Lesion Selection by Melanoma High-Risk Consumers During Skin Self-examination Using Mobile Teledermoscopy
Author(s) -
Monika Janda,
Lois J. Loescher,
Parastoo Banan,
Caitlin Horsham,
H. Peter Soyer
Publication year - 2014
Publication title -
jama dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.128
H-Index - 166
eISSN - 2168-6084
pISSN - 2168-6068
DOI - 10.1001/jamadermatol.2013.7743
Subject(s) - medicine , teledermatology , melanoma , dermatology , skin lesion , melanoma diagnosis , lesion , skin cancer , selection (genetic algorithm) , nevus , dermatoscopy , pathology , artificial intelligence , telemedicine , cancer , cancer research , health care , computer science , economics , economic growth
Mobile teledermatoscopy (MTD) for the early detection of skin cancer uses smartphones with dermatoscope attachments to magnify, capture, and transfer images remotely.1 Using the asymmetry–color variation (AC) rule, consumers achieve dermoscopy sensitivity of 92.9% to 94.0% and specificity of 62.0% to 64.2% for melanoma.2\ud\udThis pilot randomized trial assessed lesions of concern selected by consumers at high risk of melanoma using MTD plus the AC rule (intervention, n = 10) or the AC rule alone (control, n = 12) during skin self-examination (SSE). Also measured were lesion location patterns, lesions overlooked by participants, provisional clinical diagnoses, likelihood of malignant tumor, and participant pressure to excise lesions
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