A pilot study of a combined dermoscopic–pathological approach to the telediagnosis of melanocytic skin neoplasms

Ferrara, Gerardo, Argenziano, Giuseppe, Cerroni, Lorenzo, Cusano, Francesco, Di Blasi, Arturo, Urso, Carmelo and Soyer, H. Peter (2004) A pilot study of a combined dermoscopic–pathological approach to the telediagnosis of melanocytic skin neoplasms. Journal of Telemedicine and Telecare, 10 1: 34-38. doi:10.1258/135763304322764176


Author Ferrara, Gerardo
Argenziano, Giuseppe
Cerroni, Lorenzo
Cusano, Francesco
Di Blasi, Arturo
Urso, Carmelo
Soyer, H. Peter
Title A pilot study of a combined dermoscopic–pathological approach to the telediagnosis of melanocytic skin neoplasms
Journal name Journal of Telemedicine and Telecare   Check publisher's open access policy
ISSN 1357-633X
1758-1109
Publication date 2004-02-01
Year available 2004
Sub-type Article (original research)
DOI 10.1258/135763304322764176
Open Access Status
Volume 10
Issue 1
Start page 34
End page 38
Total pages 5
Editor Richard Wootton
Place of publication London
Publisher Royal Society of Medicine Press
Language eng
Subject 110304 Dermatology
Abstract We examined a combined (dermoscopic–pathological) approach to the telediagnosis of melanocytic skin lesions. A store-and-forward teleconsultation was simulated. Dermoscopic and histopathology images from 12 melanocytic lesions were stored in a telepathology workstation. A dermoscopy consultant, a histopathology consultant and an expert in dermoscopic–pathological correlation gave their diagnoses and comments on the images. The consensus diagnosis between two teleconsultants on the original histological slides was regarded as the gold standard. The diagnostic accuracy was 83% (including one false negative diagnosis of malignancy) for teledermoscopy and 100% for teledermatopathology. The combined approach detected one case that showed a much greater atypia on dermoscopy than on histopathology. In this case step-sections of the sample were deemed to be required for definite diagnosis. The combined approach was helpful in detecting macroscopic and microscope sampling errors of melanocytic lesions during teleconsultation.
Keyword Health Care Sciences & Services
Health Care Sciences & Services
HEALTH CARE SCIENCES & SERVICES
Q-Index Code C1
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Medicine Publications
 
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Created: Tue, 24 Mar 2009, 23:48:22 EST by Joanne Mellor on behalf of Medicine - Princess Alexandra Hospital