Telediagnosis and face-to-face diagnosis reliability for melanocytic and non-melanocytic 'pink' lesions

Journal of the European Academy of Dermatology and Venereology : JEADV
G FabbrociniB Brunetti

Abstract

Telemedicine is a worldwide healthcare practice that, during the last years, has dramatically reduced the time of consultation for patients. Teledermoscopy aids in the current management of skin cancers in general and particularly of melanoma; telemedicine and teledermoscopy give the chance to provide consultations with experts also by long distance. The purpose of this study is to determine the diagnostic reliability, according to interobserver agreement, between clinical and dermoscopic diagnosis of lesions with poor and/or absent pigmentation, comparing face-to-face diagnosis and telediagnosis. Forty-four lesions were examined by two different dermatologists with good and similar experience in the clinical field and dermoscopy. A store-and-forward teledermatological system, based on clinical and dermoscopic images, was done by the two skilled dermatologists. Our results underline that teledermoscopy of 'pink' lesions does not provide a similar degree of diagnostic accuracy as otherwise in face-to-face diagnosis perhaps due to the absence of typical criteria. Atypical skin lesions are characterized by the absence of typical dermoscopic patterns, and their teleconsultation does not always increase the diagnostic accuracy.

References

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Feb 24, 2005·Current Opinion in Oncology·Cesare MassoneH Peter Soyer

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Citations

Jul 22, 2011·International Journal of Telemedicine and Applications·G FabbrociniA Monfrecola
Feb 17, 2009·Journal of the American Academy of Dermatology·Erin M WarshawDavid B Nelson
Nov 9, 2018·International Journal of Telemedicine and Applications·C B Barcaui, P M O Lima

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