Teledermatology: Just Cool or a Real Tool?

Burg, Günter; Hasse, U.; Cipolat, Claudio; Kropf, Roger; Djamei, Vahid; Soyer, H. Peter; Chimenti, Sergio

doi:10.1159/000082573

Cited by 42 publications

(30 citation statements)

References 31 publications

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“…Nevertheless, these studies have shown the usability and the feasibility of these new devices in teledermatology [1]–[3]. In fact, the unique aspect of mobile teledermatology is that this system might become a filtering or triage system allowing a more sensible approach for the management of patients with emergent skin diseases [1]–[5]. In addition, mobile teledermatology may also become a powerful screening tool for malignant cutaneous tumors.…”

Section: Introductionmentioning

confidence: 99%

Melanoma Screening with Cellular Phones

et al. 2007

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BackgroundMobile teledermatology has recently been shown to be suitable for teledermatology despite limitations in image definition in preliminary studies. The unique aspect of mobile teledermatology is that this system represents a filtering or triage system, allowing a sensitive approach for the management of patients with emergent skin diseases.Methodology/Principal FindingsIn this study we investigated the feasibility of teleconsultation using a new generation of cellular phones in pigmented skin lesions. 18 patients were selected consecutively in the Pigmented Skin Lesions Clinic of the Department of Dermatology, Medical University of Graz, Graz (Austria). Clinical and dermoscopic images were acquired using a Sony Ericsson with a built-in two-megapixel camera. Two teleconsultants reviewed the images on a specific web application (http://www.dermahandy.net/default.asp) where images had been uploaded in JPEG format. Compared to the face-to-face diagnoses, the two teleconsultants obtained a score of correct telediagnoses of 89% and of 91.5% reporting the clinical and dermoscopic images, respectively.Conclusions/SignificanceThe present work is the first study performing mobile teledermoscopy using cellular phones. Mobile teledermatology has the potential to become an easy applicable tool for everyone and a new approach for enhanced self-monitoring for skin cancer screening in the spirit of the eHealth program of the European Commission Information for Society and Media.

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Section: Introductionmentioning

confidence: 99%

Melanoma Screening with Cellular Phones

et al. 2007

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“…20 However, the results of the present study suggest that telemedicine may be useful for obtaining second opinions in programmes to control leprosy. Because store-and-forward telemedicine allows a case discussion to be generated, 21,22 it may also contribute to greater involvement of primary care physicians and improved collaboration between medical colleagues.…”

Section: Discussionmentioning

confidence: 99%

Accuracy of store-and-forward diagnosis in leprosy

et al. 2008

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Telemedicine might increase the speed of diagnosis for leprosy and reduce the development of disabilities. We compared the accuracy of diagnosis made by telemedicine with that made by in-person examination. The cases were patients with suspected leprosy at eight public health clinics in outlying areas of the city of São Paulo. The case history and clinical examination data, and at least two clinical images for each patient, were stored in a web-based system developed for teledermatology. After the examination in the public clinic, patients then attended a teaching hospital for an in-person examination. The benchmark was the clinical examination of two dermatologists at the university hospital. From August 2005 to April 2006, 142 suspected cases of leprosy were forwarded to the website by the doctors at the clinics. Of these, 36 cases were excluded. There was overall agreement in the diagnosis of leprosy in 74% of the 106 remaining cases. The sensitivity was 78% and the specificity was 31%. Although the specificity was low, the study suggests that telemedicine may be a useful low-cost method for obtaining second opinions in programmes to control leprosy.

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“…During the last years, teledermatology has gained a lot of interest among scientific community. It can deeply revolutionize the delivery of dermatology services, providing equitable services to remote areas and allowing primary care physicians to refer patients to well-equipped dermatological services at a distance [3]. Teledermatology uses telecommunication technologies to transfer information to patients via mobile phone and images of skin lesions to clinicians via the Internet.…”

Section: Introductionmentioning

confidence: 99%

Teledermatology: From Prevention to Diagnosis of Nonmelanoma and Melanoma Skin Cancer

Fabbrocini

Vita

Pastore

et al. 2011

International Journal of Telemedicine and Applications

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Telemedicine is a rapidly developing application of clinical medicine where medical information is transferred through interactive audiovisual media for the purpose of consulting remote medical procedures or examinations, reducing the time of consultation for patients. Teledermatology as an application of telemedicine was developed in 1995: it turns out to be a gradually more ordinary mean of delivering dermatologic healthcare worldwide and will almost certainly have a greater medical function in the future. In particular, teledermatology can aid in the prevention and diagnosis of nonmelanoma and melanoma skin cancer; telemedicine and teledermatology offer the opportunity to make available consultations with experts also by long distance. Overall, patients seem to accept teledermatology, considering it as an excellent mean to obtain healthcare, particularly in those areas with no expert dermatologists available. Clinicians have also generally reported affirmative experiences with teledermatology in the skin cancer field. Further studies focusing on cost effectiveness, patient outcomes, and patient and clinician satisfaction will facilitate to delineate the potential of teledermatology as a mean of prevention and diagnosis of nonmelanoma and melanoma skin cancer.

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Teledermatology: Just Cool or a Real Tool?

Cited by 42 publications

References 31 publications

Melanoma Screening with Cellular Phones

Melanoma Screening with Cellular Phones

Accuracy of store-and-forward diagnosis in leprosy

Teledermatology: From Prevention to Diagnosis of Nonmelanoma and Melanoma Skin Cancer

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