectance confocal microscopy
non-invasive imaging techniques
in vivo microscopy
skin cancer
Resumen

La microscopía confocal de reflectancia (MCR) in vivo constituye un novedoso método de imagen no invasivo que permite la visualización de células y estructuras de la piel viva en tiempo real, con una resolución próxima al estudio histológico. La MCR también se ha implementado con éxito para la valoración de lesiones benignas y malignas. Asimismo, permite detectar los cambios dinámicos en la piel con el paso del tiempo y en respuesta a diferentes estímulos, como la exposición a la radiación ultravioleta o a tratamientos específicos. La naturaleza no invasiva de esta técnica permite repetir las muestras sin realizar una biopsia, evitando así causar más daño a las zonas que están siendo estudiadas. En este artículo se aporta una visión de conjunto sobre la MCR, incluyendo los últimos avances tecnológicos, así como las aplicaciones novedosas para la caracterización de la piel sana y enferma.

Palabras clave:
microscopía confocal de reflectancia
técnica no invasiva
microscopía in vivo
cáncer cutáneo
Full text is only aviable in PDF
References
[1.]
R.P. Braun, M. Oliviero, I. Kolm, L.E. French, A.A. Marghoob, H. Rabinovitz.
Dermoscopy: what's new?.
[2.]
A.F. Low, G.J. Tearney, B.E. Bouma, I.K. Jang.
Technology Insight: optical coherence tomography-current status and future development.
Nat Clin Pract Cardiovasc Med, 3 (2006), pp. 154-162
[3.]
L. Mansotti.
Basic principles and advanced technical aspects of ultrasound imaging.
Physics and Engineering of Medical Imaging, pp. 263-317
[4.]
J. Markisz, M. Aquilia.
Technical Magnetic resonance Imaging.
Appleton & Lange, (1996),
[5.]
C. Suihko, L.D. Swindle, S.G. Thomas, J. Serup.
Fluorescence fibre-optic confocal microscopy of skin in vivo: microscope and fluorophores.
Skin Res Technol, 11 (2005), pp. 254-267
[6.]
M. Rajadhyaksha, S. González, J.M. Zavislan, R.R. Anderson, R.H. Webb.
In vivo confocal scanning laser microscopy of human skin II: advances in instrumentation and comparison with histology.
J Invest Dermatol, 113 (1999), pp. 293-303
[7.]
S. González, W.M. White, M. Rajadhyaksha, R.R. Anderson, E. González.
Confocal imaging of sebaceous gland hyperplasia in vivo to assess efficacy and mechanism of pulsed dye laser treatment.
Lasers Surg Med, 25 (1999), pp. 8-12
[8.]
S. González, R. Sackstein, R.R. Anderson, M. Rajadhyaksha.
Real-time evidence of in vivo leukocyte trafficking in human skin by reflectance confocal microscopy.
J Invest Dermatol, 117 (2001), pp. 384-386
[9.]
D. Aghassi, E. González, R.R. Anderson, M. Rajadhyaksha, S. González.
Elucidating the pulsed-dye laser treatment of sebaceous hyperplasia in vivo with real-time confocal scanning laser microscopy.
J Am Acad Dermatol, 43 (2000), pp. 49-53
[10.]
D. Aghassi, R.R. Anderson, S. González.
Time-sequence histologic imaging of laser-treated cherry angiomas with in vivo confocal microscopy.
J Am Acad Dermatol, 43 (2000), pp. 37-41
[11.]
A. Scope, C. Benvenuto-Andrade, A.L. Agero, J. Malvehy, S. Puig, M. Rajadhyaksha, et al.
In vivo reflectance confocal microscopy imaging of melanocytic skin lesions: consensus terminology glossary and illustrative images.
J Am Acad Dermatol, 57 (2007), pp. 644-658
[12.]
Minsky M. Microscopy apparatus. US Patent No. 3013467; 1957.
[13.]
H.D. Cavanagh, J.V. Jester, J. Essepian, W. Shields, M.A. Lemp.
Confocal microscopy of the living eye.
CLAO J, 16 (1990), pp. 65-73
[14.]
J.V. Jester, P.M. Andrews, W.M. Petroll, M.A. Lemp, H.D. Cavanagh.
In vivo, real-time confocal imaging.
J Electron Microsc Tech, 18 (1991), pp. 50-60
[15.]
P.M. Andrews, W.M. Petroll, H.D. Cavanagh, J.V. Jester.
Tandem scanning confocal microscopy (TSCM) of normal and ischemic living kidneys.
Am J Anat, 191 (1991), pp. 95-102
[16.]
M. Rajadhyaksha, M. Grossman, D. Esterowitz, R.H. Webb, R.R. Anderson.
In vivo confocal scanning laser microscopy of human skin: melanin provides strong contrast.
J Invest Dermatol, 104 (1995), pp. 946-952
[17.]
M. Rajadhyaksha.
Confocal reflectance microscopy: diagnosis of skin cancer without biopsy?.
Frontiers of Engineering, National Academies Press, (1999),
[18.]
R.R. Anderson, J.A. Parrish.
The optics of human skin.
J Invest Dermatol, 77 (1981), pp. 13-19
[19.]
K.J. Busam, C. Charles, G. Lee, A.C. Halpern.
Morphologic features of melanocytes, pigmented keratinocytes, and melanophages by in vivo confocal scanning laser microscopy.
Mod Pathol, 14 (2001), pp. 862-868
[20.]
M. Huzaira, F. Rius, M. Rajadhyaksha, R.R. Anderson, S. González.
Topographic variations in normal skin, as viewed by in vivo reflectance confocal microscopy.
J Invest Dermatol, 116 (2001), pp. 846-852
[21.]
D. Aghassi, R.R. Anderson, S. González.
Confocal laser microscopic imaging of actinic keratoses in vivo: a preliminary report.
J Am Acad Dermatol, 43 (2000), pp. 42-48
[22.]
M. Horn, A. Gerger, V. Ahlgrimm-Siess, W. Weger, S. Koller, H. Kerl, et al.
Discrimination of actinic keratoses from normal skin with reflectance mode confocal microscopy.
Dermatol Surg, 34 (2008), pp. 620-625
[23.]
M. Ulrich, A. Maltusch, F. Rius-Diaz, J. Röwert-Huber, S. González, W. Sterry, et al.
Clinical applicability of in vivo reflectance confocal microscopy for the diagnosis of actinic keratoses.
Dermatol Surg, 34 (2008), pp. 610-619
[24.]
M. Ulrich, A. Maltusch, J. Rowert-Huber, S. González, W. Sterry, E. Stockfleth, et al.
Actinic keratoses: non-invasive diagnosis for field cancerisation.
Br J Dermatol, 156 (2007), pp. 13-17
[25.]
M. Al-Arashi, E. Salomatina, A. Yaroslavsky.
Multimodal confocal microscopy for diagnosing nonmelanoma skin cancers.
Lasers Surg Med, 39 (2007), pp. 696-705
[26.]
K.C. Maitland, A.M. Gillenwater, M.D. Williams, A.K. El-Naggar, M.R. Descour, R.R. Richards-Kortum.
In vivo imaging of oral neoplasia using a miniaturized fiber optic confocal reflectance microscope.
Oral Oncol, 44 (2008), pp. 1059-1066
[27.]
W.M. White, M. Rajadhyaksha, S. González, R.L. Fabian, R.R. Anderson.
Noninvasive imaging of human oral mucosa in vivo by confocal reflectance microscopy.
Laryngoscope, 109 (1999), pp. 1709-1717
[28.]
S. González, Z. Tannous.
Real-time, in vivo confocal reflectance microscopy of basal cell carcinoma.
J Am Acad Dermatol, 47 (2002), pp. 869-874
[29.]
S. Nori, F. Rius-Diaz, J. Cuevas, M. Goldgeier, P. Jaen, A. Torres, et al.
Sensitivity and specificity of reflectance-mode confocal microscopy for in vivo diagnosis of basal cell carcinoma: a multicenter study.
J Am Acad Dermatol, 51 (2004), pp. 923-930
[30.]
M. Goldgeier, C.A. Fox, J.M. Zavislan, D. Harris, S. González.
Noninvasive imaging, treatment, and microscopic confirmation of clearance of basal cell carcinoma.
Dermatol Surg, 29 (2003), pp. 205-210
[31.]
A. Torres, A. Niemeyer, B. Berkes, D. Marra, C. Schanbacher, S. González, et al.
5% imiquimod cream and reflectance-mode confocal microscopy as adjunct modalities to Mohs micrographic surgery for treatment of basal cell carcinoma.
Dermatol Surg, 30 (2004), pp. 1462-1469
[32.]
A.L. Agero, M. Gill, M. Ardigo, P. Myskowski, A.C. Halpern, S. González.
In vivo reflectance confocal microscopy of mycosis fungoides: A preliminary study.
J Am Acad Dermatol, 57 (2007), pp. 435-441
[33.]
A. Gerger, S. Koller, W. Weger, E. Richtig, H. Kerl, H. Samonigg, et al.
Sensitivity and specificity of confocal laser-scanning microscopy for in vivo diagnosis of malignant skin tumors.
Cancer, 107 (2006), pp. 193-200
[34.]
A. Scope, M. Ardigo, A.A. Marghoob.
Correlation of dermoscopic globule-like structures of dermatofibroma using reflectance confocal microscopy.
Dermatology, 216 (2008), pp. 81-82
[35.]
A.L. Agero, K.J. Busam, C. Benvenuto-Andrade, A. Scope, M. Gill, A.A. Marghoob, et al.
Reflectance confocal microscopy of pigmented basal cell carcinoma.
J Am Acad Dermatol, 54 (2006), pp. 638-643
[36.]
S. Segura, S. Puig, C. Carrera, J. Palou, J. Malvehy.
Dendritic cells in pigmented basal cell carcinoma: a relevant finding by reflectance-mode confocal microscopy.
Arch Dermatol, 143 (2007), pp. 883-886
[37.]
C. Longo, F. Fantini, A.M. Cesinaro, S. Bassoli, S. Seidenari, G. Pellacani.
Pigmented mammary Paget disease: dermoscopic, in vivo reflectance-mode confocal microscopic, and immunohistochemical study of a case.
Arch Dermatol, 143 (2007), pp. 752-754
[38.]
R.G. Langley, M. Rajadhyaksha, P.J. Dwyer, A.J. Sober, T.J. Flotte, R.R. Anderson.
Confocal scanning laser microscopy of benign and malignant melanocytic skin lesions in vivo.
J Am Acad Dermatol, 45 (2001), pp. 365-376
[39.]
G. Pellacani, A.M. Cesinaro, C. Longo, C. Grana, S. Seidenari.
Microscopic in vivo description of cellular architecture of dermoscopic pigment network in nevi and melanomas.
Arch Dermatol, 141 (2005), pp. 147-154
[40.]
A. Scope, C. Benvenuto-Andrade, A.L. Agero, A.C. Halpern, S. González, A.A. Marghoob.
Correlation of dermoscopic structures of melanocytic lesions to reflectance confocal microscopy.
Arch Dermatol, 143 (2007), pp. 176-185
[41.]
V.J. McGovern, M.C. Mihm Jr., C. Bailly, J.C. Booth, W.H. Clark Jr., A.J. Cochran, et al.
The classification of malignant melanoma and its histologic reporting.
Cancer, 32 (1973), pp. 1446-1457
[42.]
W.H. Clark Jr., L. From, E.A. Bernardino, M.C. Mihm.
The histogenesis and biologic behavior of primary human malignant melanomas of the skin.
Cancer Res, 29 (1969), pp. 705-727
[43.]
D.S. Gareau, G. Merlino, C. Corless, M. Kulesz-Martin, S.L. Jacques.
Noninvasive imaging of melanoma with reflectance mode confocal scanning laser microscopy in a murine model.
J Invest Dermatol, 127 (2007), pp. 2184-2190
[44.]
D.S. Gareau, J. Lagowski, V.M. Rossi, J.A. Viator, G. Merlino, M. Kulesz-Martin, et al.
Imaging melanoma in a murine model using reflectance-mode confocal scanning laser microscopy and polarized light imaging.
J Investig Dermatol Symp Proc, 10 (2005), pp. 164-169
[45.]
S. Segura, G. Pellacani, S. Puig, C. Longo, S. Bassoli, P. Guitera, et al.
In vivo microscopic features of nodular melanomas: dermoscopy, confocal microscopy, and histopathologic correlates.
Arch Dermatol, 144 (2008), pp. 1311-1320
[46.]
K.J. Busam, K. Hester, C. Charles, D.L. Sachs, C.R. Antonescu, S. González, et al.
Detection of clinically amelanotic malignant melanoma and assessment of its margins by in vivo confocal scanning laser microscopy.
Arch Dermatol, 137 (2001), pp. 923-929
[47.]
G. Pellacani, A.M. Cesinaro, S. Seidenari.
Reflectance-mode confocal microscopy of pigmented skin lesions–improvement in melanoma diagnostic specificity.
J Am Acad Dermatol, 53 (2005), pp. 979-985
[48.]
G. Pellacani, A.M. Cesinaro, S. Seidenari.
Reflectance-mode confocal microscopy for the in vivo characterization of pagetoid melanocytosis in melanomas and nevi.
J Investig Dermatol, 125 (2005), pp. 532-537
[49.]
S. González, E. González, W.M. White, M. Rajadhyaksha, R.R. Anderson.
Allergic contact dermatitis: correlation of in vivo confocal imaging to routine histology.
J Am Acad Dermatol, 40 (1999), pp. 708-713
[50.]
C.S. Chen, M. Elias, K. Busam, M. Rajadhyaksha, A.A. Marghoob.
Multimodal in vivo optical imaging, including confocal microscopy, facilitates presurgical margin mapping for clinically complex lentigo maligna melanoma.
Br J Dermatol, 153 (2005), pp. 1031-1036
[51.]
Z. Tannous, A. Torres, S. González.
In vivo real-time confocal reflectance microscopy: a noninvasive guide for Mohs micrographic surgery facilitated by aluminum chloride, an excellent contrast enhancer.
Dermatol Surg, 29 (2003), pp. 839-846
[52.]
C. Curiel-Lewandrowski, C.M. Williams, K.J. Swindells, S.R. Tahan, S. Astner, R.A. Frankenthaler, et al.
Use of in vivo confocal microscopy in malignant melanoma: an aid in diagnosis and assessment of surgical and nonsurgical therapeutic approaches.
Arch Dermatol, 140 (2004), pp. 1127-1132
[53.]
M. Rajadhyaksha, G. Menaker, T. Flotte, P.J. Dwyer, S. González.
Confocal examination of nonmelanoma cancers in thick skin excisions to potentially guide Mohs micrographic surgery without frozen histopathology.
J Invest Dermatol, 117 (2001), pp. 1137-1143
[54.]
V.Q. Chung, P.J. Dwyer, K.S. Nehal, M. Rajadhyaksha, G.M. Menaker, C. Charles, et al.
Use of ex vivo confocal scanning laser microscopy during Mohs surgery for nonmelanoma skin cancers.
Dermatol Surg, 30 (2004), pp. 1470-1478
[55.]
D.S. Gareau, Y.G. Patel, Y. Li, I. Aranda, A.C. Halpern, K.S. Nehal, et al.
Confocal mosaicing microscopy in skin excisions: a demonstration of rapid surgical pathology.
J Microsc, 233 (2009), pp. 149-159
[56.]
Y.G. Patel, K.S. Nehal, I. Aranda, Y. Li, A.C. Halpern, M. Rajadhyaksha.
Confocal reflectance mosaicing of basal cell carcinomas in Mohs surgical skin excisions.
J Biomed Opt, 12 (2007), pp. 034027
[57.]
S. Astner, K. Swindells, S. González, E. Stockfleth, J. Lademann.
Confocal microscopy: innovative diagnostic tools for monitoring of noninvasive therapy in cutaneous malignancies.
Drug Discov Today Dis Mech, 5 (2008), pp. 81-91
Copyright © 2009. Academia Española de Dermatología y Venereología
Download PDF
Idiomas
Actas Dermo-Sifiliográficas
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?