Teledermoscopy - results of a multicentre study on 43 pigmented skin                lesions

Piccolo, Domenico; Smolle, Josef; Argenziano, Giuseppe; Wolf, Ingrid; Braun, Ralph P.; Cerroni, Lorenzo; Ferrari, Ângela; Hofmann‐Wellenhof, Rainer; Kenet, Robert O.; Magrini, Fabio; Mazzocchetti, Giampiero; Pizzichetta, Maria Antonietta; Schaeppi, Herwig; Stolz, Wilhelm; Tanaka, Masaru; Kerl, Helmut; Chimenti, Sergio; Soyer, H. P.

doi:10.1258/1357633001935202

Cited by 131 publications

(102 citation statements)

References 17 publications

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“…Prior studies in the field of teledermatology have reported similar results. For example, Piccolo et al 21 found a mean of 85% correct diagnoses using e-mail. Lozzi et al 22 compared teledermatology diagnoses with histopathological examinations and observed a 79% correct distant diagnosis rate.…”

Section: Discussionmentioning

confidence: 99%

Teledentistry: Distant Diagnosis of Oral Disease Using E-Mails

Torres‐Pereira

Morosini

Possebon³

et al. 2013

Telemedicine and e-Health

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Objective: The purpose of this study was to evaluate the applicability of telediagnosis in oral medicine, through the transmission of clinical digital images by e-mail. Subjects and Methods: The sample included 60 consecutive patients who sought oral medicine services at the Federal University of Parana´, in the state of Parana´, located in southern Brazil. The clinical history and oral lesion images were recorded using clinical electronic charts and a digital camera, respectively, and sent by e-mail to two oral medicine consultants. The consultants provided a maximum of two clinical hypotheses for each case, which were compared with biopsy results that served as the gold standard. Results: In 31 of the 60 cases (51.7%), both consultants made the correct diagnosis; in 17 cases (28.3%), only one consultant made the correct diagnosis; and in 12 cases (20%), neither consultant made the correct diagnosis. Therefore, in 80% of cases, at least one consultant provided the correct diagnosis. The agreement between the first consultant and the gold standard was substantial (j = 0.669), and the agreement between the second consultant and the gold standard was fair (j = 0.574). Conclusions: The use of information technology can increase the accuracy of consultations in oral medicine. As expected, the participation of two remote experts increased the possibility of correct diagnosis.

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Section: Discussionmentioning

confidence: 99%

Teledentistry: Distant Diagnosis of Oral Disease Using E-Mails

Torres‐Pereira

Morosini

Possebon³

et al. 2013

Telemedicine and e-Health

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“…Most of these studies demonstrate high accordance for the diagnosis of inflammatory and neoplastic skin diseases [17, 18, 19, 20, 21], and particularly for the diagnosis of pigmented skin lesions (teledermoscopy) [22, 23, 24, 25, 26]. Up to now only a few reports have discussed the use of teledermatology in the diagnosis and care of patients with leg ulcers [27, 28, 29, 30].…”

Section: Discussionmentioning

confidence: 99%

Wound Teleconsultation in Patients with Chronic Leg Ulcers

Salmhofer¹,

Hofmann‐Wellenhof²,

Gabler

et al. 2005

Dermatology

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Background: The treatment of chronic leg ulcers requires frequent assessments of local wound status and adjustment of therapy. The availability of reasonably priced photographic equipment and quick electronic transfer of high-quality digital images should make it possible that the assessment of wound status can be made by remote experts. Objective: This study examines the feasibility of using teledermatology for wound assessment and therapeutic suggestions for patients with chronic leg ulcers. Methods: One hundred ten chronic leg ulcers of different origins were examined in face-to-face consultations. The examining doctor assessed the wound, made therapeutic recommendations and took 1–4 photographs of the wound using a digital camera. The digital images and relevant clinical information were then transmitted via a web application to an expert in wound care, who provided an independent teledermatological assessment of wound status and therapeutic recommendations. Results: In our study, a high accordance between direct consultations and electronic consultations was found in the assessment of chronic leg ulcers, especially for important features like slough (concordance: 84.6%), necrosis (concordance: 98.2%) and granulation tissue formation (concordance: 76.4%). Furthermore, the teledermatologist generally felt confident in recommending further treatment strategies and in planning further wound assessments via the internet. Conclusions: Our results suggest that teledermatology offers great potential for the future in chronic wound care. By reducing the need to travel long distances to the hospital or to consult a physician with expertise in wound care, wound teleconsultation might lower health care costs and improve the quality of life for patients with chronic wounds, while still maintaining a high quality of wound care.

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“…In these cases, dermatoscopic diagnoses were communicated to the histopathologist and helped in the cutting of representative sections. Therefore, the clinician should point to the most suspicious area with a drawing or image (eg, print or teledermatoscopy 9 ), in combination with a sign like a thread according to the Mohs surgery or an ink spot at the specimen. When a suspicious lesion and a benign lesion are included in the same tissue specimen, as in case 3, either the specimen should be divided into 2 pieces or the dermatopathologist should be alerted to the presence of 2 lesions within 1 excision.…”

Section: Commentmentioning

confidence: 99%