In a recent editorial, Marghoob and Halpern1 expounded on why new imaging modalities such as confocal laser scanning reflectance (CLSR) microscopy are useful and important. They note that many advances in imaging technology (such as computed tomography and magnetic resonance imaging) “were initially met with significant resistance and skepticism.”1(p212) They speculate that this is due to the high costs associated with these procedures and “the innate resistance of clinicians to change.”1(p212)