Mohs Micrographic Surgery
Mohs Micrographic Surgery (MMS) is resource intensive and generates a significant amount of anxiety for the patient.
Surgeon, MMS staff and the patient can benefit from the imaging capabilities of VivoSight to better evaluate the lesion to be treated.
Lesion Imaging Prior to Mohs Surgery
- Draw perimeter around clinical lesion including usual margin
- Observe shadow of margin marker in OCT image
- Assess whether (BCC) lesion is inside or outside margin border and redraw margin accordingly if needed. Images courtesy of Welzel 
Assessing a tumor margin with VivoSight is an easy to implement procedure:
1. Schuh S., Welzel J. (2020) OCT-Guided Laser Treatment and Surgery. In: Bard R. (eds) Image Guided Dermatologic Treatments. Springer, Cham
2. De Carvalho N, Schuh S, Kindermann N, Kästle R, Holmes J, Welzel J. Optical coherence tomography for margin definition of basal cell carcinoma before micrographic surgery—recommendations regarding the marking and scanning technique. Skin Res Technol. 2017;00:1–7. https://doi.org/10.1111/srt.12407R
3. Markowitz O, Siegel D, Fisher J. Clinical Utility of Bedside Multibeam Optical Coherence Tomography Imaging in a Patient With Multiple Basal Cell Carcinomas. Dermatol Surg 2017;0:1–3
4. Markowitz O, Psomadakis CE. Patient-driven management using same-day noninvasive diagnosis and complete laser treatment of basal cell carcinomas: a pilot study. Cutis. 2019 Dec;104(6):345-348;350;351;E1;E2.