skin tumor is technology. malignant, and the recommendation to do a biopsy. Phillips 1998 Prospective, Diagnosis was N/A FTF Picture Tel Not Patients Diagnostic N/A N/A N/A There was a observational made by System 4000 being concordance: reasonable study. physician plus digital referred by degree of -Primary diagnosis and camera (Elmo another agreement To measure the 61/79 (77.2%) model MN401X). physician. between the degree of -Type of problem via two concordance Lesions 82.7% examining between a Rashes 74.1% physicians. dermatologist Despite the seeing a patient in Other 75% relatively high a clinic and degree of another concordance dermatologist the seeing the same patient over a had a commercially significantly available lower degree videoconferencing of confidence system in his diagnoses. Nordal 2001 Prospective, The same N/A FTF The same Not Patients from Diagnostic N/A N/A N/A observational patients primary care concordance: with a study. underwent a systems were being participating -Primary diagnosis used at both referred for general The aim of the 81/112 (72.3%) consultation sites (Titan, dermatology practitioner present study was -aggregated diagnosis and then a Philips); they consultations. may be useful to evaluate 97/112 (86.6%) face-to-face were connected in teledermatology in consultation. at 384kbit/s. dermatology, a comparative but the Dermatologist study of The magnified technique videoconferences still images had evaluation should be versus a resolution of -favour VC= 14% used only for consultations 720 pixels6576 -favour face-to-face selected lines. A consultation= 22% patients. camera Average duration of Sony) was consultation (minute) used for patient
skin tumor is malignant, and the recommendation to do a biopsy. technology. Phillips 1998 Prospective, observational study. To measure the degree of concordance between a dermatologist seeing a patient in a clinic and another dermatologist seeing the same patient over a commercially available videoconferencing system Diagnosis was made by physician and via N/A FTF Picture Tel System 4000 plus digital camera (Elmo model MN401X). Not Patients being referred by another physician. Diagnostic concordance: -Primary diagnosis 61/79 (77.2%) -Type of problem Lesions 82.7% Rashes 74.1% Other 75% N/A N/A N/A There was a reasonable degree of agreement between the two examining physicians. Despite the relatively high degree of concordance the had a significantly lower degree of confidence in his diagnoses. Nordal 2001 Prospective, observational study. The aim of the present study was to evaluate teledermatology in a comparative study of videoconferences versus consultations The same patients underwent a consultation and then a face-to-face consultation. N/A FTF The same systems were used at both sites (Titan, Philips); they were connected at 384kbit/s. The magnified still images had a resolution of 720 pixels6576 lines. A camera Sony) was used for patient Not Patients from primary care being referred for dermatology consultations. Diagnostic concordance: -Primary diagnosis 81/112 (72.3%) -aggregated diagnosis 97/112 (86.6%) Dermatologist evaluation -favour VC= 14% -favour face-to-face consultation= 22% Average duration of consultation (minute) N/A N/A N/A with a participating general practitioner may be useful in dermatology, but the technique should be used only for selected patients.
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