A pilot study of a combined dermoscopic-pathological approach to the telediagnosis of melanocytic skin neoplasms.
We examined a combined (dermoscopic-pathological) approach to the telediagnosis of melanocytic skin lesions. A store-and-forward teleconsultation was simulated. Dermoscopic and histopathology images from 12 melanocytic lesions were stored in a telepathology workstation. A dermoscopy consultant, a hi...
| Publicado en: | Journal of Telemedicine & Telecare Vol. 10; no. 1; pp. 34 - 39 |
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| Autores principales: | , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
Feb2004
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106683639&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106683639 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 1357633X 8OL jtl: Journal of Telemedicine & Telecare issn: 1357633X maglogo: Y pubinfo: dt: Feb2004 vid: 10 iid: 1 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 106683639 106683639 2004166489 10.1258/135763304322764176 NLM15006214 106683639 ppf: 34 ppct: 5 formats: tig: atl: A pilot study of a combined dermoscopic-pathological approach to the telediagnosis of melanocytic skin neoplasms. aug: au: Ferrara G Argenziano G Cerroni L Cusano F Di Blasi A Urso C Soyer HP affil: Pathological Anatomy, Gaetano Rummo City Hospital, Benevento, Italy sug: subj: Diagnosis Methods Skin Neoplasms Diagnosis Telemedicine Evaluation Adolescence Adult Aged Female Male Middle Age Pilot Studies Record Review Human Adolescent: 13-18 years Adult: 19-44 years Aged: 65+ years Middle Aged: 45-64 years Female Male ab: We examined a combined (dermoscopic-pathological) approach to the telediagnosis of melanocytic skin lesions. A store-and-forward teleconsultation was simulated. Dermoscopic and histopathology images from 12 melanocytic lesions were stored in a telepathology workstation. A dermoscopy consultant, a histopathology consultant and an expert in dermoscopic-pathological correlation gave their diagnoses and comments on the images. The consensus diagnosis between two teleconsultants on the original histological slides was regarded as the gold standard. The diagnostic accuracy was 83% (including one false negative diagnosis of malignancy) for teledermoscopy and 100% for teledermatopathology. The combined approach detected one case that showed a much greater atypia on dermoscopy than on histopathology. In this case step-sections of the sample were deemed to be required for definite diagnosis. The combined approach was helpful in detecting macroscopic and microscope sampling errors of melanocytic lesions during teleconsultation. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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