A comparative study of teledermatoscopy and face-to-face examination of pigmented skin lesions
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.
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A wide range of concordance rates from 54% to 89% have been reported in the literature.
“A wide range of concordance rates from 54% to 89% have been reported in the literature [7,11,25,35].”
From Lessons learned after a three-year store and forward teledermatology experience using internet: Strengths and limitations (2012) · cites this paper as [35]
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- Authors
- Ishioka, P., Tenório, J. M., Lopes, P. R., Yamada, S., Michalany, N. S., Amaral, M. B., Pisa, I. T., Hirata, S. H., & Almeida, F. A.
- Affiliations
- Universidade Federal de São Paulo (BR)
- Department of Dermatology, Federal University of São Paulo
- Corresponding author
- Hirata, Sérgio H
- Venue
- Journal of Telemedicine and Telecare
- Publisher
- SAGE Publications
- Published
- 2009-07
- Volume
- 15
- Issue
- 5
- Pages
- 221-225
- ISSN
- 1357-633X (ISSN-L)
- 1758-1109
- OpenAlex
- W2052118543
- Cited by
- 17
- References
- 15
- Citations by year
- 2026: 1 · 2023: 1 · 2020: 1 · 2018: 4 · 2017: 4 · 2015: 3 · 2013: 2 · 2012: 1
- FWCI
- 0.17
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Telemedicine and Telecare (publishedVersion)
- PubMed (publishedVersion)
- UNIFESP Institutional Repository (Universidade Federal de São Paulo) (submittedVersion)
- Topics
- Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Telemedicine and Telehealth Implementation
- Physical Sciences › Computer Science › Artificial Intelligence › AI in cancer detection
- Keywords
- pigmented skin lesions, telemedicine, diagnostic agreement, histopathology, sensitivity and specificity
- MeSH terms
- Brazil, Humans, Nevus, Pigmented, Photography, Schools, Medical, Sensitivity and Specificity, Skin Diseases, Remote Consultation, Internet, Dermoscopy
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