Dermoscopy of pigmented skin lesions: results of a consensus meeting via the Internet

Argenziano, Giuseppe, Soyer, H. Peter, Chimenti, Sergio, Talamini, Renato, Corona, Rosamaria, Sera, Francesco, Binder, Michael, Cerroni, Lorenzo, De Rosa, Gaetano, Ferrara, Gerardo, Hofmann-Wellenhof, Rainer, Landthaler, Michael, Menzies, Scott W., Pehamberger, Hubert, Piccolo, Domenico, Rabinovitz, Harold S., Schiffner, Roman, Staibano, Stefania, Stolz, Wilhelm, Bartenjev, Igor, Blum, Andreas, Braun, Ralph, Cabo, Horacio, Carli, Paolo, De Giorgi, Vincenzo, Fleming, Matthew G., Grichnik, James M., Grin, Caron M., Halpern, Allan C., Johr, Robert, Katz, Brian, Kenet, Robert O., Kittler, Harald, Kreusch, Jürgen, Malvehy, Josep, Mazzocchetti, Giampiero, Oliviero, Margaret, Özdemir, Fezal, Peris, Ketty, Perotti, Roberto, Perusquia, Ana, Pizzichetta, Maria Antonietta, Rubegni, Pietro, Puig, Susana, Saida, Toshiaki, Scalvenzi, Massimiliano, Seidenari, Stefania, Stanganelli, Ignazio, Tanaka, Masaru, Westerhoff, Karin, Wolf, Ingrid H., Braun-Falco, Otto, Kerl, Helmut, Nishikawa, Takeji, Wolff, Klaus and Kopf, Alfred W. (2003) Dermoscopy of pigmented skin lesions: results of a consensus meeting via the Internet. Journal of the American Academy of Dermatology, 48 5: 679-693. doi:10.1067/mjd.2003.281

Author Argenziano, Giuseppe
Soyer, H. Peter
Chimenti, Sergio
Talamini, Renato
Corona, Rosamaria
Sera, Francesco
Binder, Michael
Cerroni, Lorenzo
De Rosa, Gaetano
Ferrara, Gerardo
Hofmann-Wellenhof, Rainer
Landthaler, Michael
Menzies, Scott W.
Pehamberger, Hubert
Piccolo, Domenico
Rabinovitz, Harold S.
Schiffner, Roman
Staibano, Stefania
Stolz, Wilhelm
Bartenjev, Igor
Blum, Andreas
Braun, Ralph
Cabo, Horacio
Carli, Paolo
De Giorgi, Vincenzo
Fleming, Matthew G.
Grichnik, James M.
Grin, Caron M.
Halpern, Allan C.
Johr, Robert
Katz, Brian
Kenet, Robert O.
Kittler, Harald
Kreusch, Jürgen
Malvehy, Josep
Mazzocchetti, Giampiero
Oliviero, Margaret
Özdemir, Fezal
Peris, Ketty
Perotti, Roberto
Perusquia, Ana
Pizzichetta, Maria Antonietta
Rubegni, Pietro
Puig, Susana
Saida, Toshiaki
Scalvenzi, Massimiliano
Seidenari, Stefania
Stanganelli, Ignazio
Tanaka, Masaru
Westerhoff, Karin
Wolf, Ingrid H.
Braun-Falco, Otto
Kerl, Helmut
Nishikawa, Takeji
Wolff, Klaus
Kopf, Alfred W.
Title Dermoscopy of pigmented skin lesions: results of a consensus meeting via the Internet
Journal name Journal of the American Academy of Dermatology   Check publisher's open access policy
ISSN 0190-9622
Publication date 2003-05-01
Year available 2003
Sub-type Article (original research)
DOI 10.1067/mjd.2003.281
Open Access Status DOI
Volume 48
Issue 5
Start page 679
End page 693
Total pages 15
Place of publication New York, N.Y.
Publisher Elsevier
Language eng
Subject 110304 Dermatology
Abstract Background: There is a need for better standardization of the dermoscopic terminology in assessing pigmented skin lesions. Objective: The virtual Consensus Net Meeting on Dermoscopy was organized to investigate reproducibility and validity of the various features and diagnostic algorithms. Methods: Dermoscopic images of 108 lesions were evaluated via the Internet by 40 experienced dermoscopists using a 2-step diagnostic procedure. The first-step algorithm distinguished melanocytic versus nonmelanocytic lesions. The second step in the diagnostic procedure used 4 algorithms (pattern analysis, ABCD rule, Menzies method, and 7-point checklist) to distinguish melanoma versus benign melanocytic lesions. Values, log odds ratios, sensitivity, specificity, and positive likelihood ratios were estimated for all diagnostic algorithms and dermoscopic features. Results: Interobserver agreement was fair to good for all diagnostic methods, but it was poor for the majority of dermoscopic criteria. Intraobserver agreement was good to excellent for all algorithms and features considered. Pattern analysis allowed the best diagnostic performance (positive likelihood ratio: 5.1), whereas alternative algorithms revealed comparable sensitivity but less specificity. Interobserver agreement on management decisions made by dermoscopy was fairly good (mean value: 0.53). Conclusion: The virtual Consensus Net Meeting on Dermoscopy represents a valid tool for better standardization of the dermoscopic terminology and, moreover, opens up a new territory for diagnosing and managing pigmented skin lesions
Keyword Dermatology
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
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