A comparative study of teledermatoscopy and face-to-face examination of pigmented skin lesions

A comparative study of teledermatoscopy and face-to-face examination of pigmented skin lesions

Author Ishioka, Priscila Autor UNIFESP Google Scholar
Tenorio, Josceli M. Autor UNIFESP Google Scholar
Lopes, Paulo R. L. Autor UNIFESP Google Scholar
Yamada, Sergio Autor UNIFESP Google Scholar
Michalany, Nilceo S. Autor UNIFESP Google Scholar
Amaral, Marcio B. Autor UNIFESP Google Scholar
Pisa, Ivan T. Autor UNIFESP Google Scholar
Hirata, Sergio H. Autor UNIFESP Google Scholar
Almeida, Fernando A. Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract We examined the agreement between diagnoses of pigmented skin lesions based on an in-person (face-to-face) dermatological examination and diagnoses based on the study of medical records and images transferred through the web (teledermatoscopy). Two experienced dermatologists examined and diagnosed 64 pigmented skin lesions, which had been surgically excised and undergone histopathology examination. Two years later, the same cases were studied and diagnosed once again by the same dermatologists via the web. There was 72% agreement between the in-person diagnoses and the biopsy results (the gold standard), and 66% agreement between the telediagnoses and the biopsy results. Telemedicine had high sensitivity (87%) and specificity (73%), although there were 4 false-negative diagnoses. A web-based dermatoscopic diagnostic service appears to be feasible and would meet the needs for access to specialized services in rural areas. However, further work is required to decrease the number of false negative cases.
Language English
Date 2009-01-01
Published in Journal of Telemedicine and Telecare. London: Royal Soc Medicine Press Ltd, v. 15, n. 5, p. 221-225, 2009.
ISSN 1357-633X (Sherpa/Romeo, impact factor)
Publisher Royal Soc Medicine Press Ltd
Extent 221-225
Origin http://dx.doi.org/10.1258/jtt.2009.081107
Access rights Closed access
Type Article
Web of Science ID WOS:000268887800002
URI http://repositorio.unifesp.br/handle/11600/31232

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