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RCM at Evidenz level 1b – Now same level of evidence as dermoscopy.
Febuary 2, 2025 – Reflectance Confocal Microscopy (RCM) has gained increasing importance in dermatological diagnostics in recent years. This non-invasive method enables a detailed real-time visualization of the skin layers and thus provides a precise assessment of skin lesions. RCM has proven to be particularly useful for improving diagnostic accuracy in lesions that are difficult to classify clinically or dermatoscopically.
In the latest European guidelines for skin cancer diagnostics, RCM has now been officially classified as level 1b evidence. This means that the method is based on the highest level of evidence, which underlines the importance and reliability of this technology. According to the guidelines, reflectance confocal microscopy should be used in particular for the further assessment of skin lesions that appear uncertain during visual inspection or dermatoscopy, provided that the technique is available.