The impact of total body photography on biopsy rate in patients from a pigmented lesion clinic

Risser, Jessica; Pressley, Zakiya; Veledar, Emir; Washington, Carl V.; Chen, Shuo

doi:10.1016/j.jaad.2007.02.036

Cited by 42 publications

(52 citation statements)

References 19 publications

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“…[9][10][11] The use of total-body photography (TBP) has been shown to be helpful in the detection of changes in shape, color, or surface eventually occurring in any lesion, and for the identification of new lesions aided by baseline and subsequent registries. [12][13][14][15][16] The combined use of TBP and digital dermatoscopy, the so-called ''two-step method of digital follow-up,'' was designed in our unit for the surveillance of patients at high risk for MM. 17 It has been proposed as a more sensitive strategy in MM screening, by allowing not only the detection of dermatoscopic changes over time, but also detection of macroscopic changes and the occurrence of new lesions not previously registered for follow-up.…”

mentioning

confidence: 99%

Characterization of 1152 lesions excised over 10 years using total-body photography and digital dermatoscopy in the surveillance of patients at high risk for melanoma

Salerni

Carrera

Lovatto

et al. 2012

Journal of the American Academy of Dermatology

101

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mentioning

confidence: 99%

Characterization of 1152 lesions excised over 10 years using total-body photography and digital dermatoscopy in the surveillance of patients at high risk for melanoma

Salerni

Carrera

Lovatto

et al. 2012

Journal of the American Academy of Dermatology

101

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“…One retrospective study compared TBP with a control group and found no significant difference in the number of biopsies performed per patient (0.82 without TBP versus 0.80 with TBP p=0.43) [9]. However, interpretation of this retrospective study is limited by the small sample size (n=53 per arm) and the lack of any melanomas detected in the TBP group.…”

Section: Total Body Photographymentioning

confidence: 75%

Screening and Non-Invasive Evaluative Devices for Melanoma Detection A Comparison of Commercially Available Devices and Dermoscopic Evaluation

Grossman¹

2015

CDT

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A number of commercially available devices have been developed to help dermatologists distinguish benign pigmented lesions from malignant melanoma, but it is unclear if and how these technologies should be adopted into clinical practice. This review summarizes the reported diagnostic accuracies of these devices and compares them to clinical exam and dermoscopy. Screening devices appear to have the highest utility in patient populations with a high prevalence of melanoma. However, even in high-risk patients the diagnostic accuracy of evaluative devices is not clearly superior to dermatologists skilled with dermoscopy, potentially limiting their cost effectiveness. General practitioners not skilled with dermoscopy are likely to have larger improvements in diagnostic accuracy when using evaluative devices, however further investigation into the best way to employ them is needed.

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“…K aufgetretenen Pigmentläsion sollte unbedingt das Patientenalter berücksichtigt werden. In einer Studie von Risser et al [33] konnte gezeigt werden, dass sich bei Patienten < 50 Jahren nur weniger als 1 % der neu aufgetretenen Läsionen als kutane Melanome herausstellten, während dies bei Patienten > 50 Jahren in 30 % der Fall war. Bei einem höheren Lebensalter sollten neu aufgetretene Pigmentlä-sionen daher per se eher als suspekt betrachtet werden.…”

Section: Ganzkörperfotografieunclassified

Strategien zur nichtinvasiven Diagnostik des Melanoms

Fink

Haenssle

2016

Hautarzt

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The diagnosis of advanced cutaneous melanoma may easily be made by the unaided eye, followed by excisional biopsy and histopathological examination. However, in the setting of melanoma screening examinations in high-risk patients with many nevi, dermatologists are challenged with the differentiation of atypical but benign nevi and early invasive or in situ melanomas. In this situation, there is a real need for additional, noninvasive examination techniques that may serve as an aide to decide for or against an excisional biopsy. Conventional dermoscopy is a well-established examination procedure and an increase in sensitivity was confirmed by two independent meta-analyses. Moreover, dynamic changes or newly developed pigmented lesions may be detected by sequential digital dermoscopy or (automated) total body photography, respectively. Over the past years, a number of medicinal products gained market access after licensing by American and European agencies for the noninvasive diagnosis of cutaneous neoplasms. These devices are based on technologies including in vivo reflectance confocal microscopy, multispectral analysis, electrical impedance spectroscopy, or Raman spectroscopy. Other technologies are still on the verge of becoming less experimental but more clinically applicable for diagnosing melanoma (in vivo multiphoton tomography, stepwise two-photon laser spectroscopy, infrared thermal image analysis, epidermal genetic information retrieval). This review provides a concise overview of general principles and sheds light on indication and added value for dermatologists.

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The impact of total body photography on biopsy rate in patients from a pigmented lesion clinic

Cited by 42 publications

References 19 publications

Characterization of 1152 lesions excised over 10 years using total-body photography and digital dermatoscopy in the surveillance of patients at high risk for melanoma

Characterization of 1152 lesions excised over 10 years using total-body photography and digital dermatoscopy in the surveillance of patients at high risk for melanoma

Screening and Non-Invasive Evaluative Devices for Melanoma Detection A Comparison of Commercially Available Devices and Dermoscopic Evaluation

Strategien zur nichtinvasiven Diagnostik des Melanoms

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