Delta 20 melanoma Whited 1998 Observational Medical FTF Camera Unclear Convenience Diagnostic accuracy BCC N=3 Missed Management This study suggest study records and sample of diagnosis for concordance that United States Fujix DS-515 -Single diagnosis SCC N=2 clinical images patients at cancerous (vs FTF): teledermatologymay Compared the (1280*1000 SAF the Veterans diseases be a viable precision and pixels) TD1 10/10 N=2 TD1 7/9 (78%) Affairs (including consultative accuracy of digital (100%) TD2 2/9 (22%) Medical differential technique for image TD2 9/10 Center who FTF=6/7 (67%) diagnosis) providing accurate consultations with (90%) were referred diagnoses. conventional -Single and TD 1 N=0 to the differential consultations. TD 2 N=0 dermatology diagnoses clinic for a SAF suspected TD1 8/9 (89%) skin cancer. TD2 7/9 (78%) FTF=7/9 (78%) Diagnostic concordance SAF vs FTF -Single diagnosis TD1 8/10 (80%) TD2 6/10 (60%) Mean=70% -Single and differential diagnoses TD1 9/10 (90%) TD2 10/10 (100%) Mean=95% Store-and-Forward teledermatology with diagnostic concordance as an outcome Barbieri, To evaluate AccessDerm A Inpatients of The primary study N/A Concordance In-person Regarding triage 2014 whether a and the US outcomes were in a biopsy dermatologist decisions, the smartphone consultations medical hospital concordance of the decision assigned 66% teledermatologists The reliability platform teledermatology by two student triage plans and the between of rarely failed to triage of (Vignet), with system is reliable independent by a plan by decision to biopsy. consultations a consultation to be images Generalized for the Secondary for the next seen the to triage captured by a lesion 22 based on outcomes included and day inpatient the initial triage of same day when the smartphone (44%) the information dermatology inpatient diagnostic or later, with in-person camera.
Delta 20 melanoma Whited 1998 United States Observational study Compared the precision and accuracy of digital image consultations with conventional consultations. Medical records and clinical images FTF Camera Fujix DS-515 (1280*1000 pixels) Unclear Convenience sample of patients at the Veterans Affairs Medical Center who were referred to the dermatology clinic for a suspected skin cancer. Diagnostic accuracy -Single diagnosis SAF TD1 7/9 (78%) TD2 2/9 (22%) FTF=6/7 (67%) -Single and differential diagnoses SAF TD1 8/9 (89%) TD2 7/9 (78%) FTF=7/9 (78%) Diagnostic concordance SAF vs FTF -Single diagnosis TD1 8/10 (80%) TD2 6/10 (60%) Mean=70% -Single and differential diagnoses TD1 9/10 (90%) TD2 10/10 (100%) Mean=95% BCC N=3 SCC N=2 N=2 Missed diagnosis for cancerous diseases (including differential diagnosis) TD 1 N=0 TD 2 N=0 Management concordance (vs FTF): TD1 10/10 (100%) TD2 9/10 (90%) This study suggest that teledermatologymay be a viable consultative technique for providing accurate diagnoses. Store-and-Forward teledermatology with diagnostic concordance as an outcome Barbieri, 2014 The reliability of to triage inpatient dermatology To evaluate whether a teledermatology system is reliable for the initial triage of inpatient consultations by two independent based on the information by a and plan by the AccessDerm smartphone platform (Vignet), with images captured by a smartphone camera. A medical student Inpatients of the US hospital Generalized lesion 22 (44%) The primary study outcomes were concordance of the triage plans and the decision to biopsy. Secondary outcomes included diagnostic N/A Concordance in a biopsy decision between and In-person dermatologist assigned 66% of consultations for the next day or later, with Regarding triage decisions, the teledermatologists rarely failed to triage a consultation to be seen the same day when the in-person
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