If not detected and treated early, skin cancer, especially melanoma, can be devastating for patients and their families. Biopsy is currently the gold standard for diagnosis of suspicious skin lesions. Until recently, a biopsy was the only management option, even when it was not ideal: including, in patients with numerous atypical lesions, patients with lesions at aesthetically important sites, or children. In cases such as these, rather than performing a biopsy, non-invasive diagnostic methods provide valuable information to guide management decisions. One these tools is a dermatoscope, which permits visualization of subsurface structures that are not otherwise visible to the naked eye. There are computer based devices that utilize multi-spectral data to analyze pigmented lesions. Finally, the newest technology, confocal microscopy, allows clinicians to see the cellular details of the skin without the need for surgical intervention. NIDIskin.com is an educational forum dedicated to Non-Invasive Diagnostic Imaging of the Skin. Our focus is A Simple And Practical approach (ASAP) to Dermoscopy followed by Confocal Microscopy. In the future, as new diagnostic technologies and methods emerge, NIDIskin.com will continue to serve as a resource to explore and share knowledge for those methods as well.

Our approach to diagnosis of skin lesions includes initial evaluation with dermoscopy, using the ASAP approach, followed by confocal microscopy for selected lesions. These two non-invasive tools are instrumental in making diagnoses and guiding management decisions, including which lesions require biopsy. NIDIskin.com was created to expose and educate patients and practitioners regarding the existence and use of these tools in order to improve patient care.