Evaluation of the efficacy of 3D total-body photography with sequential digital dermoscopy in a high-risk melanoma cohort: protocol for a randomised controlled trial
Open accessAbstract
Introduction: Melanoma is Australia’s fourth most common cancer. Early detection is fundamental in maximising health outcomes and minimising treatment costs. To date, population-based screening programmes have not been justified in health economic studies. However, a skin surveillance approach targeting high-risk individuals could improve the cost-benefit ratio. Methods and analysis: This paper describes a 2-year longitudinal randomised controlled trial (RCT) to compare routine clinical care (control) with an intensive skin surveillance programme (intervention) consisting of novel three-dimensional (3D) total-body photography (TBP), sequential digital dermoscopy and melanoma-risk stratification, in a high-risk melanoma cohort. Primary outcomes will evaluate clinical, economic and consumer impact of the intervention. Clinical outcomes will evaluate differences in the rate of lesion excisions/biopsies per person, benign to malignant ratio for excisions and thickness of melanomas diagnosed. A health economic analysis using government data repositories will capture healthcare utilisation and costs relating to skin surveillance. Consumer questionnaires will examine intervention acceptability, the psychological impact, and attitudes towards melanoma risk and sun protective behaviour. Secondary outcomes include the development of a holistic risk algorithm incorporating clinical, phenotypic and genetic factors to facilitate the identification of those most likely to benefit from this surveillance approach. Furthermore, the feasibility of integrating the intervention with teledermatology to enhance specialist care in remote locations will be evaluated. This will be the first RCT to compare a targeted surveillance programme utilising new 3D TBP technology against current routine clinical care for individuals at high risk of melanoma. Ethics and dissemination: This study has received Human Research Ethics Committee (HREC) approval from both Metro South Health HREC (HREC/17/QPAH/816) and The University of Queensland HREC (2018000074). Trial registration number: ANZCTR12618000267257; Pre-results.
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In clinical validation study, PanDerm effectively identified malignant lesions among large number of benign ones (216 malignant vs 197,716 benign) from HOP and MYM cohorts.
“In a clinical validation study, PanDerm effectively identified malignant lesions among a large number of benign ones (216 malignant versus 197,716 benign lesions) from the high-risk melanoma of patients (HOP) study49 and mind your model (MYM) study50 cohort (Fig. 4e).”
From A Multimodal Vision Foundation Model for Clinical Dermatology (2025) · cites this paper as [49]
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FR-Mapeo corporal total en 3D: el futuro está llegando
Castillo, J. G., & Podlipnik, S. (2022) · Actas Dermo-Sifiliográficas · doi:10.1016/j.ad.2022.01.056
Wolinska, A., Bowe, S., Murray, G., Collins, S., Feighery, C., Roche, M., & Murad, A. A. (2023) · Irish Journal of Medical Science (1971 -) · doi:10.1007/s11845-023-03291-z
[Translated article] RF-Three-Dimensional Total Body Mapping: The Future is at the Door
Castillo, J. G., & Podlipnik, S. (2023) · Actas Dermo-Sifiliográficas · doi:10.1016/j.ad.2022.01.058
Teledermatologie-Eine Chance für unser Gesundheitssystem?
Lindemann, H., Lang, E., & Habrich, L. (2023) · Springer eBooks · doi:10.1007/978-3-658-41681-2_17
Intelligence artificielle en dermatologie : implications pratiques
Monnier, J., L'Orphelin, J. ‐., & Bataille, M. (2024) · Annales de Dermatologie et de Vénéréologie - FMC · doi:10.1016/j.fander.2024.01.011
A Novel Cost-Utility Driven Melanoma Screening Paradigm: DD Screening Utilizing Digital TechnologiesPreprint
Huo, G., & Chen, P. (2025) · SSRN Electronic Journal · doi:10.2139/ssrn.5142799
Truong, K., Elhindi, J., Araujo, R. R., Jones‐Caballero, M., Chamberlin, C. V. S., Wells, J., & Fernández‐Peñas, P. (2025) · Australasian Journal of Dermatology · doi:10.1111/ajd.14531
Ghahari, N., Zheng, L., Kuppanda, P. M., Chandra, S. S., Soyer, H. P., Janda, M., & Jayasinghe, D. (2026) · Journal of Investigative Dermatology · doi:10.1016/j.jid.2026.06.1280
Self-citation
- Authors
- Primiero, C. A., McInerney-Leo, A. M., Betz-Stablein, B., Whiteman, D. C., Gordon, L., Caffery, L., Aitken, J. F., Eakin, E., Osborne, S., Gray, L., Smithers, B. M., Janda, M., Soyer, H. P., & Finnane, A.
- Affiliations
- The University of Queensland (AU)
- QIMR Berghofer Medical Research Institute (AU)
- Queensland University of Technology (AU)
- University of Southern Queensland (AU)
- Corresponding author
- Soyer, H Peter
- ORCID
- Venue
- BMJ Open
- Publisher
- BMJ
- Published
- 2019-11
- Volume
- 9
- Issue
- 11
- Pages
- e032969
- ISSN
- 2044-6055 (ISSN-L)
- PMC
- PMC6858160
- OpenAlex
- W2983291152
- Cited by
- 57
- References
- 33
- Citations by year
- 2026: 3 · 2025: 15 · 2024: 8 · 2023: 8 · 2022: 8 · 2021: 6 · 2020: 7 · 2019: 1
- FWCI
- 2.30
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- BMJ Open (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- QUT ePrints (Queensland University of Technology) (submittedVersion, cc-by-nc)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- HighWire Press Open Archive (submittedVersion)
- Griffith Research Online (submittedVersion, cc-by-nc)
- Funders
- Princess Alexandra Research Foundation (Translational Research Innovation Award)
- National Health and Medical Research Council (APP1153046)
- Queensland Genomics, Queensland Government (M1215057)
- Brisbane Diamantina Health Partners (Health System Improvement Ideas grant)
- Topics
- Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › melanin and skin pigmentation
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Keywords
- melanoma, skin surveillance, digital dermoscopy, high-risk melanoma, melanoma risk stratification, melanoma detection, health care costs, teledermatology, sun protection behavior, risk algorithm, early detection
- MeSH terms
- Australia, Cost-Benefit Analysis, Humans, Melanoma, Photography, Surveys and Questionnaires, Skin Neoplasms, Randomized Controlled Trials as Topic, Imaging, Three-Dimensional, Dermoscopy, Public Health Surveillance
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