Teledermoscopy in High-risk Melanoma Patients: A Comparative Study of Face-to-face and Teledermatology Visits

Arzberger, Edith, Curiel-Lewandrowski, Clara, Blum, Andreas, Chubisov, Dmitry, Oakley, Amanda, Rademaker, Marius, Soyer. H. Peter and Hofmann-Wellenhof, Rainer (2016) Teledermoscopy in High-risk Melanoma Patients: A Comparative Study of Face-to-face and Teledermatology Visits. Acta Dermato-Venereologica, 96 6: 779-783. doi:10.2340/00015555-2344


Author Arzberger, Edith
Curiel-Lewandrowski, Clara
Blum, Andreas
Chubisov, Dmitry
Oakley, Amanda
Rademaker, Marius
Soyer. H. Peter
Hofmann-Wellenhof, Rainer
Title Teledermoscopy in High-risk Melanoma Patients: A Comparative Study of Face-to-face and Teledermatology Visits
Journal name Acta Dermato-Venereologica   Check publisher's open access policy
ISSN 0001-5555
1651-2057
Publication date 2016-01-18
Sub-type Article (original research)
DOI 10.2340/00015555-2344
Open Access Status DOI
Volume 96
Issue 6
Start page 779
End page 783
Total pages 6
Place of publication Uppsala Sweden
Publisher Society for the Publication of Acta Dermato - Venereologica
Collection year 2017
Language eng
Abstract Teledermoscopy is considered a reliable tool for the evaluation of pigmented skin lesions. We compared the management decision in face-to-face visits vs. teledermatology in a high-risk melanoma cohort using total-body photography, macroscopic and dermoscopic images of single lesions. Patients were assessed both face-to-face and by 4 remote teledermatologists. Lesions identified as suspicious for skin cancer by face-to-face evaluation underwent surgical excision. The teledermatologists recommended “self-monitoring”, “short-term monitoring”, or “excision”. A 4-year monitoring was completed in a cohort of participating subjects. The general agreement, calculated by prevalence and bias-adjusted κ (PABAK), showed almost perfect agreement (PABAK 0.9–0.982). A total of 23 lesions were excised; all teledermatologists identified the 9 melanomas. The greatest discrepancy was detected in “short-term monitoring”. During 4-year monitoring one melanoma was excised that had been considered benign. In conclusion, melanoma identification by experts in pigmented lesions appears to be equivalent between face-to-face and teledermatological consultation.
Keyword melanoma
high-risk patients
total-body photography
teledermoscopy
face-to-face assessment
teledermatology
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
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Created: Thu, 30 Jun 2016, 12:26:48 EST by Professor Peter Soyer on behalf of School of Medicine