Triage amalgamated dermoscopic algorithm (TADA) for skin cancer screening

Dermatology Practical & Conceptual
T RogersAshfaq A Marghoob

Abstract

Dermoscopic triage algorithms have been shown to improve beginners' abilities for identifying pigmented skin lesions requiring biopsy. To estimate the diagnostic accuracy of the Triage Amalgamated Dermoscopic Algorithm (TADA) for pigmented and nonpigmented skin cancers. Secondarily, to compare TADAs performance to those of existing triage algorithms for the identification of pigmented skin cancers. Cross-sectional, observational, reader study that took place at a beginner and intermediate level dermoscopy course. Two hundred medical professionals of various specialties attended the course and 120 voluntarily joined the study (60% participation rate). After receiving basic dermoscopy training, participants evaluated 50 polarized, dermoscopic images of pigmented (22 benign, 18 malignant) and nonpigmented (1 benign, 9 malignant) skin lesions using TADA. Pigmented lesions were also evaluated using the Three-Point Checklist and AC Rule. With TADA, participants first determined if a lesion was an unequivocal angioma, dermatofibroma, or seborrheic keratosis, which would exclude it from further evaluation. All other lesions were assessed for architectural disorder, starburst pattern, blue-black or gray color, shiny white structures, ne...Continue Reading

Citations

May 29, 2019·The Journal of the American Osteopathic Association·Nadeem G MarghoobNatalia Jaimes

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Methods Mentioned

BETA
biopsy
biopsies

Software Mentioned

Stata
TADA

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