5.3.2. Teledermatoscopy in Daily Routine - 
Results of the First 100 Cases

Coras, Brigitte; Glaessl, Alexander; Kinateder, J; Klövekorn, Winfried; Braun, Ralph; Lepski, U.; Landthaler, Míchael; Stolz, Wilhelm

doi:10.1159/000067368

Cited by 15 publications

(14 citation statements)

References 7 publications

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“…Statistical pooling of the 6 SAF studies reporting aggregated diagnostic accuracy rates found that the weighted mean absolute difference was 19% better for clinic dermatology than teledermatology. 4,5,25,33,41,42 For the 11 SAF studies 4,5,14,23,25,29,34,36,39,41,42 that reported primary diagnostic accuracy rates, the weighted mean absolute difference was 11% better for clinic dermatology than teledermatology. Similarly, the weighted mean absolute difference for primary diagnostic accuracy for 6 pigmented skin lesion studies was also better (5%) for clinic dermatology than teledermatology.…”

Section: Question 1a: Diagnostic Accuracymentioning

confidence: 99%

“…All studies used a repeated measures study design with the exception of one randomized controlled trial. 11 Based on location, most of the studies were conducted in the United States (n = 14), [3][4][5][6]22,24,25,33,35,37,[41][42][43]45 followed by the United Kingdom (n = 9), 11,12,15,18,29,30,32,38,44 Italy (n = 6), 7,8,20,21,36,39 Spain (n = 4), 9,10,13,17 Australia/New Zealand (n = 3), 14,31,40 Turkey (n = 2), 16,19 and one study each from Germany, 23 Netherlands, 24 Pakistan, 27 Brazil, 28 and Switzerland. 34 Patient and skin condition characteristics.…”

Section: Summary Of Studies For Key Questions 1 Andmentioning

confidence: 99%

“…6,11,16,19,[24][25][26][27]31,32,35,37,41,44,45 Twenty-two studies evaluated only patients with circumscribed lesions; of these, 12 studies exclusively evaluated subjects with pigmented skin lesions 4,8,13,17,20,21,23,29,30,34,36,39 and two studies enrolled only subjects with nonpigmented skin lesions. 5,7 The remaining 8 studies only included subjects with circumscribed lesions but did not specify pigmentation status.…”

Section: Summary Of Studies For Key Questions 1 Andmentioning

confidence: 99%

“…Fifteen studies also reported diagnostic accuracy of clinic dermatology (in-person dermatology diagnoses), allowing for direct comparisons of accuracy rates between these two methods of care. Ten of these 15 studies found that diagnostic accuracy for clinic dermatology (in-person dermatology visit) was better than teledermatology, 4,5,7,14,23,33,36,37,39,41 3 studies reported better diagnostic accuracy for teledermatology, 29,34,50 and two reported mixed results. 25,42 The 3 studies that reported higher diagnostic accuracy rates for teledermatology were J AM ACAD DERMATOL VOLUME 64,NUMBER 4 composed of smaller sample sizes (n = 11, 50 n = 51, 34 n = 138 29 ).…”

Section: Question 1a: Diagnostic Accuracymentioning

confidence: 99%

“…Similarly, the weighted mean absolute difference for primary diagnostic accuracy for 6 pigmented skin lesion studies was also better (5%) for clinic dermatology than teledermatology. 4,23,29,34,36,39 A recent analysis of teledermatology data from 1514 biopsied skin neoplasms found that teledermatology was significantly less accurate for 11 common skin neoplasms including melanoma, squamous cell carcinoma, and basal cell carcinoma. 54 Value of teledermatoscopy.…”

Section: Question 1a: Diagnostic Accuracymentioning

confidence: 99%

See 4 more Smart Citations

Teledermatology for diagnosis and management of skin conditions: A systematic review

Warshaw

Hillman²,

Greer³

et al. 2011

Journal of the American Academy of Dermatology

276

223

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Section: Question 1a: Diagnostic Accuracymentioning

confidence: 99%

Section: Summary Of Studies For Key Questions 1 Andmentioning

confidence: 99%

Section: Summary Of Studies For Key Questions 1 Andmentioning

confidence: 99%

Section: Question 1a: Diagnostic Accuracymentioning

confidence: 99%

Section: Question 1a: Diagnostic Accuracymentioning

confidence: 99%

See 3 more Smart Citations

Teledermatology for diagnosis and management of skin conditions: A systematic review

Warshaw

Hillman²,

Greer³

et al. 2011

Journal of the American Academy of Dermatology

276

223

View full text Add to dashboard Cite

Skin Cancer Diagnosis by Lesion, Physician, and Examination Type

Chen,

Fernandez,

Fadadu

et al. 2024

JAMA Dermatol

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ImportanceSkin cancer is the most common cancer in the US; accurate detection can minimize morbidity and mortality.ObjectiveTo assess the accuracy of skin cancer diagnosis by lesion type, physician specialty and experience, and physical examination method.Data SourcesPubMed, Embase, and Web of Science.Study SelectionCross-sectional and case-control studies, randomized clinical trials, and nonrandomized controlled trials that used dermatologists or primary care physicians (PCPs) to examine keratinocytic and/or melanocytic skin lesions were included.Data Extraction and SynthesisSearch terms, study objectives, and protocol methods were defined before study initiation. Data extraction was performed by a reviewer, with verification by a second reviewer. A mixed-effects model was used in the data analysis. Data analyses were performed from May 2022 to December 2023.Main Outcomes and MeasuresMeta-analysis of diagnostic accuracy comprised sensitivity and specificity by physician type (primary care physician or dermatologist; experienced or inexperienced) and examination method (in-person clinical examination and/or clinical images vs dermoscopy and/or dermoscopic images).ResultsIn all, 100 studies were included in the analysis. With experienced dermatologists using clinical examination and clinical images, the sensitivity and specificity for diagnosing keratinocytic carcinomas were 79.0% and 89.1%, respectively; using dermoscopy and dermoscopic images, sensitivity and specificity were 83.7% and 87.4%, and for PCPs, 81.4% and 80.1%. Experienced dermatologists had 2.5-fold higher odds of accurate diagnosis of keratinocytic carcinomas using in-person dermoscopy and dermoscopic images compared with in-person clinical examination and images. When examining for melanoma using clinical examination and images, sensitivity and specificity were 76.9% and 89.1% for experienced dermatologists, 78.3% and 66.2% for inexperienced dermatologists, and 37.5% and 84.6% for PCPs, respectively; whereas when using dermoscopy and dermoscopic images, sensitivity and specificity were 85.7% and 81.3%, 78.0% and 69.5%, and 49.5% and 91.3%, respectively. Experienced dermatologists had 5.7-fold higher odds of accurate diagnosis of melanoma using dermoscopy compared with clinical examination. Compared with PCPs, experienced dermatologists had 13.3-fold higher odds of accurate diagnosis of melanoma using dermoscopic images.Conclusions and RelevanceThe findings of this systematic review and meta-analysis indicate that there are significant differences in diagnostic accuracy for skin cancer when comparing physician specialty and experience, and examination methods. These summary metrics of clinician diagnostic accuracy could be useful benchmarks for clinical trials, practitioner training, and the performance of emerging technologies.

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Visual inspection and dermoscopy, alone or in combination, for diagnosing keratinocyte skin cancers in adults

Dinnes

Deeks

Chuchu

et al. 2018

Cochrane Database of Systematic Reviews

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Background Early accurate detection of all skin cancer types is important to guide appropriate management, to reduce morbidity and to improve survival. Basal cell carcinoma (BCC) is almost always a localised skin cancer with potential to infiltrate and damage surrounding tissue, whereas a minority of cutaneous squamous cell carcinomas (cSCCs) and invasive melanomas are higher-risk skin cancers with the potential to metastasise and cause death. Dermoscopy has become an important tool to assist specialist clinicians in the diagnosis of melanoma, and is increasingly used in primary-care settings. Dermoscopy is a precision-built handheld illuminated magnifier that allows more detailed examination of the skin down to the level of the superficial dermis. Establishing the value of dermoscopy over and above visual inspection for the diagnosis of BCC or cSCC in primary-and secondary-care settings is critical to understanding its potential contribution to appropriate skin cancer triage, including referral of higher-risk cancers to secondary care, the identification of low-risk skin cancers that might be treated in primary care and to provide reassurance to those with benign skin lesions who can be safely discharged. Objectives To determine the diagnostic accuracy of visual inspection and dermoscopy, alone or in combination, for the detection of (a) BCC and (b) cSCC, in adults. We separated studies according to whether the diagnosis was recorded face-to-face (in person) or based on remote (imagebased) assessment.

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5.3.2. Teledermatoscopy in Daily Routine - Results of the First 100 Cases

Cited by 15 publications

References 7 publications

Teledermatology for diagnosis and management of skin conditions: A systematic review

Teledermatology for diagnosis and management of skin conditions: A systematic review

Skin Cancer Diagnosis by Lesion, Physician, and Examination Type

Visual inspection and dermoscopy, alone or in combination, for diagnosing keratinocyte skin cancers in adults

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