TY - JOUR A1 - Aubreville, Marc A1 - Knipfer, Christian A1 - Oetter, Nicolai A1 - Jaremenko, Christian A1 - Rodner, Erik A1 - Denzler, Joachim A1 - Bohr, Christopher A1 - Neumann, Helmut A1 - Stelzle, Florian A1 - Maier, Andreas T1 - Automatic classification of cancerous tissue in laserendomicroscopy images of the oral cavity using deep learning JF - Scientific Reports N2 - Oral Squamous Cell Carcinoma (OSCC) is a common type of cancer of the oral epithelium. Despite their high impact on mortality, sufficient screening methods for early diagnosis of OSCC often lack accuracy and thus OSCCs are mostly diagnosed at a late stage. Early detection and accurate outline estimation of OSCCs would lead to a better curative outcome and a reduction in recurrence rates after surgical treatment. Confocal Laser Endomicroscopy (CLE) records sub-surface micro-anatomical images for in vivo cell structure analysis. Recent CLE studies showed great prospects for a reliable, real-time ultrastructural imaging of OSCC in situ. We present and evaluate a novel automatic approach for OSCC diagnosis using deep learning technologies on CLE images. The method is compared against textural feature-based machine learning approaches that represent the current state of the art. For this work, CLE image sequences (7894 images) from patients diagnosed with OSCC were obtained from 4 specific locations in the oral cavity, including the OSCC lesion. The present approach is found to outperform the state of the art in CLE image recognition with an area under the curve (AUC) of 0.96 and a mean accuracy of 88.3% (sensitivity 86.6%, specificity 90%). UR - https://doi.org/10.1038/s41598-017-12320-8 Y1 - 2017 UR - https://doi.org/10.1038/s41598-017-12320-8 UR - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:573-12464 SN - 2045-2322 VL - 7 PB - Springer Nature CY - London ER - TY - JOUR A1 - Aubreville, Marc A1 - Stoeve, Maike A1 - Oetter, Nicolai A1 - Goncalves, Miguel A1 - Knipfer, Christian A1 - Neumann, Helmut A1 - Bohr, Christopher A1 - Stelzle, Florian A1 - Maier, Andreas T1 - Deep learning-based detection of motion artifacts in probe-based confocal laser endomicroscopy images JF - International Journal of Computer Assisted Radiology and Surgery UR - https://doi.org/10.1007/s11548-018-1836-1 KW - Deep convolutional neural networks KW - Confocal laser endomicroscopy KW - Motion artifact detection Y1 - 2019 UR - https://doi.org/10.1007/s11548-018-1836-1 SN - 1861-6429 VL - 14 IS - 1 SP - 31 EP - 42 PB - Springer CY - Berlin ER - TY - JOUR A1 - Sievert, Matti A1 - Oetter, Nicolai A1 - Aubreville, Marc A1 - Stelzle, Florian A1 - Maier, Andreas A1 - Eckstein, Markus A1 - Mantsopoulos, Konstantinos A1 - Gostian, Antoniu-Oreste A1 - Müller, Sarina K. A1 - Koch, Michael A1 - Agaimy, Abbas A1 - Iro, Heinrich A1 - Goncalves, Miguel T1 - Feasibility of intraoperative assessment of safe surgical margins during laryngectomy with confocal laser endomicroscopy BT - a pilot study JF - Auris Nasus Larynx UR - https://doi.org/10.1016/j.anl.2021.01.005 Y1 - 2021 UR - https://doi.org/10.1016/j.anl.2021.01.005 SN - 1879-1476 VL - 48 IS - 4 SP - 764 EP - 769 PB - Elsevier Science CY - Amsterdam ER - TY - JOUR A1 - Sievert, Matti A1 - Mantsopoulos, Konstantinos A1 - Müller, Sarina K. A1 - Eckstein, Markus A1 - Rupp, Robin A1 - Aubreville, Marc A1 - Stelzle, Florian A1 - Oetter, Nicolai A1 - Maier, Andreas A1 - Iro, Heinrich A1 - Goncalves, Miguel T1 - Systematic interpretation of confocal laser endomicroscopy: larynx and pharynx confocal imaging score JF - Acta otorhinolaryngologica italica N2 - Objective. Development and validation of a confocal laser endomicroscopy (CLE) classification score for the larynx and pharynx. Methods. Thirteen patients (154 video sequences, 9240 images) with laryngeal or pharyngeal SCC were included in this prospective study between October 2020 and February 2021. Each CLE sequence was correlated with the gold standard of histopathological examination. Based on a dataset of 94 video sequences (5640 images), a scoring system was developed. In the remaining 60 sequences (3600 images), the score was validated by four CLE experts and four head and neck surgeons who were not familiar with CLE. Results. Tissue homogeneity, cell size, borders and clusters, capillary loops and the nucleus/ cytoplasm ratio were defined as the scoring criteria. Using this score, the CLE experts obtained an accuracy, sensitivity, and specificity of 90.8%, 95.1%, and 86.4%, respectively, and the CLE non-experts of 86.2%, 86.4%, and 86.1%. Interobserver agreement Fleiss’ kappa was 0.8 and 0.6, respectively. Conclusions. CLE can be reliably evaluated based on defined and reproducible imaging features, which demonstrate a high diagnostic value. CLE can be easily integrated into the intraoperative setting and generate real-time, in-vivo microscopic images to demarcate malignant changes. UR - https://doi.org/10.14639/0392-100X-N1643 KW - confocal laser endomicroscopy KW - head and neck cancer KW - classification system KW - non-invasive histological imaging KW - larynx KW - pharynx Y1 - 2022 UR - https://doi.org/10.14639/0392-100X-N1643 UR - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:573-29175 SN - 1827-675X VL - 42 IS - 1 SP - 26 EP - 33 PB - Pacini CY - Pisa ER - TY - JOUR A1 - Sievert, Matti A1 - Aubreville, Marc A1 - Gostian, Antoniu-Oreste A1 - Mantsopoulos, Konstantinos A1 - Koch, Michael A1 - Müller, Sarina K. A1 - Eckstein, Markus A1 - Rupp, Robin A1 - Stelzle, Florian A1 - Oetter, Nicolai A1 - Maier, Andreas A1 - Iro, Heinrich A1 - Goncalves, Miguel T1 - Validity of tissue homogeneity in confocal laser endomicroscopy on the diagnosis of laryngeal and hypopharyngeal squamous cell carcinoma JF - European Archives of Oto-Rhino-Laryngology and Head & Neck N2 - Purpose Confocal laser endomicroscopy (CLE) allows imaging of the laryngeal mucosa in a thousand-fold magnification. This study analyzes differences in tissue homogeneity between healthy mucosa and squamous cell carcinoma (SCC) via CLE. Materials and methods We included five SCC patients with planned total laryngectomy in this study between October 2020 and February 2021. We captured CLE scans of the tumor and healthy mucosa. Analysis of image homogeneity to diagnose SCC was performed by measuring the signal intensity in four regions of interest (ROI) in each frame in a total of 60 sequences. Each sequence was assigned to the corresponding histological pattern, derived from hematoxylin and eosin staining. In addition, we recorded the subjective evaluation of seven investigators regarding tissue homogeneity. Results Out of 3600 images, 1620 (45%) correlated with benign mucosa and 1980 (55%) with SCC. ROIs of benign mucosa and SCC had a mean and standard deviation (SD) of signal intensity of, respectively, 232.1 ± 3.34 and 467.3 ± 9.72 (P < 0.001). The mean SD between the four different ROIs was 39.1 ± 1.03 for benign and 101.5 ± 2.6 for SCC frames (P < 0.001). In addition, homogeneity yielded a sensitivity and specificity of 81.8% and 86.2%, respectively, regarding the investigator-dependent analysis. Conclusions SCC shows a significant tissue inhomogeneity in comparison to the healthy epithelium. The results support this feature’s importance in identifying malignant mucosa areas during CLE examination. However, the examiner-dependent evaluation emphasizes that homogeneity is a sub-criterion that must be considered in a broad context. UR - https://doi.org/10.1007/s00405-022-07304-y KW - confocal laser endomicroscopy KW - head and neck cancer KW - classification system KW - non-invasive histological imaging KW - larynx KW - pharynx Y1 - 2022 UR - https://doi.org/10.1007/s00405-022-07304-y UR - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:573-23180 SN - 1434-4726 SN - 0937-4477 VL - 279 IS - 8 SP - 4147 EP - 4156 PB - Springer Nature CY - Cham ER - TY - JOUR A1 - Sievert, Matti A1 - Mantsopoulos, Konstantinos A1 - Müller, Sarina K. A1 - Rupp, Robin A1 - Eckstein, Markus A1 - Stelzle, Florian A1 - Oetter, Nicolai A1 - Maier, Andreas A1 - Aubreville, Marc A1 - Iro, Heinrich A1 - Goncalves, Miguel T1 - Validation of a classification and scoring system for the diagnosis of laryngeal and pharyngeal squamous cell carcinomas by confocal laser endomicroscopy JF - Brazilian Journal of Otorhinolaryngology N2 - Introduction Confocal laser endomicroscopy is an optical imaging technique that allows in vivo, real-time, microscope-like images of the upper aerodigestive tract’s mucosa. The assessment of morphological tissue characteristics for the correct differentiation between healthy and malignant suspected mucosa requires strict evaluation criteria. Objective This study aims to validate an eight-point score for the correct assessment of malignancy. Methods We performed confocal laser endomicroscopy between March and October 2020 in 13 patients. 197 sequences (11.820 images) originated from the marginal area of pharyngeal and laryngeal carcinomas. Specimens were taken at corresponding locations and analyzed in H&E staining as a standard of reference. A total of six examiners evaluated the sequences based on a scoring system; they were blinded to the histopathological examination. The primary endpoints are sensitivity, specificity, and accuracy. Secondary endpoints are interrater reliability and receiver operator characteristics. Results Healthy mucosa showed epithelium with uniform size and shape with distinct cytoplasmic membranes and regular vessel architecture. Confocal laser endomicroscopy of malignant cells demonstrated a disorganized arrangement of variable cellular morphology. We calculated an accuracy, sensitivity, specificity, positive predictive value, and negative predictive value of 83.2%, 81.3%, 85.5%, 86.7%, and 79.7%, respectively, with a κ-value of 0.64, and an area under the curve of 0.86. Conclusion The results confirm that this scoring system is applicable in the laryngeal and pharyngeal mucosa to classify benign and malignant tissue. A scoring system based on defined and reproducible characteristics can help translate this experimental method to broad clinical practice in head and neck diagnosis. UR - https://doi.org/10.1016/j.bjorl.2021.06.002 KW - confocal laser endomicroscopy KW - squamous cell carcinoma KW - head and neck cancer KW - diagnosis Y1 - 2021 UR - https://doi.org/10.1016/j.bjorl.2021.06.002 UR - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:573-20887 SN - 1808-8694 VL - 2022 IS - 88, S4 SP - 26 EP - 32 PB - Elsevier CY - Amsterdam ER - TY - JOUR A1 - Sievert, Matti A1 - Eckstein, Markus A1 - Mantsopoulos, Konstantinos A1 - Müller, Sarina K. A1 - Stelzle, Florian A1 - Aubreville, Marc A1 - Oetter, Nicolai A1 - Maier, Andreas A1 - Iro, Heinrich A1 - Goncalves, Miguel T1 - Impact of intraepithelial capillary loops and atypical vessels in confocal laser endomicroscopy for the diagnosis of laryngeal and hypopharyngeal squamous cell carcinoma JF - European Archives of Oto-Rhino-Laryngology and Head & Neck N2 - Purpose Confocal laser endomicroscopy (CLE) allows surface imaging of the laryngeal and pharyngeal mucosa in vivo at a thousand-fold magnification. This study aims to compare irregular blood vessels and intraepithelial capillary loops in healthy mucosa and squamous cell carcinoma (SCC) via CLE. Materials and methods We included ten patients with confirmed SCC and planned total laryngectomy in this study between March 2020 and February 2021. CLE images of these patients were collected and compared with the corresponding histology in hematoxylin and eosin staining. We analyzed the characteristic endomicroscopic patterns of blood vessels and intraepithelial capillary loops for the diagnosis of SCC. Results In a total of 54 sequences, we identified 243 blood vessels which were analyzed regarding structure, diameter, and Fluorescein leakage, confirming that irregular, corkscrew-like vessels (24.4% vs. 1.3%; P < .001), dilated intraepithelial capillary loops (90.8% vs. 28.7%; P < .001), and increased capillary leakage (40.7% vs. 2.5%; P < .001), are significantly more frequently detected in SCC compared to the healthy epithelium. We defined a vessel diameter of 30 μm in capillary loops as a cut-off value, obtaining a sensitivity, specificity, PPV, and NPV and accuracy of 90.6%, 71.3%, 57.4%, 94.7%, and 77.1%, respectively, for the detection of malignancy based solely on capillary architecture. Conclusion Capillaries within malignant lesions are fundamentally different from those in healthy mucosa regions. The capillary architecture is a significant feature aiding the identification of malignant mucosa areas during in-vivo, real-time CLE examination. UR - https://doi.org/10.1007/s00405-021-06954-8 KW - confocal laser endomicroscopy KW - head and neck squamous cell carcinoma KW - capillary loops KW - malignant vascularization KW - head and neck malignancies Y1 - 2021 UR - https://doi.org/10.1007/s00405-021-06954-8 UR - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:573-23196 SN - 1434-4726 SN - 0937-4477 VL - 279 IS - 4 SP - 2029 EP - 2037 PB - Springer Nature CY - Cham ER - TY - JOUR A1 - Pan, Zhaoya A1 - Breininger, Katharina A1 - Aubreville, Marc A1 - Stelzle, Florian A1 - Oetter, Nicolai A1 - Maier, Andreas A1 - Mantsopoulos, Konstantinos A1 - Iro, Heinrich A1 - Goncalves, Miguel A1 - Sievert, Matti T1 - Defining a baseline identification of artifacts in confocal laser endomicroscopy in head and neck cancer imaging JF - American Journal of Otolaryngology UR - https://doi.org/10.1016/j.amjoto.2022.103779 KW - Confocal laser endomicroscopy KW - Head and neck cancer KW - Classification system KW - Non-invasive histological imaging KW - Larynx KW - Pharynx Y1 - 2022 UR - https://doi.org/10.1016/j.amjoto.2022.103779 SN - 1532-818X SN - 0196-0709 VL - 44 IS - 2 PB - Elsevier CY - Amsterdam ER - TY - JOUR A1 - Sievert, Matti A1 - Aubreville, Marc A1 - Oetter, Nicolai A1 - Stelzle, Florian A1 - Maier, Andreas A1 - Mantsopoulos, Konstantinos A1 - Iro, Heinrich A1 - Goncalves, Miguel T1 - Konfokale Laser-Endomikroskopie des Kopf-Hals-Plattenepithelkarzinoms: eine systematische Übersicht JF - Laryngo-Rhino-Otologie T2 - Confocal laser endomicroscopy of head and neck squamous cell carcinoma: a systematic review UR - https://doi.org/10.1055/a-1339-1635 KW - konfokale Laser-Endomikroskopie KW - CLE KW - Kopf-Hals-Malignom KW - Larynxkarzinom KW - Bildanalyse KW - confocal laser endomicroscopy KW - head and neck malignancy KW - laryngeal carcinoma KW - image analysis Y1 - 2021 UR - https://doi.org/10.1055/a-1339-1635 SN - 0935-8943 VL - 100 IS - 11 SP - 875 EP - 881 PB - Thieme CY - Stuttgart ER - TY - JOUR A1 - Sievert, Matti A1 - Stelzle, Florian A1 - Aubreville, Marc A1 - Müller, Sarina K. A1 - Eckstein, Markus A1 - Oetter, Nicolai A1 - Maier, Andreas A1 - Mantsopoulos, Konstantinos A1 - Iro, Heinrich A1 - Goncalves, Miguel T1 - Intraoperative free margins assessment of oropharyngeal squamous cell carcinoma with confocal laser endomicroscopy: a pilot study JF - European Archives of Oto-Rhino-Laryngology and Head & Neck N2 - Purpose This pilot study aimed to assess the feasibility of intraoperative assessment of safe margins with confocal laser endomicroscopy (CLE) during oropharyngeal squamous cell carcinoma (OPSCC) surgery. Methods We included five consecutive patients confirmed OPSCC and planned tumor resection in September and October 2020. Healthy appearing mucosa in the marginal zone, and the tumor margin, were examined with CLE and biopsy during tumor resection. A total of 12,809 CLE frames were correlated with the gold standard of hematoxylin and eosin staining. Three head and neck surgeons and one pathologist were asked to identify carcinoma in a sample of 169 representative images, blinded to the histological results. Results Healthy mucosa showed epithelium with uniform size and shape with distinct cytoplasmic membranes and regular vessel architecture. CLE optical biopsy of OPSCC demonstrated a disorganized arrangement of variable cellular morphology. We calculated an accuracy, sensitivity, specificity, PPV, and NPV of 86%, 90%, 79%, 88%, and 82%, respectively, with inter-rater reliability and κ-value of 0.60. Conclusion CLE can be easily integrated into the intraoperative setting, generate real-time, in-vivo microscopic images of the oropharynx for evaluation and demarcation of cancer. It can eventually contribute to a less radical approach by enabling a more precise evaluation of the cancer margin. UR - https://doi.org/10.1007/s00405-021-06659-y KW - Confocal laser endomicroscopy KW - Oropharyngeal squamous cell carcinoma KW - Safe surgical margins KW - Head and neck malignancies Y1 - 2021 UR - https://doi.org/10.1007/s00405-021-06659-y UR - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:573-10914 SN - 1434-4726 SN - 0937-4477 VL - 278 IS - 11 SP - 4433 EP - 4439 PB - Springer Nature CY - Cham ER - TY - JOUR A1 - Oetter, Nicolai A1 - Pröll, Jonas A1 - Sievert, Matti A1 - Goncalves, Miguel A1 - Rohde, Maximilian A1 - Nobis, Christopher-Philipp A1 - Knipfer, Christian A1 - Aubreville, Marc A1 - Pan, Zhaoya A1 - Breininger, Katharina A1 - Maier, Andreas A1 - Kesting, Marco A1 - Stelzle, Florian T1 - Oral mucosa - an examination map for confocal laser endomicroscopy within the oral cavity: an experimental clinical study JF - Clinical Oral Investigations N2 - Objectives Confocal laser endomicroscopy (CLE) is an optical method that enables microscopic visualization of oral mucosa. Previous studies have shown that it is possible to differentiate between physiological and malignant oral mucosa. However, differences in mucosal architecture were not taken into account. The objective was to map the different oral mucosal morphologies and to establish a “CLE map” of physiological mucosa as baseline for further application of this powerful technology. Materials and methods The CLE database consisted of 27 patients. The following spots were examined: (1) upper lip (intraoral) (2) alveolar ridge (3) lateral tongue (4) floor of the mouth (5) hard palate (6) intercalary line. All sequences were examined by two CLE experts for morphological differences and video quality. Results Analysis revealed clear differences in image quality and possibility of depicting tissue morphologies between the various localizations of oral mucosa: imaging of the alveolar ridge and hard palate showed visually most discriminative tissue morphology. Labial mucosa was also visualized well using CLE. Here, typical morphological features such as uniform cells with regular intercellular gaps and vessels could be clearly depicted. Image generation and evaluation was particularly difficult in the area of the buccal mucosa, the lateral tongue and the floor of the mouth. Conclusion A physiological “CLE map” for the entire oral cavity could be created for the first time. Clinical relevance This will make it possible to take into account the existing physiological morphological features when differentiating between normal mucosa and oral squamous cell carcinoma in future work. UR - https://doi.org/10.1007/s00784-024-05664-9 KW - Confocal laser endomicroscopy KW - Oral cavity KW - Oral carcinoma KW - Optical methods KW - Oral cavity squamous cell carcinoma KW - Head and neck cancer Y1 - 2024 UR - https://doi.org/10.1007/s00784-024-05664-9 UR - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:bvb:573-56000 SN - 1436-3771 VL - 28 IS - 5 PB - Springer CY - Berlin ER -