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LLTECH SKIN ATLAS 2012

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1 © LLTECH 2011 LLTECH LightCT Scanner Skin Atlas of images July 2012
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1 © LLTECH 2011

LLTECH      Light-­‐CT  Scanner    Skin  -­‐  Atlas  of  images    July  2012      

2 © LLTECH 2011

•  OpAcal  in-­‐depth  biopsies  of  gross  Assue  within  minutes  

•  1  µm  2D  and  3D  histopathological  resoluAon    

•  Easy  exploraAon,  acquisiAon  and  rendering  in  DICOM  format  

•  Safe,  non-­‐invasive  and  non-­‐destrucAve  process  

 

Light-­‐CT™  key  benefits  

Fast  and  non-­‐invasive  3D  in-­‐depth  structural  and  cellular  imaging  

3 © LLTECH 2011

Based  on  Full-­‐Field  OpAcal  Coherence  Tomography  (FFOCT)  

Combines  microscope  resoluAon  with  interferometry  

High  resoluAon  in-­‐depth  C  scans  

 

Commercial  device  specs:  

•  Excellent  resoluAon:  1,5µm  transverse,  1µm  axial  

•  70Hz  max.  tomographic  frame  rate  –  0.8  mm  x  0.8  mm  

•   PenetraAon  depth  200µm  –  1mm  depending  on  Assue  sca\ering  

•  25  mm  diameter  sample  size  

•  Small  footprint:  Scanner  and  light  source  fit  on  70  cm  x  35  cm    

Light  Computed  Tomography  technology

4 © LLTECH 2011

OpAcal  acquisiAon  unit,  moving  verAcally  •  User  friendly  

acquisiAon  so^ware  

•  DICOM  2D  and  3D  Viewer    

Movable  tray  with  sample  holder  

X,Y  moving  stage  

JoysAck  for  easy  control  of  X,Y,  Z  movements  

White  Light  Source  

Integrated  wide  field  camera  to  take  sample  picture  before  

imaging  

Light-­‐CT™  Scanner  for  ex-­‐vivo  cellular  imaging  

5 © LLTECH 2011

SKIN IMAGING

6 © LLTECH 2011

Normal  skin  morphology  

Epidermis  

Collagen  

Pilosebaceous  unit  

Sweat  gland  

Adipocytes  

b

a

c

e

d

500 µm

© LLTech 2012 Courtesy of Hopitaux Universitaires de Genève, Genève, Switzerland

7 © LLTECH 2011

Hypodermis

Skin  morphology:  layers  are  well  discriminated  

5  mm  x  8  mm:  mosaic  of  naAve  field  images  Ageing  paAent  (solar  elastosis)  

En-­‐face  imaging  of  verAcal  excision  

Epidermis

Dermis

1

3

2

4

8 © LLTECH 2011

4 - Sweat gland

100 µm

1 - Epidermis

100 µm

2 - Dermis

200 µm

Stratum corneum

Stratum spinosum

Stratum basale

KN KN KN

KN: keratinocyte nuclei

Collagen Adipocytes

3 – Pilosebaceous unit

200 µm

HF SG

SG

SG

SG

HF: hair follicle

SG: sebaceous gland

Structures  are  well  discriminated  with  structural  and  cellular  details  

9 © LLTECH 2011

Stratum corneum Stratum spinosum

Stratum basale Reticular region

Epidermis

Dermis

En-­‐face  skin  slicing  shows  structural  and  cellular  details    

Melanin papillary caps

KeraAnocyte  nuclei  

Blood vessels

Collagen

Corneocytes

100 µm 100 µm

100 µm 100 µm

© LLTech 2012 Courtesy of Hopitaux Universitaires de Genève, Genève, Switzerland

10 © LLTECH 2011

Skin  verAcal  reconstrucAon  from  en-­‐face  slicing  for  layers  assesment  and  measurement  

Stratum  corneum  

Stratum  spinosum  

Dermis  

Papillary  melanin  caps  BV:  Blood  vessels  

BV

BV BV

KN KN KN

KN:  KeraAnocyte  nuclei  

50 µm

© LLTech 2012 Courtesy of Hopitaux Universitaires de Genève, Genève, Switzerland

11 © LLTECH 2011

3D  reconstrucAon  from  en-­‐face  slicing  

Wrinkle   Stratum  corneum   Stratum  spinosum  

Epidermis  

800  µm  x  800  µm  

Dermis  

Dermal  papilla   Collagen  

800  µm  x  800  µm  

Epidermis  and  dermis  separated  by  sodium  bromide  

Blood  vessel  

50 µm

Reconstructed  verAcal  slice  

50 µm

Reconstructed  verAcal  slice  

© LLTech 2012 Courtesy of Hopitaux Universitaires de Genève, Genève, Switzerland

12 © LLTECH 2011

VerAcal  reconstrucAon  of  skin  model  

50 µm

Stratum  corneum  

Stratum  spinosum  

Dermis  

KeraAnocyte  nuclei  

© LLTech 2012

13 © LLTECH 2011

Stratum  Corneum  Reconstructed  z  slices  

50  um  

14 © LLTECH 2011

Normal    skin  

b

a

e

c

f

d

500  µm  

15 © LLTECH 2011

Normal  skin  zoom  

a b c

d e f

Stratum  corneum   Stratum  spinosum   Dermis  

Collagen  -­‐  dermis   Adipocytes   Deep  dermis  

100  µm  

16 © LLTECH 2011

Adipocytes  

9um  depth   27um  depth   60um  depth  

Reconstructed  depth  slice  

200  µm  

50  µm  

17 © LLTECH 2011

Skin  pathologies:  basal  cell  carcinoma  discriminaAon  at  structural  level  

Dense  peritumoral  stroma  

© LLTech 2012 Courtesy of Hopitaux Universitaires de Genève, Genève, Switzerland

18 © LLTECH 2011

Epidermis  

Dermis  

Hypodermis  

A

A A

C

BCC

PSU

PSU

BCC:  Basal  cell  carcinoma  A:  Adipocytes  C:  Collagen  PSU:  Pilosebaceous  unit  

Skin  pathologies:  basal  cell  carcinoma  discriminaAon  at  structural  level  

1 mm

© LLTech 2012 Courtesy of Hopitaux Universitaires de Genève, Genève, Switzerland

C

19 © LLTECH 2011

Zoom  on  basal  cell  carcinoma:  discriminaAon  at  cellular  level  

200 µm

100 µm

Peritumoral  stroma  

High  cell  density  

© LLTech 2012 Courtesy of Hopitaux Universitaires de Genève, Genève, Switzerland

20 © LLTECH 2011

Skin  pathologies:  discriminaAon  of  acAnic  keratosis  

Enlarged  epidermis  

Extended  epidermal  ridges  1 mm

© LLTech 2012 Courtesy of Hopitaux Universitaires de Genève, Genève, Switzerland

21 © LLTECH 2011

Skin  in-­‐vivo:  fingerprint  imaging  in  3D      

100 µm

Sweat  ducts  

Fingerprints    3D  reconstrucAon  FOV  800  µm  x  800  µm  

Corneocytes  

En-­‐face  image  of  fingerprints  

22 © LLTECH 2011

Skin  in-­‐vivo:  sweat  duct  imaging  in  3D  

VerAcal  reconstrucAon  from  en-­‐face  images  

Sweat  duct  3D  reconstrucAon  

Stratum  corneum  

Stratum  spinosum  

SD:  sweat  ducts  

SD   SD  

100 µm

23 © LLTECH 2011

Skin  in-­‐vivo:  skin  layers  imaging  en  face  and  in  verAcal  reconstrucAon  

Stratum  corneum   Stratum  spinosum   Dermis  

Stratum  corneum  

Stratum  spinosum  

Dermis   100 µm EvaluaAon  of  stratum  corneum  thickness:    

15  µm  

24 © LLTECH 2011

Contact  

LLTECH

LLTech 6, place de la Madeleine

75008 Paris, France

www.lltechimaging.com [email protected]

Phone: +33 9 72 16 33 40

LLTech, Inc. 103 Carnegie Center Drive

Suite 300 Princeton, NJ 08540, USA

www.lltechimaging.com

[email protected]

Phone :+1 609 955 3506


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