首页> 外文期刊>Clinical and experimental dermatology >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.
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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.

机译:我们可以从存储的视频图像中安全地诊断色素沉着病变吗?在临床检查和色素沉着病变的存储视频图像之间进行的组织学诊断比较。

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Rapid expansion of communication technology has permitted the clinician to perform a consultation with a patient located at a different site. Assuming adequate diagnostic accuracy, it could theoretically be possible to use telemedical techniques as a triage tool. Images of pigmented lesions sent by the primary care physician could be viewed by the consultant dermatologist, and those with banal lesions spared from attending clinic. Previous studies assessing diagnostic accuracy of images of lesions have used 'face-to-face' diagnoses as the 'gold standard'. We set out to compare diagnostic accuracy of image examination compared with that of clinical examination, using histological examination as the diagnostic benchmark. We found that pigmented lesions may be diagnosed as accurately by stored video image evaluation as by conventional clinical examination. None of the malignant skin tumours was misdiagnosed as benign in either group. Whilst these results are encouraging in terms of the clinical safety of store-and-forward imaging, the inability to examine the whole patient or to palpate the lesions may limit the acceptability of the technique severely. Further evaluation of the cost : benefit ratio of such a system to the health care provider must be undertaken before considering this technique as a potential adjunct to managing outpatient referrals.
机译:通信技术的迅速发展使临床医生能够与位于不同地点的患者进行咨询。假设适当的诊断准确性,则理论上可以将远程医疗技术用作分类工具。初级皮肤科医生可以查看由初级保健医师发送的色素沉着病变的图像,而那些有陈旧性病变的患者可以从诊所就诊。先前评估病灶图像诊断准确性的研究已使用“面对面”诊断作为“黄金标准”。我们开始使用组织学检查作为诊断基准,比较图像检查和临床检查的诊断准确性。我们发现,通过存储的视频图像评估可以像传统的临床检查一样准确地诊断出色素沉着的病变。两组均无一例被误诊为良性恶性皮肤肿瘤。尽管这些结果在存储转发影像的临床安全性方面令人鼓舞,但无法检查整个患者或触及病变可能严重限制了该技术的可接受性。在将该技术视为管理门诊转诊的潜在辅助手段之前,必须对该系统与医疗服务提供者的成本:收益比率进行进一步评估。

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