The Comparative Use of Multiple Electronic Devices in the Teledermoscopic Diagnosis of Early Melanoma.

Published on Aug 14, 2020in Telemedicine Journal and E-health1.931
· DOI :10.1089/TMJ.2020.0057
Linda Tognetti11
Estimated H-index: 11
(UNISI: University of Siena),
Alessandra Cartocci4
Estimated H-index: 4
(UNISI: University of Siena)
+ 14 AuthorsGabriele Cevenini2
Estimated H-index: 2
(UNISI: University of Siena)
Background: The use of mobile electronic devices as support to medical activity was largely implemented in the past decade. Introduction: Our first aim was to evaluate the frequency of use of diffe...
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#2Gabriele Cevenini (UNISI: University of Siena)H-Index: 32
Last. Pietro Rubegni (UNISI: University of Siena)H-Index: 32
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BACKGROUND: Although live and teledermoscopic examination has been successfully used to achieve non-invasive diagnosis of melanocytic skin lesions (MSLs), early melanoma (EM) and atypical nevi (AN) continue to be a challenge, and none of the various algorithms proposed have been sufficiently accurate. We designed a scoring classifier diagnostic method, the iDScore that combines clinical data of the patient with dermoscopic features of the MSL. OBJECTIVE: To test the accuracy of the iDScore in di...
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#1Linda Tognetti (UNISI: University of Siena)H-Index: 11
#2Gabriele Cevenini (UNISI: University of Siena)H-Index: 32
Last. Pietro Rubegni (UNISI: University of Siena)H-Index: 32
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BACKGROUND: Dermoscopy revealed to be extremely useful in the diagnosis of early melanoma, the most important limitation being its subjectivity in giving a final diagnosis. To overcome this problem, several algorithms and checklists have been proposed. However, they generally demonstrated modest level of diagnostic accuracy, unsatisfactory concordance between dermoscopists and/or poor specificity. OBJECTIVE: To test a new methodological approach for the differentiation between early melanoma and...
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Teledermatology is an expanding field within dermatology that has grown and become more clinically accepted by both patients and doctors. With approximately 260 million mobile phone users in the US and 4–6 billion worldwide with access to mobile phones, teledermatology serves as a potentially useful tool for diagnosis and management (Samkange-Zeeb and Blettner in Emerg Health Threats J,, 2009). In this review, we provide a detailed overview of mobile phone tec...
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BACKGROUND: The incidence of melanoma and non-melanoma skin cancer is increasing, which has also lead to an increase in referrals between primary health care (PHC) and dermatology departments, putting a strain on healthcare services. Teledermoscopy (TDS) referrals from PHC can improve the triage process for patients with suspicious skin tumours, but the quality of the images included could potentially affect its usefulness. OBJECTIVE: To critically appraise the quality of the dermoscopic images ...
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Background: PhotoExam is a mobile app that incorporates digital photographs into the electronic health record (EHR) using iPhone operating system (iOS, Apple Inc)–based mobile devices. Objective: The aim of this study was to describe usage patterns of PhotoExam in primary care and to assess clinician-level factors that influence the use of the PhotoExam app for teledermatology (TD) purposes. Methods: Retrospective record review of primary care patients who had one or more photos taken with the P...
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: With the advancement of mobile technologies, smartphone applications (apps) have become widely available and gained increasing attention as a novel tool to deliver dermatologic care. This article presents a review of various apps for skin monitoring and melanoma detection and a discussion of current limitations in the field of dermatology. Concerns regarding quality, transparency, and reliability have emerged because there are currently no established quality standards or regulatory oversight ...
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Background Teledermoscopy involves the use of dermoscopic images for remote consultation and decision-making in skin cancer screening. Objective We sought to analyze the potential benefits gained from the addition of dermoscopic images to an internet-based skin cancer screening system. Methods A randomized clinical trial assessed the diagnostic performance and cost-effectiveness of clinical teleconsultations (CTC) and clinical with dermoscopic teleconsultations. Results A total of 454 patients w...
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#1Aline Lissa Okita (USP: University of São Paulo)H-Index: 1
#2Luisa Juliatto Molina Tinoco (USP: University of São Paulo)H-Index: 1
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Abstract Background: It is estimated that there are around 7 billion mobile phone subscriptions worldwide. Considering the availability and convenience, it appears to be a suitable device for store-and-forward (SF) consultations. Introduction: Although teledermatology has been suggested as an effective way of reducing costs and providing otherwise inaccessible expert evaluation, most studies have relied on high cost and high technological means. Materials and Methods: We conducted a study with i...
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#1Linda Tognetti (UNISI: University of Siena)H-Index: 11
#2Diletta Fiorani (UNISI: University of Siena)H-Index: 4
Last. Pietro Rubegni (UNISI: University of Siena)H-Index: 32
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Born in 1995, teledermatology (TD) turns 25 years old today. Since then, TD evolved according to patients and physicians needs. The present review aimed to summarize all the efforts and experiences carried out in the field of TD and its subspecialties, the evolution and the future perspectives. A literature search was conducted in PubMed and Google Scholar. The state of the art of the "tele-dermo research" included TD and clinical trials, TD/TDS web platforms, TDS and artificial intelligence stu...
#1Linda Tognetti (UNISI: University of Siena)H-Index: 11
#2Simone Bonechi (UNISI: University of Siena)H-Index: 11
Last. Alessandra Cartocci (UNISI: University of Siena)H-Index: 4
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Abstract Background Timely recognition of malignant melanoma (MM) is challenging for dermatologists worldwide and represents the main determinant for mortality. Dermoscopic examination is influenced by dermatologists’ experience and fails to achieve adequate accuracy and reproducibility in discriminating atypical nevi (AN) from early melanomas (EM). Objective We aimed to develop a Deep Convolutional Neural Network (DCNN) model able to support dermatologists in the classification and management o...
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#1Jacob Beer (UPenn: University of Pennsylvania)H-Index: 4
#2Edward Hadeler (UM: University of Miami)H-Index: 2
Last. Keyvan Nouri (UM: University of Miami)H-Index: 31
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Telemedicine is one of the most consequential technologies in modern healthcare. In certain situations, it allows for the delivery of care with high quality and minimal difficulty. This is particularly true in dermatology, in which many dermatological conditions can be treated remotely. The burden on dermatology patients has been greatly reduced for certain pathologies due to telemedicine. Health care providers also achieve improved job satisfaction following the convenience of meeting their pat...
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