The development and clinical application of microscopic endoscopy for in vivo optical biopsies: Endocytoscopy and confocal laser endomicroscopy

Photodiagnosis Photodyn Ther. 2022 Jun:38:102826. doi: 10.1016/j.pdpdt.2022.102826. Epub 2022 Mar 23.

Abstract

Endoscopies are crucial for detecting and diagnosing diseases in gastroenterology, pulmonology, urology, and other fields. To accurately diagnose diseases, sample biopsies are indispensable and are currently considered the gold standard. However, random 4-quadrant biopsies have sampling errors and time delays. To provide intraoperative real-time microscopic images of suspicious lesions, microscopic endoscopy for in vivo optical biopsy has been developed, including endocytoscopy and confocal laser endomicroscopy. This article reviews recent advances in technology and clinical applications, as well as their shortcomings and future directions.

Keywords: Clinical application; Confocal laser endomicroscopy; Endocytoscopy; Microscopic feature; endoscopy.

Publication types

  • Review

MeSH terms

  • Biopsy
  • Endoscopy / methods
  • Endoscopy, Gastrointestinal
  • Lasers
  • Microscopy, Confocal / methods
  • Photochemotherapy* / methods