Design of an Algorithm for Automated, Computer-Guided PASI Measurements by Digital Image Analysis.

The Psoriasis Area and Severity Index (PASI) is the most accepted method for psoriasis severity scoring. However, a prominent level of subjectivity and a low intra- and inter-rater reproducibility was reported. Therefore, an accurate and reproducible measure of psoriasis severity is needed, especial...

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Publicado en:Journal of Medical Systems Vol. 42; no. 12; pp. 1 - 2
Autores principales: Fink, Christine, Fuchs, Tobias, Enk, Alexander, Haenssle, Holger A.
Formato: pictorial research tables/charts Journal Article
Publicado: Springer Nature Dec2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2018
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      pub: Springer Nature
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        10.1007/s10916-018-1110-7
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        atl: Design of an Algorithm for Automated, Computer-Guided PASI Measurements by Digital Image Analysis.
      aug:
        au:
          Fink, Christine
          Fuchs, Tobias
          Enk, Alexander
          Haenssle, Holger A.
        affil: Department of Dermatology, University of Heidelberg, Im Neuenheimer Feld 440, 69120, Heidelberg, Germany
      sug:
        subj:
          Psoriasis Diagnosis
          Severity of Illness Evaluation
          Software Design
          Image Processing, Computer Assisted Methods
          Digital Imaging
          Human
          Clinical Assessment Tools
          Reproducibility of Results
          Erythema
          Workload
          Program Evaluation
      ab: The Psoriasis Area and Severity Index (PASI) is the most accepted method for psoriasis severity scoring. However, a prominent level of subjectivity and a low intra- and inter-rater reproducibility was reported. Therefore, an accurate and reproducible measure of psoriasis severity is needed, especially in the setting of registration studies for systemic anti-psoriatic drugs. Herein we describe a robust, user-friendly, computer-guided technology that allows for automated PASI measurements after total body imaging and digital image analysis. For this purpose, a novel image processing software for PASI calculations was developed, which was combined with a commercially available, automated image capturing system. Our data shows, that the software was able to accurately calculate the proportion of psoriatic skin surface as well as the severity of erythema, induration, and desquamation by anatomic region. In a pilot clinical validation the time-efficient technology showed a high reproducibility and high levels of agreement to results attained by PASI-trained physicians. Therefore, automated computer-guided PASI measurements hold the promise of significantly reducing the physicians' workload while ensuring a high level of reproducibility and standardization.
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    language: English
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