Can we use video images to triage pigmented lesions?

The British Journal of Dermatology
V M JolliffeS J Whittaker

Abstract

Advances in telemedicine permit consultations where the doctor and patient are at different sites. To determine whether this technology could be used to triage referrals of pigmented lesions to a dermatology out-patient clinic, and thereby assist in managing the ever increasing number of lesions being referred. When patients attended clinic, a clinical diagnosis of their pigmented lesion was made and recorded. A still image of each lesion was subsequently taken from a video camera using a PC card, and stored. These images were subsequently viewed in conjunction with the general practitioner's referral information and designated as 'warrants referral' or 'does not warrant referral'. For each lesion this decision was compared with the clinical diagnosis made during the live consultation in the clinic (the 'gold standard'). Clinical diagnoses designated as warranting referral were malignant melanoma, basal cell carcinoma, keratoacanthoma, atypical naevus and pyogenic granuloma (due to the potential clinical confusion with amelanotic melanoma). Lesions that were not considered to warrant referral included benign melanocytic naevus, seborrhoeic keratosis, dermatofibroma, congenital naevus, solar lentigo, actinic keratosis and variou...Continue Reading

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Citations

Sep 1, 2006·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·Xiaoming ZhaoRonald C Merrell
Jul 2, 2011·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Nasim FarrohkniaKatarina E Göransson
Nov 3, 2010·Journal of the American Academy of Dermatology·Erin M WarshawTimothy J Wilt
Feb 16, 2007·The British Journal of Dermatology·N EminovićA Hasman
Jan 21, 2015·Journal of the American Academy of Dermatology·Erin M WarshawDavid B Nelson
May 19, 2017·Journal of the European Academy of Dermatology and Venereology : JEADV·A TrettelM Augustin
Sep 23, 2006·Journal of Telemedicine and Telecare·William R HershMark Helfand
Jul 13, 2018·Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG·Matthias AugustinKlaus Strömer
Dec 7, 2018·The Cochrane Database of Systematic Reviews·Naomi ChuchuUNKNOWN Cochrane Skin Cancer Diagnostic Test Accuracy Group
Oct 25, 2007·The European Journal of General Practice·Peter Murchie, Neil C Campbell
Jul 19, 2020·Annales de dermatologie et de vénéréologie·E RidardM Schuers

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