1998
DOI: 10.1159/000017896
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Epiluminescence Microscopy versus Clinical Evaluation of Pigmented Skin Lesions: Effects of Operator’s Training on Reproducibility and Accuracy

Abstract: Background: An acceptable level of reliability is a prerequisite for the introduction of epiluminescence microscopy (ELM) into the diagnosis of pigmented skin lesions. Objective: To assess the effects of a training program on the reproducibility and accuracy of ELM as compared to clinical evaluation. Methods: Before and after the program, 48 clinical images and their ELM counterparts were independently evaluated by seven participants. Reproducibility was measured by the κ index, accuracy by the rate of exact d… Show more

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Cited by 18 publications
(12 citation statements)
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“…This implies that repeated training seems to produce the most sustainable results. Our results, like others, demonstrate that training in dermoscopy need not be time‐consuming to be effective . In our opinion, this initial acquirement of basic knowledge represents the first and indispensable step towards a learning curve in daily practice that needs to be maintained.…”
Section: Resultssupporting
confidence: 78%
“…This implies that repeated training seems to produce the most sustainable results. Our results, like others, demonstrate that training in dermoscopy need not be time‐consuming to be effective . In our opinion, this initial acquirement of basic knowledge represents the first and indispensable step towards a learning curve in daily practice that needs to be maintained.…”
Section: Resultssupporting
confidence: 78%
“…In this study four dermatologists highly experienced in dermoscopy trained 11 colleagues who were not expert in the use of this technique by presenting dermoscopic images and explaining the dermoscopic criteria to them. Stanganelli and Bucchi 25 described the effects of a dermoscopic teaching programme of courses and seminars performed over a 6‐month period, in which the participants evaluated 48 dermoscopic images before and after the educational programme. The teaching programme appeared to have a beneficial effect on the reproducibility and accuracy of dermoscopic diagnosis of melanoma.…”
Section: Discussionmentioning
confidence: 99%
“…For the following PSLs as clinically diagnosed, a crude clinical image (magnification ×6 to ×10) was recorded in the digital database: CMMs, BCCs, atypical nevi, congenital nevi, blue nevi greater than 10 mm in diameter, benign nonmelanocytic lesions with equivocal characteristics, common nevi greater than 5 mm in diameter and flat common nevi with dark brown pigmentation and partially indented borders. Other lesions showing interesting though definitely benign features were occasionally recorded for research [21, 27]and educational [28]purposes. The original diagnosis was recorded in the image file.…”
Section: Methodsmentioning
confidence: 99%