Mobile teledermoscopy—there’s an app for that!

Background: The introduction of the smartphone with high-quality, built-in digital cameras and easy-to-install software may make it more convenient to perform teledermatology. In this study we looked at the feasibility of using a smartphone (iPhone 4®) with an installed application especially devel...

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Autores principales:	Alexander Börve, Karin Terstappen, Carin Sandberg, John Paoli
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2013
Materias:	mobile teledermoscopy smartphone application teledermatology malignant melanoma non-melanoma skin cancer Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/3a984bc72ba14af19f119a74c6626b91
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spelling	oai:doaj.org-article:3a984bc72ba14af19f119a74c6626b912021-11-17T08:32:50ZMobile teledermoscopy—there’s an app for that!10.5826/dpc.0302a052160-9381https://doaj.org/article/3a984bc72ba14af19f119a74c6626b912013-04-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/953https://doaj.org/toc/2160-9381 Background: The introduction of the smartphone with high-quality, built-in digital cameras and easy-to-install software may make it more convenient to perform teledermatology. In this study we looked at the feasibility of using a smartphone (iPhone 4®) with an installed application especially developed for teledermatology (iDoc24®) and a dermoscope (FotoFinder Handyscope®) that is customized to attach to the smartphone to be able to carry out mobile teledermoscopy. Objectives: To study the diagnostic accuracy of this mobile teledermoscopy solution, to determine the interobserver concordance between teledermoscopists (TDs) and a dermatologist meeting the patient face-to-face (FTF), and to assess the adequacy of the TDs’ management decisions and to evaluate the image quality obtained. Patients/Methods: During a 16-week period, patients with one or more suspicious skin lesions deemed to need a biopsy or excision were included. The smartphone app was used to send a clinical image, a dermoscopy image and relevant clinical information to a secure Internet platform (Tele-Dermis®). Two TDs assessed the incoming cases, providing a specific primary diagnosis and a management decision. They also graded the image quality. The histopathological diagnosis was used as the gold standard. Results: Sixty-nine lesions were included. The FTF dermatologist’s diagnostic accuracy was 66.7%, which was statistically higher than TD 1 (50.7%, P=0.04) but similar to TD 2 (60.9%, P=0.52). The interobserver concordances between the FTF dermatologist and the two TDs and between the respective TDs showed moderate to substantial agreement. The TDs provided adequate management decisions for 68 (98.6%) and 69 (100%) lesions, respectively. The image quality was rated as excellent or sufficient in 94% and 84% of the cases by the respective TDs. Conclusion: This novel mobile teledermoscopy solution may be useful as a triage tool for patients referred to dermatologists for suspicious skin lesions. Alexander BörveKarin TerstappenCarin SandbergJohn PaoliMattioli1885articlemobile teledermoscopysmartphone applicationteledermatologymalignant melanomanon-melanoma skin cancerDermatologyRL1-803ENDermatology Practical & Conceptual (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	mobile teledermoscopy smartphone application teledermatology malignant melanoma non-melanoma skin cancer Dermatology RL1-803
spellingShingle	mobile teledermoscopy smartphone application teledermatology malignant melanoma non-melanoma skin cancer Dermatology RL1-803 Alexander Börve Karin Terstappen Carin Sandberg John Paoli Mobile teledermoscopy—there’s an app for that!
description	Background: The introduction of the smartphone with high-quality, built-in digital cameras and easy-to-install software may make it more convenient to perform teledermatology. In this study we looked at the feasibility of using a smartphone (iPhone 4®) with an installed application especially developed for teledermatology (iDoc24®) and a dermoscope (FotoFinder Handyscope®) that is customized to attach to the smartphone to be able to carry out mobile teledermoscopy. Objectives: To study the diagnostic accuracy of this mobile teledermoscopy solution, to determine the interobserver concordance between teledermoscopists (TDs) and a dermatologist meeting the patient face-to-face (FTF), and to assess the adequacy of the TDs’ management decisions and to evaluate the image quality obtained. Patients/Methods: During a 16-week period, patients with one or more suspicious skin lesions deemed to need a biopsy or excision were included. The smartphone app was used to send a clinical image, a dermoscopy image and relevant clinical information to a secure Internet platform (Tele-Dermis®). Two TDs assessed the incoming cases, providing a specific primary diagnosis and a management decision. They also graded the image quality. The histopathological diagnosis was used as the gold standard. Results: Sixty-nine lesions were included. The FTF dermatologist’s diagnostic accuracy was 66.7%, which was statistically higher than TD 1 (50.7%, P=0.04) but similar to TD 2 (60.9%, P=0.52). The interobserver concordances between the FTF dermatologist and the two TDs and between the respective TDs showed moderate to substantial agreement. The TDs provided adequate management decisions for 68 (98.6%) and 69 (100%) lesions, respectively. The image quality was rated as excellent or sufficient in 94% and 84% of the cases by the respective TDs. Conclusion: This novel mobile teledermoscopy solution may be useful as a triage tool for patients referred to dermatologists for suspicious skin lesions.
format	article
author	Alexander Börve Karin Terstappen Carin Sandberg John Paoli
author_facet	Alexander Börve Karin Terstappen Carin Sandberg John Paoli
author_sort	Alexander Börve
title	Mobile teledermoscopy—there’s an app for that!
title_short	Mobile teledermoscopy—there’s an app for that!
title_full	Mobile teledermoscopy—there’s an app for that!
title_fullStr	Mobile teledermoscopy—there’s an app for that!
title_full_unstemmed	Mobile teledermoscopy—there’s an app for that!
title_sort	mobile teledermoscopy—there’s an app for that!
publisher	Mattioli1885
publishDate	2013
url	https://doaj.org/article/3a984bc72ba14af19f119a74c6626b91
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Mobile teledermoscopy—there’s an app for that!

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