Teledermatoscopy in Switzerland: A preliminary evaluation - 05/09/11
Abstract |
Background: Since devices for digital epiluminescence microscopy and for telemedicine have become affordable, a critical evaluation of this new method has been needed. Objective: Our aim was a critical evaluation of teledermatoscopy under routine conditions in private practice. Methods: Pigmented skin lesions (PSLs) scheduled for excision were documented with a digital epiluminescence microscopy (DELM) system. Images were sent to the PSL consultation at the Department of Dermatology of the University Hospital Geneva, where a diagnosis was established. The histopathologic report including the initial diagnosis was sent afterward. Both approaches were compared concerning diagnostic accuracy. Results: Over a period of 6 months, 55 lesions on 51 patients have been included in this study. Picture quality was good or very good in more than 90%. Diagnostic accuracy of the teledermatoscopy approach was superior to that of the conventional approach for malignant melanocytic lesions. Conclusion: We have shown the feasibility of a teledermatoscopic consultation. The gain of diagnostic accuracy in this teledermatoscopic approach, especially for malignant melanocytic lesions, suggests that patients might benefit directly from such a consultation at distance. (J Am Acad Dermatol 2000;42:770-5.)
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Reprint requests: R. P. Braun, Department of Dermatology, University Hospital Geneva, 24, rue Micheli-du-Crest, CH-1211 Geneva 14, Switzerland. |
Vol 42 - N° 5P1
P. 770-775 - mai 2000 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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