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Reports

Understanding and Interpreting Your TrichoLAB Reports

Katarzyna Ryszkowska avatar
Written by Katarzyna Ryszkowska
Updated over 2 months ago

Regardless of whether you process your images using Local Processing or send them to TrichoLAB for detailed analysis, the final outcome of the diagnostic procedure is the TrichoLAB report. This report not only provides statistical data and parameters related to your hair's condition, but also includes a doctor's opinion, which can be a diagnosis or a doctor's comment regarding this examination.

Depending on type of request, your report will be different. Below are presented trichoscopy, trichogram, transplaner and 3D reports.

If you have the desire or need to explore the topic more we recommend our Webinars

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Trichoscopy reports

Trichoscopy reports can be obtained by two routes: analysis in TrichoLAB or own analysis using Local Processing.

If you decide to analyze your examination with TrichoLAB - from the day of submission, our diagnosticians have 7 days to prepare a report for you.

With Local Processing - you receive report after analyzing all images locally on your computer.

The reports' design depends on the processing method (measured parameters are the same)

🔷 Key Parameters Measured by TrichoLAB

Trichoscopy analyzes several critical aspects of your hair and scalp, including:

🔹Average number of hairs [N/cm²]:
Derived from micro images, it is the best estimate of hair density normalized to 1 square centimeter. The ratio of values in different areas is also diagnostically significant.

🔹Average hair shaft thickness [μm]:
Hair shafts identified on micro images are subjected to diameter measurement using proprietary TrichoLAB algorithms to the unprecedented level of precision of +/- 1 µm. Hair dyeing does not influence the result. Statistical distribution of hair diameter indicates the size of anisotrichosis.

🔹Thin (≤ 30 μm) hairs [%]:
The percentage of hairs below 30 microns.

🔹Mid (30 - 50 μm) hairs [%]:
The percentage of hairs between 30 and 50 microns.

🔹Thick (≥ 50 μm) hairs [%]:
The percentage of hairs above 50 microns.

🔹Single follicular units [%]:
Hair aggregated into hair units enables finding the ratio of single versus multihair units. Single follicular units show the percentage of follicular units with 1 hair.

🔹Double follicular units [%]:
The percentage of follicular units with two hairs.

🔹Triple and bigger follicular units [%]:
The percentage of follicular units with three or more hairs.

🔹Cumulative hair thickness [mm/cm²]:
Total hair shaft diameter per area.

🔹Number of follicular units [N/cm²]:
Used for assessing areas for potential hair transplants.

🔹Derived Sinclair Scale:

Sinclair Scale is a tool to assess severity of hair loss and hair thinning by visual inspection of the central parting line width. The derived Sinclair Scale is a statistical equivalent of the visual Sinclair Scale derived from basic hair statistics, namely average hair density and hair shaft diameter. The scale ranges from 1 to 5, where lower values indicate minimal thinning, and higher values correspond to significant thinning and advanced stages of hair loss.


🔷 Conclusion

At the end of your report, you have a section with the doctor's conclusions. The content of this field is up to you. You can enter here observations from the examination, further proceedings, a description of the treatment - any relevant information available to the patient on the report.

The way of providing this information is different, depending on processing you choose:

🔹In LAB

When you open an examination in TrichoLAB (www.lab.tricholab.com) you have 3 boxes under the pictures:

🗨️Doctor's comments - comments important for TrichoLAB experts to provide you second opinion.

💬Tricholab's opinion - opinion of our specialist

🧑‍⚕️Doctor's diagnosis - a place for your opinion.

Information from "Doctor's diagnosis" box is visible on the report. TrichoLAB's opinion is automatically copy-passed to this view, but you can edit it, by clicking on "edit" button. Then you can modify our opinion, add your thoughts, delete some parts etc.

🔹With Local Processing

After finishing analyzing the images and generating the report, a pop-up window will ask you to enter an opinion.

🔷AGASI (Androgenetic Alopecia Severity Index) - Local Processing feature

AGASI is an essential diagnostic tool used to track the progression of androgenetic alopecia (AGA). It evaluates changes in hair density, follicular unit count, and hair miniaturization, allowing for an objective assessment of how the condition is evolving over time.

Its layout depends on whether it's the baseline or follow-up examination (then it's not AGASI, it is Trend Analysis.)

🔹1st Examination (baseline) – Initial Classification and Comparison

The comparison of these 3 parameters between the androgen sensitive area (vertex or frontal) and the reference androgen resistant area (occipital) allows to numerically assess the severity of androgenetic alopecia. Comparison includes 3 parameters:

  • Hair density (terminal and vellus hairs)

  • Mean hair thickness

  • Single hair units percentage

This comparison allows for the determination of the percentage differences between the frontal and occipital regions. These differences are illustrated using color-coded bars:

🟥Red bars indicate AGA warning – a significant difference between the regions indicative of AGA (like lower frontal hair density or mean thickness compared to occipital one, or higher % of single hairs).
🟨Yellow bars indicate that there may be a potential AGA warning, but the difference is too small to be considered statistically significant.

🟩Green bars indicate the result that does not support AGA hypothesis.

It is customary to assume that if 2 of these indicators are red – it is a strong indication towards AGA.

📊The gray bar serves as a reference, showing the occipital value.
⚙️This color classification can be customized by adjusting percentage thresholds in the settings to suit specific diagnostic needs. For example, you can set the threshold so that a difference greater than 20% triggers a color change to red, indicating a significant difference.

🔷 Follow-up Examination – Trend Analysis: Better or Worse

In the second and subsequent examinations, the results are compared to previous values to monitor whether the condition has improved, worsened, or remained stable. All scalp areas from baseline are evaluated independently for:

  • Hair density Terminal

  • Hair Density

  • Mean hair thickness

These results are plotted on graphs, with each new examination represented by a dot on the graph. The connection between these dots is shown as a linear trend, providing a clear visual representation of whether the condition is improving, worsening, or remaining stable. This method allows for easy tracking of changes in hair density and thickness over time.

Trichogram reports

Below are statistics measured during the trichogram procedure. The main goal of this procedure is to receive anagen- telogen statistics.

🔹Measurement area [cm²]:
The specific area of the scalp where hair analysis is conducted.

🔹Total hair count in measurement area:
The total number of hairs in the measured area, including both terminal and vellus hairs. It reflects the overall hair density in the sampled region.

🔹Hair density [hair/cm²]:
The number of hairs per square centimeter of the measurement area. It is an important indicator for evaluating hair density and diagnosing hair loss conditions​.

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🔹Vellus hair (th<30μm) in measurement area:
The count of vellus hairs in the examined area. These are fine, short, and lightly pigmented hairs.

🔹Av. hair thickness [mm]:
The average thickness of individual hairs, measured in millimeters. Hair thickness varies based on hair type (vellus or terminal) and is a key measure of hair quality​.

🔹Hair length after clipping/shaving [mm]:
The length of hair measured after a specific time period following clipping or shaving. This parameter helps assess the rate of hair growth.

🔹Hair regrowth time [days]:
The time required for hair to regrow in the tested area. This is indicative of the health and activity of hair follicles. This is a time between first and second part of examination (between after clipping and after regrow session)

🔹Number of anagen hair (growth rate > 0.1 mm/d):
The count of hairs in the anagen phase (active growth phase). This phase lasts months to years and determines most of the visible hair​.

🔹Number of telogen hair (growth rate < 0.1 mm/d):
The number of hairs in the telogen phase (resting phase), where hair growth is halted. This phase precedes the hair shedding process.

🔹Telogen ratio (growth rate < 0.1 mm/d) [%]:
The proportion of hairs in the telogen phase relative to the total number of hairs in the analyzed area. A higher ratio may indicate telogen effluvium or other hair growth disruptions​

Besides the number values of these statistics, on the report, there are 2 charts:

🔹Hair thickness [mm]:

This represents the diameter of a single hair strand in millimeters. Hair thickness can vary depending on age, genetics, and hair type. Terminal hairs (thicker, pigmented hairs) usually have a larger diameter than vellus hairs (thin, lightly pigmented). On the chart you have shown a number of anagen and telogen hairs in each size. Monitoring changes in hair thickness is valuable for assessing hair health and identifying conditions like thinning hair or follicular weakening

🔹Growth rate [mm/day]:

This indicates the average daily length increase of a hair strand, expressed in millimeters per day. It reflects the activity of hair follicles in the anagen (growth) phase and can vary based on factors like nutrition, hormonal balance, and overall health. A typical growth rate for healthy scalp hair ranges from 0.3 to 0.5 mm/day. Deviations may signal issues such as stress-related telogen effluvium or other hair cycle disruptions​.

3D Transplanner reports

3D reports consist of 2 parts:

🔹surgery plan: patient scans divided into 2 areas: donor and recipient, with marked particular areas along with transplant statistics:

General - for both recipient and donor areas

  • Total area [cm2]

  • Average insertion/ harvesting density [grafts/cm2]

Donor:

  • area [cm2]

  • grafts

  • harvesting density [grafts/cm2]

  • remaining %

  • average hair per graft

🔹trichoscopy: statistics of donor area, based on trichoscopy made after 3D scans:

  • Density

  • Thickness

  • FU density

  • Hairs per FU

  • Percentage of single, double and triple FU

Transplanner 2.0 reports


The Transplanner report contains the same statistics as the trichoscopy report.

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