Teledermoscopy in high-risk melanoma patients: A comparative study of face-to-face and teledermatology visits

Edith Arzberger, Clara N Curiel, Andreas Blum, Dmitry Chubisov, Amanda Oakley, Marius Rademaker, H. Peter Soyer, Rainer Hofmann-Wellenhof

Research output: Contribution to journalArticle

14 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)779-783
Number of pages5
JournalActa Dermato-Venereologica
Volume96
Issue number6
DOIs
StatePublished - Sep 1 2016

Fingerprint

Melanoma
Photography
Skin Neoplasms
Referral and Consultation
Skin

Keywords

  • Face-to-face assessment
  • High-risk patients
  • Melanoma
  • Teledermatology
  • Teledermoscopy
  • Total-body photography

ASJC Scopus subject areas

  • Dermatology

Cite this

Teledermoscopy in high-risk melanoma patients : A comparative study of face-to-face and teledermatology visits. / Arzberger, Edith; Curiel, Clara N; Blum, Andreas; Chubisov, Dmitry; Oakley, Amanda; Rademaker, Marius; Soyer, H. Peter; Hofmann-Wellenhof, Rainer.

In: Acta Dermato-Venereologica, Vol. 96, No. 6, 01.09.2016, p. 779-783.

Research output: Contribution to journalArticle

Arzberger, E, Curiel, CN, Blum, A, Chubisov, D, Oakley, A, Rademaker, M, Soyer, HP & Hofmann-Wellenhof, R 2016, 'Teledermoscopy in high-risk melanoma patients: A comparative study of face-to-face and teledermatology visits', Acta Dermato-Venereologica, vol. 96, no. 6, pp. 779-783. https://doi.org/10.2340/00015555-2344
Arzberger, Edith ; Curiel, Clara N ; Blum, Andreas ; Chubisov, Dmitry ; Oakley, Amanda ; Rademaker, Marius ; Soyer, H. Peter ; Hofmann-Wellenhof, Rainer. / Teledermoscopy in high-risk melanoma patients : A comparative study of face-to-face and teledermatology visits. In: Acta Dermato-Venereologica. 2016 ; Vol. 96, No. 6. pp. 779-783.
@article{d89028fb3b1a4225ae1a2474f2a955fa,
title = "Teledermoscopy in high-risk melanoma patients: A comparative study of face-to-face and teledermatology visits",
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.",
keywords = "Face-to-face assessment, High-risk patients, Melanoma, Teledermatology, Teledermoscopy, Total-body photography",
author = "Edith Arzberger and Curiel, {Clara N} and Andreas Blum and Dmitry Chubisov and Amanda Oakley and Marius Rademaker and Soyer, {H. Peter} and Rainer Hofmann-Wellenhof",
year = "2016",
month = "9",
day = "1",
doi = "10.2340/00015555-2344",
language = "English (US)",
volume = "96",
pages = "779--783",
journal = "Acta Dermato-Venereologica",
issn = "0001-5555",
publisher = "Society for the Publication of Acta Dermato-Venereologica",
number = "6",

}

TY - JOUR

T1 - Teledermoscopy in high-risk melanoma patients

T2 - A comparative study of face-to-face and teledermatology visits

AU - Arzberger, Edith

AU - Curiel, Clara N

AU - Blum, Andreas

AU - Chubisov, Dmitry

AU - Oakley, Amanda

AU - Rademaker, Marius

AU - Soyer, H. Peter

AU - Hofmann-Wellenhof, Rainer

PY - 2016/9/1

Y1 - 2016/9/1

N2 - 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.

AB - 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.

KW - Face-to-face assessment

KW - High-risk patients

KW - Melanoma

KW - Teledermatology

KW - Teledermoscopy

KW - Total-body photography

UR - http://www.scopus.com/inward/record.url?scp=84983032211&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84983032211&partnerID=8YFLogxK

U2 - 10.2340/00015555-2344

DO - 10.2340/00015555-2344

M3 - Article

C2 - 26776245

AN - SCOPUS:84983032211

VL - 96

SP - 779

EP - 783

JO - Acta Dermato-Venereologica

JF - Acta Dermato-Venereologica

SN - 0001-5555

IS - 6

ER -