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Table 1 DOC-Score (diagnosing oral cancer with the help of CLE)

From: Development and validation of a classification and scoring system for the diagnosis of oral squamous cell carcinomas through confocal laser endomicroscopy

Evaluation criterion

Manifestation

Score

1. Tissue architecture

 a) Homogeneity

Completely organized

0

Organized + unorganized regions

1

Completely unorganized

2

 b) Intercellular gaps

Regular

0

Mutated

1

No longer/non-existent

2

2. Cell morphology

Consistent/regular

0

Inconsistent/dysplastic (different sizes/shapes/grey levels)

1

Completely irregular

 Dark, small cells

 Blurry, cloudy image

 Black spot (cell cluster)

2

3. Fluorescence leakage

Regular

0

Amplified (bright background)

1

4. Vessels

Regular

0

Irregular

 Shape (micro vessels, coiled, elongated etc.)

 Caliber (increased)

 Quantity (cumulated)

1

x ≥ 5 points = squamous cell carcinoma (SCC)

Max. total: 8 points

  1. CLE classification and scoring system of oral squamous cell carcinomas