Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
Piccolo, D; Smolle, J; Wolf, IH; Peris, K; Hofmann-Wellenhof, R; Dell'Eva, G; Burroni, M; Chimenti, S; Kerl, H; Soyer, HP.
Face-to-face diagnosis vs telediagnosis of pigmented skin tumors: a teledermoscopic study.
Arch Dermatol. 1999; 135(12):1467-1471
Doi: 10.1001/archderm.135.12.1467
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- Führende Autor*innen der Med Uni Graz
- Soyer Hans Peter
- Co-Autor*innen der Med Uni Graz
- Hofmann-Wellenhof Rainer
- Kerl Helmut
- Smolle Josef
- Wolf Ingrid
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- Abstract:
- Teledermoscopy uses telecommunication technologies to transfer images of pigmented skin lesions, including clinical and anamnestic data, via e-mail to specialized centers for teleconsultation. Sixty-six pigmented skin lesions examined on a face-to-face basis in a skin lesion clinic in L'Aquila, Italy, were sent via e-mail on a standard-resolution color monitor for consultation at a university dermatology department in Graz, Austria. Digital photographs of the clinical and dermoscopic images of all pigmented tumors were taken with a stereomicroscope connected to a high-resolution video camera in Truevision advanced graphic array (Targa) format file and converted successively into a Joint Photographic Expert Group (PEG) format file. All lesions were excised surgically and diagnosed histopathologically. Diagnostic concordance between face-to-face diagnosis and telediagnosis. The diagnostic concordance was 60 (91%) of 66 cases. The number of correct telediagnoses was lower, but the difference was not statistically significant (Wilcoxon test, P = .10). The accuracy of the telediagnoses was not related to the quality of the images, but highly depended on the level of diagnostic difficulty of a given pigmented skin tumor (Spearman correlation, P= .01). Teleconsultation of clinical and dermoscopic images of skin tumors via e-mail provides a similar degree of diagnostic accuracy as face-to-face diagnosis.
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- Humans -
- Image Processing, Computer-Assisted - instrumentation
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