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Title: Integration of digital dermoscopy and reflectance confocal microscopy with telemedicine to improve diagnosis of equivocal non-pigmented (pink) skin lesions in patients at risk for skin cancer

Abstract:

Equivocal non-pigmented (pink) skin lesions present difficult management for physicians in skin cancer screening settings. Combined application of digital dermoscopy and reflectance confocal microscopy (RCM) can improve diagnostic sensitivity and specificity in this subset of lesions. Integration of a store-and-forward(SAF) telemedicine platform to exchange tele-dermoscopy and tele-confocal images can connect doctors at a distance forexpert consultation and diagnosis. The aim of the first study was to improve diagnostic sensitivity particularly for the detection of featureless incipient amelanotic melanomas by comparing single reader versus double reader application. Automated referral of lesions for removal when two readers had discordant management decisions resulted in an overall sensitivity of 98.3% and specificity of 42.7%. In the second study under similar conditions, a high percentage of basal cell carcinomas were correctly diagnosed with a sensitivity of 77.2% and a specificity of 96.6% and PPV of 94.6%.

Place of publishing:

Kraków

Level of degree:

2 - studia doktoranckie

Degree discipline:

dermatologia

Degree grantor:

Uniwersytet Jagielloński. Collegium Medicum. Wydział Lekarski.

Promoter:

Irena Roterman-Konieczna

Date issued:

2017

Format:

application/pdf

Identifier:

oai:dl.cm-uj.krakow.pl:4203

Call number:

ZB-127029

ControlNumberVIRTUA:

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Language:

eng

Access rights:

tylko w bibliotece

Location of original object:

Biblioteka Medyczna Uniwersytetu Jagiellońskiego- Collegium Medicum

Object collections:

Last modified:

May 24, 2021

In our library since:

Nov 7, 2017

Number of object content hits:

15

Number of object content views in PDF format

15

All available object's versions:

http://dl.cm-uj.krakow.pl:8080/publication/4204

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ZB-127029 May 24, 2021
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