Teledermoscopy - results of a multicentre study on 43 pigmented skin lesions

Piccolo, Domenico and Smolle, Josef and Argenziano, Giuseppe and Wolf, Ingrid H. and Braun, Ralph and Cerroni, Lorenzo and Ferrari, Angela and Hofmann-Wellenhof, Rainer and Kenet, Robert O. and Magrini, Fabio and Mazzocchetti, Giampiero and Pizzichetta, Maria A. and Schaeppi, Herwig and Stolz, Wilhelm and Tanaka, Masaru and Kerl, Helmut and Chimenti, Sergio and Soyer, H. Peter (2000) Teledermoscopy - results of a multicentre study on 43 pigmented skin lesions. JOURNAL OF TELEMEDICINE AND TELECARE, 6 (3). pp. 132-137. ISSN 1357-633X

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Abstract

We performed a multicentre study to evaluate the agreement between the direct clinical diagnosis and the telediagnosis of 43 cutaneous pigmented lesions. Digital clinical and dermoscopic images of the 43 pigmented skin lesions (11 melanomas, 23 melanocytic naevi, three basal cell carcinomas, three lentigines, two seborrhoeic keratoses and one angiokeratoma) were sent by email to 11 colleagues(six dermatologists, two residents in dermatology, one oncologist, one specialist in internal medicine and one general practitioner) in 10 centres. These 11 colleagues had different degrees of experience in dermoscopy. With histopathology as the gold standard, an average of 85% of the telediagnoses were correct, with results varying from 77% to 95%, whereas face-to-face diagnosis by an expert dermatologist was correct in 91% of cases. The kappa value for all participants ranged from 0.35 to 0.87. The results confirm that teledermoscopy can be a reliable technique for the diagnosis of pigmented skin lesions but one that will depend on the expertise of the observer.

Item Type: Article
Uncontrolled Keywords: DIGITAL EPILUMINESCENCE MICROSCOPY; TELEDERMATOLOGY; DIAGNOSIS; IMAGES; TELEMEDICINE; PHOTOGRAPHS; MELANOMAS;
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Dermatologie und Venerologie
Depositing User: Dr. Gernot Deinzer
Date Deposited: 07 Jun 2022 13:22
Last Modified: 07 Jun 2022 13:22
URI: https://pred.uni-regensburg.de/id/eprint/43021

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