In vivo confocal microscopy in clinical practice: Comparison of bedside diagnostic accuracy of a trained physician and distant diagnosis of an expert reader - 14/11/13
, Giovanni Pellacani, MD dAbstract |
Background |
Reflectance confocal microscopy (RCM) is an imaging tool that allows the visualization of cellular details without biopsy. To our knowledge, RCM sensitivity and specificity has not been studied in a telemedicine setting.
Objective |
We sought to assess RCM diagnostic accuracy in a support teleconsultation setting.
Methods |
Between June 2010 and September 2011, 340 lesions were imaged using a confocal scanning microscope. The images were evaluated by 2 readers, one on site, and the other at a distance.
Results |
A total of 334 cases were included. For each reader the sensitivity was greater than 90% and specificity for each reader was greater than 60%. Both readers had a combined sensitivity of 98.6% and 44% specificity.
Limitations |
RCM may be limited in the correct classification of epithelial tumors.
Conclusions |
RCM is a tool in the clinical diagnosis of skin lesions, providing a high diagnostic accuracy in teleconsultation use.
Le texte complet de cet article est disponible en PDF.Key words : cutaneous lesions, noninvasive imaging, reflectance confocal microscopy, teledermatology
Abbreviations used : AK, BCC, MM, RCM, SCC, SK
Plan
| Funding sources: None. |
|
| Disclosure: Drs Pellacani and Rao are both consultants for CaliberID. Dr Mateus and Ms Wassef have no conflicts of interest to declare. |
Vol 69 - N° 6
P. e295-e300 - décembre 2013 Retour au numéro
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