Journal of the American Academy of Dermatology
Volume 61, Issue 5 , Pages 753-765 , November 2009

Accuracy of teledermatology for pigmented neoplasms

  • Erin M. Warshaw, MD, MS

      Affiliations

    • Minneapolis Veterans Affairs Medical Center, Center for Chronic Disease Outcomes Research, Minneapolis, Minnesota
    • Department of Dermatology, University of Minnesota School of Medicine, Minneapolis, Minnesota
    • Corresponding Author InformationCorrespondence to: Erin M. Warshaw, MD, MS, Department 111 K VAMC, 1 Veterans Drive, Minneapolis, MN 55417.
    • ,
  • Frank A. Lederle, MD

      Affiliations

    • Minneapolis Veterans Affairs Medical Center, Center for Chronic Disease Outcomes Research, Minneapolis, Minnesota
    • ,
  • Joseph P. Grill, MS

      Affiliations

    • Minneapolis Veterans Affairs Medical Center, Center for Chronic Disease Outcomes Research, Minneapolis, Minnesota
    • ,
  • Amy A. Gravely, MA

      Affiliations

    • Minneapolis Veterans Affairs Medical Center, Center for Chronic Disease Outcomes Research, Minneapolis, Minnesota
    • ,
  • Ann K. Bangerter, BS

      Affiliations

    • Minneapolis Veterans Affairs Medical Center, Center for Chronic Disease Outcomes Research, Minneapolis, Minnesota
    • ,
  • Lawrence A. Fortier, MA

      Affiliations

    • Minneapolis Veterans Affairs Medical Center, Center for Chronic Disease Outcomes Research, Minneapolis, Minnesota
    • ,
  • Kimberly A. Bohjanen, MD

      Affiliations

    • Department of Dermatology, University of Minnesota School of Medicine, Minneapolis, Minnesota
    • ,
  • Karen Chen, MD

      Affiliations

    • Department of Dermatology, University of Minnesota School of Medicine, Minneapolis, Minnesota
    • ,
  • Peter K. Lee, MD, PhD

      Affiliations

    • Department of Dermatology, University of Minnesota School of Medicine, Minneapolis, Minnesota
    • ,
  • Harold S. Rabinovitz, MD

      Affiliations

    • Department of Dermatology, University of Miami School of Medicine, Miami, Florida
    • ,
  • Robert H. Johr, MD

      Affiliations

    • Department of Dermatology, University of Miami School of Medicine, Miami, Florida
    • Department of Pediatrics, University of Miami School of Medicine, Miami, Florida
    • ,
  • Valda N. Kaye, MD

      Affiliations

    • Department of Dermatology, University of Minnesota School of Medicine, Minneapolis, Minnesota
    • ,
  • Sacharitha Bowers, MD

      Affiliations

    • Department of Dermatology, Southern Illinois University, Springfield, Illinois
    • ,
  • Rachel Wenner, MD

      Affiliations

    • Department of Dermatology, University of Minnesota School of Medicine, Minneapolis, Minnesota
    • ,
  • Sharone K. Askari, MD

      Affiliations

    • Department of Dermatology, St Louis University, St Louis, Missouri
    • ,
  • Deborah A. Kedrowski, RN

      Affiliations

    • Minneapolis Veterans Affairs Medical Center, Center for Chronic Disease Outcomes Research, Minneapolis, Minnesota
    • ,
  • David B. Nelson, PhD

      Affiliations

    • Minneapolis Veterans Affairs Medical Center, Center for Chronic Disease Outcomes Research, Minneapolis, Minnesota

,Accepted 17 April 2009.

References 

  1. Hassol A, Gaumer G, Irvine C, Grigsby J, Mintzer C, Puskin D. Rural telemedicine data/image transfer methods and purposes of interactive sessions. J Am Med Inform Assoc. 1997;4:36–37
  2. US Department of Commerce. Telemedicine report to the Congress, January 31, 1997.
  3. Loane MA, Corbett R, Bloomer SE, Eedy DJ, Gore HE, Mathews C, et al. Diagnostic accuracy and clinical management by real-time teledermatology: results from the Northern Ireland arms of the UK multicenter teledermatology trial. J Telemed Telecare. 1998;4:95–100
  4. Oakley AM, Astwood DR, Loane M, Duffil MB, Rademaker M, Wootton R. Diagnostic accuracy of teledermatology: results of a preliminary study in New Zealand. N Z Med J. 1997;110:51–53
  5. Phillips CM, Burke WA, Shecter A, Stone D, Balch D, Gustke S. Reliability of dermatology teleconsultations with the use of teleconferencing technology. J Am Acad Dermatol. 1997;37:398–402
  6. Lesher JL, Davis LS, Gourdin FW, English D, Thompson WO. Telemedicine evaluation of cutaneous diseases: a blinded comparative study. J Am Acad Dermatol. 1998;38:27–31
  7. Lowitt MH, Kessler II, Kauffman CL, Hooper FJ, Siegel E, Burnett JW. Teledermatology and in-person examinations: a comparison of patient and physician perceptions and diagnostic agreement. Arch Dermatol. 1998;134:471–476
  8. High WA, Houston MS, Calobrisi SD, Drage LA, McEvoy MT. Assessment of the accuracy of low-cost store-and-forward teledermatology consultation. J Am Acad Dermatol. 2000;42:776–783
  9. Krupinski EA, LeSueur B, Ellsworth L, Levine N, Hansen R, Silvis N, et al. Diagnostic accuracy and image quality using a digital camera for teledermatology. Telemed J. 1999;5:257–263
  10. Zelickson BD, Homan L. Teledermatology in the nursing home. Arch Dermatol. 1997;133:171–174
  11. Whited JD, Mills BJ, Hall RP, Drugge RJ, Grichnik JM, Simel DL. A pilot trial of digital imaging in skin cancer. J Telemed Telecare. 1998;4:108–112
  12. Whited JD, Hall RP, Simel DL, Foy ME, Stechuchak KM, Drugge RJ, et al. Reliability and accuracy of dermatologists' clinic-based and digital image consultations. J Am Acad Dermatol. 1999;41:693–702
  13. Barnard CM, Goldyne ME. Evaluation of an asynchronous teleconsultation system for diagnosis of skin cancer and other skin diseases. Telemed J E Health. 2000;6:379–384
  14. Linos E, Swetter SM, Cockburn MG, Colditz GA, Clarke CA. Increasing burden of melanoma in the United States. J Invest Dermatol. 2009;129:1604–1606
  15. Jolliffe VM, Harris DW, Whittaker SJ. Can we safely diagnose pigmented lesions from stored video images? A diagnostic comparison between clinical examination and stored video images of pigmented lesions removed for histology. Clin Exp Dermatol. 2001;26:84–87
  16. Anderson RR. Polarized light examination and photography of the skin. Arch Dermatol. 1991;127:1000–1005
  17. Kittler H, Pehamberger H, Wolff K, Binder M. Diagnostic accuracy of dermoscopy. Lancet Oncol. 2002;3:159–163
  18. Piccolo D, Smolle J, Argenziano G, Wolf IH, Braun R, Cerroni L, et al. Teledermoscopy–results of a multicenter study on 43 pigmented skin lesions. J Telemed Telecare. 2000;6:132–137
  19. Piccolo D, Smolle J, Wolf IH, Peris K, Hofmann-Wellenhof R, Dell'Eva G, et al. Face-to-face diagnosis vs telediagnosis of pigmented skin tumors: a teledermoscopic study. Arch Dermatol. 1999;135:1467–1471
  20. Piccolo D, Soyer HP, Chimenti S, Argenziano G, Bartenjev I, Hofmann-Wellenhof R, et al. Diagnosis and categorization of acral melanocytic lesions using teledermoscopy. J Telemed Telecare. 2004;10:346–350
  21. Blum A, Hofmann-Wellenhof R, Luedtke H, Ellwanger U, Steins A, Roehm S, et al. Value of the clinical history for different users of dermoscopy compared with results of digital image analysis. J Eur Acad Dermatol Venereol. 2004;18:665–669
  22. Braun RP, Meier M, Pelloni F, Ramelet AA, Schilling M, Tapernoux B, et al. Teledermatoscopy in Switzerland: a preliminary evaluation. J Am Acad Dermatol. 2000;42:770–775
  23. Browns IR, Collins K, Walters SJ, McDonagh AJG. Telemedicine in dermatology: a randomized controlled trial. Health Technol Assess. 2006;10:1–58
  24. Warshaw EM, Lederle FA, Grill JP, Gravely AA, Bangerter AK, Fortier LA, et al. Accuracy of teledermatology for non-pigmented neoplasms. J Am Acad Dermatol. 2009;60:579–580
  25. Piccolo D, Ferrari A, Peris K, Diadone R, Ruggeri B, Chimenti S. Dermoscopic diagnosis by a trained clinician vs a clinician with minimal dermoscopy training vs computer-aided diagnosis of 341 pigmented skin lesions: a comparative study. Br J Dermatol. 2002;147:481–486
  26. Food and Drug Administration, Division of Anti-infective Drug Products. Points to consider, 1992. CPMP EWP. Evaluation of new anti-bacterial medicinal products. Final, April 1997.
  27. Agresti A. Categorical data analysis. New York: Wiley; 1990;

 Supported by the Department of Veterans Affairs Health Services Research and Development Service (Grant IIR 01-072-2). During this study, Dr Warshaw was supported by a Veterans Affairs Cooperative Studies Program Clinical Research Career Development Award.

 Conflicts of interest: None declared.

 Presented in part at the Plenary Session 68th Annual Meeting of the Society of Investigative Dermatology in Los Angeles, CA, on May 10-12, 2007.

 The findings and conclusions presented in this report are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs or Health Services Research and Development.

 Reprints not available from the authors.

PII: S0190-9622(09)00519-2

doi: 10.1016/j.jaad.2009.04.032

Journal of the American Academy of Dermatology
Volume 61, Issue 5 , Pages 753-765 , November 2009

Article Tools

* Image Usage & Resolution