{"id":8036,"date":"2020-04-26T21:42:33","date_gmt":"2020-04-27T00:42:33","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/espectroscopia-de-impedancia-electrica-para-el-diagnostico-de-melanoma\/"},"modified":"2020-04-27T14:56:55","modified_gmt":"2020-04-27T17:56:55","slug":"electrical-impedance-spectroscopy-for-the-diagnosis-of-melanoma","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/espectroscopia-de-impedancia-electrica-para-el-diagnostico-de-melanoma\/","title":{"rendered":"Electrical impedance spectroscopy for the diagnosis of melanoma."},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/espectroscopia-de-impedancia-electrica-para-el-diagnostico-de-melanoma\/#Cancer-de-piel\" >Skin cancer<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/espectroscopia-de-impedancia-electrica-para-el-diagnostico-de-melanoma\/#Introduccion\" >Introduction<\/a><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><ul class='ez-toc-list-level-5' ><li class='ez-toc-heading-level-5'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/espectroscopia-de-impedancia-electrica-para-el-diagnostico-de-melanoma\/#Espectroscopia-de-impedancia-electrica-Nevisense-%E2%84%A2\" >Nevisense\u2122 Electrical Impedance Spectroscopy*<\/a><\/li><\/ul><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/espectroscopia-de-impedancia-electrica-para-el-diagnostico-de-melanoma\/#%C2%BFQue-es-la-espectroscopia-de-impedancia-electrica\" >What is electrical impedance spectroscopy?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/espectroscopia-de-impedancia-electrica-para-el-diagnostico-de-melanoma\/#Como-espectroscopia-de-impedancia-electrica-%C2%BFtrabajo\" >How does electrical impedance spectroscopy work?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/espectroscopia-de-impedancia-electrica-para-el-diagnostico-de-melanoma\/#%C2%BFCuales-son-las-ventajas-del-analisis-de-espectroscopia-de-impedancia-electrica\" >What are the advantages of electrical impedance spectroscopy analysis?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/espectroscopia-de-impedancia-electrica-para-el-diagnostico-de-melanoma\/#%C2%BFQue-evidencia-clinica-apoya-el-eficacia-de-espectroscopia-de-impedancia-electrica\" >What clinical evidence supports the effectiveness of electrical impedance spectroscopy?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/espectroscopia-de-impedancia-electrica-para-el-diagnostico-de-melanoma\/#%C2%BFCual-es-el-uso-clinico-de-espectroscopia-de-impedancia-electrica\" >What is the clinical use of electrical impedance spectroscopy?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/espectroscopia-de-impedancia-electrica-para-el-diagnostico-de-melanoma\/#%C2%BFCuales-son-las-indicaciones-para-la-espectroscopia-de-impedancia-electrica\" >What are the indications for electrical impedance spectroscopy?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<div class=\"cmsBlock\">\n<div class=\"cmsBlock__shortcode\">\n<section class=\"textBlock\">\n<p><img alt='miiskin-3-2-133__scalewidthwzewmf0-8268734-6234750' class=\"right\" title=\"\" src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/miiskin-3-2-133__ScaleWidthWzEwMF0-8268734.jpg' width=\"100\" height=\"100\"><\/p>\n<blockquote>\n<p style=\"text-align: center;\"><em>Ad<\/em><\/p>\n<h4><span class=\"ez-toc-section\" id=\"Cancer-de-piel\"><\/span>Skin cancer<span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p><strong>Application to facilitate skin self-examination and early detection<\/strong>. <strong><span style=\"text-decoration: underline;\">read more<\/span>.<\/strong><\/p>\n<\/blockquote>\n<\/section>\n<div class=\"clearfix\"><\/div>\n<\/div>\n<div class=\"cmsBlock__title\">Text: Miiskin.<\/div>\n<\/div>\n<h2><span class=\"ez-toc-section\" id=\"Introduccion\"><\/span>Introduction<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Electrical impedance spectroscopy (EIS) is used by a portable point-of-care device called Nevisense\u2122 (Scibase AB, Stockholm, Sweden) to objectively analyze lesions with suspected <span class=\"term\" data-term-id=\"1670\">melanoma<\/span>.<\/p>\n<section class=\"textBlock imageLinkBlockTitle\">\n<h5 class=\"colour--primary\"><span class=\"ez-toc-section\" id=\"Espectroscopia-de-impedancia-electrica-Nevisense-%E2%84%A2\"><\/span>Nevisense\u2122 Electrical Impedance Spectroscopy*<span class=\"ez-toc-section-end\"><\/span><\/h5>\n<\/section>\n<section class=\"imageLinkBlock\">\n<div class=\"flex\">\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='nevisense-patient-doctor__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingilde5xq-4180102-5839772' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/nevisense-patient-doctor__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDE5XQ-4180102.jpg'>\n<\/div>\n<p class=\"p-small\">Nevada procedure<\/p>\n<div class=\"imageLinkBlock__item__image\">\n<p>                        <img alt='nevisense-by-scibase-cmyk__protectwyjqcm90zwn0il0_focusfillwzi5ncwymjisingilde5xq-9126052-6714274' src='https:\/\/doctorhoogstra.com\/wp-content\/uploads\/2020\/04\/nevisense-by-scibase-cmyk__ProtectWyJQcm90ZWN0Il0_FocusFillWzI5NCwyMjIsIngiLDE5XQ-9126052.jpg'>\n<\/div>\n<p class=\"p-small\">Nevisense device<\/p>\n<\/p><\/div>\n<\/section>\n<div class=\"clearfix imageLinkBlock\"><\/div>\n<p>* Images provided by Scibase<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-espectroscopia-de-impedancia-electrica\"><\/span>What is electrical impedance spectroscopy?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Visual examination is usually sufficient in identifying most skin types <span class=\"term\" data-term-id=\"164\">injury<\/span>. However, when it comes to <span class=\"term\" data-term-id=\"1395\">atypical<\/span> injuries, a clinical diagnosis based on visual examination alone can pose a challenge, leading to unnecessary <span class=\"term\" data-term-id=\"1075\">splits<\/span> or even evil faults.<\/p>\n<p>Dermatoscopy uses a portable skin surface microscope to examine skin lesions. In expert hands the chance of a correct diagnosis increases, but requires considerable training and experience.<\/p>\n<p>In the spectrometric analysis of skin lesions, a computer program is used that calculates and extracts information about the cells and structures of the skin. The method uses a beam of light that penetrates below the surface of the skin. Clear images taken with a digital camera or handheld scanner are fed into a computer for detailed analysis.<\/p>\n<p>In electrical impedance spectroscopy, the different electrical properties of human tissue are used to classify <span class=\"term\" data-term-id=\"956\">cellular<\/span> structures and therefore detect malignant tumors.<\/p>\n<p>SciBase electronic impedance spectroscopy is a patented technology developed at the Karolinska Institute in Stockholm, Sweden.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Como-espectroscopia-de-impedancia-electrica-%C2%BFtrabajo\"><\/span>How<span> electrical impedance spectroscopy<\/span> worked?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li>Skin tissues have different electrical properties under different medical conditions.<\/li>\n<li>Based on this, it is possible to identify a condition, such as melanoma, using Nevisense&#039;s unique EIS method.<\/li>\n<li>\n<span>Electrical impedance spectroscopy<\/span> It is a measure of the overall resistance within the tissue to alternating currents of various frequencies.<\/li>\n<li>An electrical signal is applied across the skin lesion using an innovative electrode system at the tip of the Nevisense\u2122 probe.<\/li>\n<li>The frequencies used by Nevisense\u2122 (1 kHz \u2013 2.5 MHz) relate to clinically relevant properties, such as the composition of intra- and extracellular environments, the shape and size of cells, and the composition of the cell membrane.<\/li>\n<li>To cover the lesion in both width and depth, measurement is performed at 35 frequencies and four depth settings over the lesion in a total of 10 permutations.<\/li>\n<li>At first, a reference measurement is made on healthy skin near the lesion.<\/li>\n<li>This procedure is repeated in the lesion to be examined.<\/li>\n<li>Nevisense&#039;s advanced algorithm classifies the lesion based on measurement data from both the lesion and the reference.<\/li>\n<li>The Nevisense\u2122 classifier provides an EIS score output on the Nevisense\u2122 screen that reflects the degree of <span class=\"term\" data-term-id=\"1305\">atypia<\/span> identified by the method<\/li>\n<li>The results of visual inspection of suspected melanoma can be added to the objective information provided by Nevisense\u2122 to reach a more informed clinical decision.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-ventajas-del-analisis-de-espectroscopia-de-impedancia-electrica\"><\/span>What are the advantages of electrical impedance spectroscopy analysis?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span>Electrical impedance spectroscopy<\/span> The analysis complements doctors&#039; visual examinations, particularly in cases of <span class=\"term\" data-term-id=\"47\">cutaneous<\/span> lesions with unclear clinical signs of melanoma. Benefits included:<\/p>\n<ul>\n<li>A quick and simple procedure.<\/li>\n<li>Greater diagnostic precision<\/li>\n<li>Objective analysis<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-evidencia-clinica-apoya-el-eficacia-de-espectroscopia-de-impedancia-electrica\"><\/span>What clinical evidence supports the <span class=\"term\" data-term-id=\"914\">effectiveness<\/span> of electrical impedance spectroscopy?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li>\n<span>Electrical impedance spectroscopy<\/span> has been evaluated for more than a decade, from development and proof of principle to clinical studies in skin <span class=\"term\" data-term-id=\"30\">Cancer<\/span> and <span class=\"term\" data-term-id=\"22\">benign<\/span> skin lesions.<\/li>\n<li>In a multicenter study, a prospective, blinded study conducted at 5 US and 17 European research sites, a total of 1,951 subjects with 2,416 injuries were enrolled in the study.<\/li>\n<li>All eligible skin lesions in the study were examined with the Nevisense\u2122 Electrical Impedance Spectroscopy System and by excision. <span class=\"term\" data-term-id=\"24\">biopsy<\/span> subject to <span class=\"term\" data-term-id=\"1419\">histopathological<\/span> assessment.<\/li>\n<li>1,943 injuries were evaluable for the <span class=\"term\" data-term-id=\"949\">primary<\/span> efficacy endpoint (including 265 <span class=\"term\" data-term-id=\"1671\">melanomas<\/span>48 <span class=\"term\" data-term-id=\"831\">basal<\/span> cell carcinomas and seven <span class=\"term\" data-term-id=\"270\">scaly<\/span> cell carcinomas).<\/li>\n<li>The results of the pivotal study showed a sensitivity of 97% for <span class=\"term\" data-term-id=\"176\">evil one<\/span> melanoma and specificity of 34,4%.<\/li>\n<li>The observed sensitivity for non-melanoma skin cancer was 100%.<\/li>\n<li>The positive and negative predictive values of Nevisense\u2122 were 21.1% and 98.2%, respectively.<\/li>\n<li>The observed sensitivity and specificity for melanoma from investigational site histopathologists were 85.0% and 98.1%, respectively.<\/li>\n<li>not serious <span class=\"term\" data-term-id=\"909\">adverse events<\/span> or unexpected adverse effects of the device were observed throughout the study.<\/li>\n<li>However, there is insufficient data to determine the role of Navisense\u2122 in the treatment of patients with melanoma.<\/li>\n<\/ul>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\"><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-uso-clinico-de-espectroscopia-de-impedancia-electrica\"><\/span>What is the clinical use of <span>electrical impedance spectroscopy?<\/span><br \/>\n<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li>The Nevisense\u2122 EIS System is intended for use on skin lesions with one or more clinical or historical features of melanoma.<\/li>\n<li>The system is designed to be used when a clinician chooses to obtain additional information when considering <span class=\"term\" data-term-id=\"848\">excision<\/span>.<\/li>\n<li>It is not intended to be used to confirm a clinical diagnosis of melanoma.<\/li>\n<li>It should be used by doctors trained in the clinical diagnosis of skin cancer.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-indicaciones-para-la-espectroscopia-de-impedancia-electrica\"><\/span>What are the indications for electrical impedance spectroscopy?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ul>\n<li>\n<span>Electrical impedance spectroscopy<\/span> It is indicated for use in primary skin lesions with a diameter between 2 mm and 20 mm.<\/li>\n<li>Lesions must have intact skin (i.e., non-ulcerated lesions and no bleeding).<\/li>\n<li>The injuries should not be in <span class=\"term\" data-term-id=\"122\">hair<\/span>-Covered areas.<\/li>\n<li>The device should not be used on palms, soles, genitals, eyes or <span class=\"term\" data-term-id=\"1018\">mucous membrane<\/span> zones<\/li>\n<li>The lesions must be devoid of scars or recent <span class=\"term\" data-term-id=\"1365\">trauma<\/span>.<\/li>\n<\/ul>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>Anuncio C\u00e1ncer de piel Aplicaci\u00f3n para facilitar el autoexamen de la piel y la detecci\u00f3n temprana. Lee mas. Texto: Miiskin. Introducci\u00f3n La espectroscop\u00eda de impedancia el\u00e9ctrica (EIS) es utilizada por&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-8036","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8036","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=8036"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8036\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=8036"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=8036"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=8036"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}