Point-of-care pathology with miniature microscopes

Jonathan T C Liu, Nathan O. Loewke, Michael J. Mandella, Richard M Levenson, James M. Crawford, Christopher H. Contag

Research output: Contribution to journalArticle

47 Scopus citations

Abstract

Advances in optical designs are enabling the development of miniature microscopes that can examine tissue in situ for early anatomic and molecular indicators of disease, in real time, and at cellular resolution. These new devices will lead to major changes in how diseases are detected and managed, driving a shift from today's diagnostic paradigm of biopsy followed by histopathology and recommended therapy, to non-invasive point-of-care diagnosis with possible same-session definitive treatment. This shift may have major implications for the training requirements of future physicians to enable them to interpret real-time in vivo microscopic data, and will also shape the emerging fields of telepathology and telemedicine. Implementation of new technologies into clinical practice is a complex process that requires bridging gaps between clinicians, engineers and scientists. This article provides a forward-looking discussion of these issues, with a focus on malignant and pre-malignant lesions, by first highlighting some of the clinical areas where point-of-care in vivo microscopy could address unmet needs, and then by reviewing the technological challenges that are being addressed, or need to be addressed, for in vivo microscopy to become a standard clinical tool.

Original languageEnglish (US)
Pages (from-to)81-98
Number of pages18
JournalAnalytical Cellular Pathology
Volume34
Issue number3
DOIs
StatePublished - 2011
Externally publishedYes

Keywords

  • biomarker
  • biomedical optics
  • cancer
  • dysplasia
  • endomicroscopy
  • image-guided therapy
  • In vivo microscopy
  • microendoscopy
  • molecular imaging
  • optical biopsy
  • optical sectioning
  • telepathology

ASJC Scopus subject areas

  • Cancer Research
  • Molecular Medicine
  • Pathology and Forensic Medicine
  • Cell Biology

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  • Cite this

    Liu, J. T. C., Loewke, N. O., Mandella, M. J., Levenson, R. M., Crawford, J. M., & Contag, C. H. (2011). Point-of-care pathology with miniature microscopes. Analytical Cellular Pathology, 34(3), 81-98. https://doi.org/10.3233/ACP-2011-011