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00, while other parameters show no difference. The E of RTB and OSM were 1.22 ± 0.14 and 0.99 ± 0.07. The area under the ROC curve was .947. Taking 1.075 as the threshold of E for the diagnosis of tumor extent, the sensitivity, specificity and accuracy were 87.5%, 90.0% and 90.0%. The surgical margins designed according to OSM were better than those designed according to VOB +5 mm (P= .00. The E of SWE is helpful in determining tumor extent of BCC. This is beneficial for surgical margin designing. The Eratio of