Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
DI Stefani, A; Zalaudek, I; Argenziano, G; Chimenti, S; Soyer, HP.
Feasibility of a two-step teledermatologic approach for the management of patients with multiple pigmented skin lesions.
Dermatol Surg. 2007; 33(6):686-692
Doi: 10.1111/j.1524-4725.2007.33144.x
Web of Science
PubMed
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- Co-Autor*innen der Med Uni Graz
- Zalaudek Iris
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- Abstract:
- BACKGROUND: Recent studies demonstrating accuracy of teledermatology and teledermoscopy in the evaluation of pigmented skin lesions (PSL) have been performed only on PSL previously selected by face-to-face examination. OBJECTIVES: The objective was to investigate the feasibility of teledermatology for the management of individuals exhibiting multiple PSL with a two-step procedure. MATERIALS AND METHODS: In the first step, remote consultants selected clinically equivocal lesions evaluating a teletransmitted clinical image of patients' backs. In the second step, dermoscopic images of selected lesions were evaluated. Management recommendations of both steps were compared with face-to-face. RESULTS: For a total of 465 PSL in 18 patients, the agreement between the face-to-face and the two remote experts resulted moderate (kappa value, 0.530-0.565) in the first step and substantial (kappa value, 0.681-0.703) in the second step. CONCLUSIONS: Although there are limitations of this pilot experience (population and technical restrictions), our results provide preliminary evidence that a two-step teledermatologic approach may be feasible in managing individuals with multiple PSL.
- Find related publications in this database (using NLM MeSH Indexing)
- Adolescent -
- Adult -
- Back -
- Child -
- Dermoscopy -
- Feasibility Studies -
- Female -
- Humans -
- Male -
- Middle Aged -
- Nevus, Pigmented - pathology
- Observer Variation - pathology
- Pilot Projects - pathology
- Remote Consultation - pathology
- Reproducibility of Results - pathology