NIDIskin is an educational forum dedicated to Non-Invasive Diagnostic Imaging of the Skin. This platform is created to expose and educate patients and practitioners regarding the existence and utilization of non-invasive diagnostic tools to improve patient care. Although there are numerous non-invasive technologies available, there are two that are novel to clinical practice, which currently include, Dermoscopy and Reflectance Confocal Microscopy.
The aforementioned non-invasive tools are instrumental in making diagnoses and directing management decisions, including lesions that require a biopsy. As innovative diagnostic technology and methods emerge, NIDIskin is committed to serving as a vital source for exploration and distribution of knowledge regarding innovative non-invasive technologies.
NIDIskin has been a major platform to expand and educate on Reflectance Confocal Microscopy. Through this platform we organize two symposiums yearly, one during the spring on the east coast and another during the fall on the west coast. We also have a dedicated teaching portal online for the convenience of learning and sharing knowledge. Our team of educators includes world-renowned pioneers in reflectance confocal microscopy. Currently, our lead educators are Dr. Babar Rao and Dr. Pellacani. Additional faculty includes Dr. Stephen Hammond, Dr. John Durcan, and Dr. Manu Jain. We continue to expand our team with upcoming confocal specialists within the United States to continue to train individuals worldwide. Our team is dedicated to teach emerging in-vivo and ex-vivo technologies.
Dr. Babar Rao is a board certified Physician in both Dermatology and Dermatopathology and is a leading authority on pigmented lesions. His continued effort with non-invasive technology has allowed him to be a pioneer in Dermoscopy and Confocal Microscopy. Dr. Rao completed his Dermatology Residency at Weill Cornell Medical School and has previously trained at the University of London, UT Southwestern, New York University, and Rutgers University. He is currently Professor of Dermatology and Pathology at Rutgers University and Associate Clinical Professor at Weill Cornell Medical School. To learn more about Dr. Rao go to www.raodermatology.com.
Dr. Giovanni Pellacani is an esteemed Physician of Dermatology. He is currently the Dean of the Faculty of Medicine and the Chairman of Dermatology at University of Modena and Reggio Emilia in Modena, Italy.
Dermoscopy is a non-invasive diagnostic technique that uses a magnifier and a polarizing light to examine skin lesions in vivo. This hand-held device allows for visualization of subsurface structures that are otherwise not visible with the naked eye. In the 1980s dermoscopy was first established as useful in the diagnosis of pigmented skin lesions. Over the last three decades, dermoscopy has become wide spread with approximately 60% of dermatologists reporting regular use of dermoscopy in recent national surveys. Dermoscopy decreases the frequency of biopsy for benign lesions, thereby improves patient care.
Many diagnostic algorithms have been established to interpret dermoscopic images of pigmented lesions, including pattern analysis, the ABCD rule, the Menzies method, the 7-point checklist and the CASH algorithm. Our approach to dermoscopy is called ASAP: A Simple and Practical Approach to Dermoscopy. Instead of utilizing scoring systems, like the previously mentioned algorithms, the ASAP method uses simple patterns to determine whether or not a lesion should be biopsied. The dermoscopist identifies known benign patterns, known malignant patterns and suspicious features in an otherwise benign pattern. Lesions with known benign patterns are not biopsied. Lesions with known malignant patterns, suspicious features or unknown patterns are biopsied. This approach will be described in further detail in the dermoscopy tutorials.