Teledermatoscopy in Switzerland: a preliminary evaluation.
BACKGROUND
Since devices for digital epiluminescence microscopy and for telemedicine have become affordable, a critical evaluation of this new method has been needed.


OBJECTIVE
Our aim was a critical evaluation of teledermatoscopy under routine conditions in private practice.


METHODS
Pigmented skin lesions (PSLs) scheduled for excision were documented with a digital epiluminescence microscopy (DELM) system. Images were sent to the PSL consultation at the Department of Dermatology of the University Hospital Geneva, where a diagnosis was established. The histopathologic report including the initial diagnosis was sent afterward. Both approaches were compared concerning diagnostic accuracy.


RESULTS
Over a period of 6 months, 55 lesions on 51 patients have been included in this study. Picture quality was good or very good in more than 90%. Diagnostic accuracy of the teledermatoscopy approach was superior to that of the conventional approach for malignant melanocytic lesions.


CONCLUSIONS
We have shown the feasibility of a teledermatoscopic consultation. The gain of diagnostic accuracy in this teledermatoscopic approach, especially for malignant melanocytic lesions, suggests that patients might benefit directly from such a consultation at distance.
Braun
R P
RP
Pigmented Skin Lesion Unit, Department of Dermatology, University Hospital Geneva and DHURDV Geneva/Lausanne, Switzerland.
Meier
M
M
Pelloni
F
F
Ramelet
A A
AA
Schilling
M
M
Tapernoux
B
B
Thürlimann
W
W
Saurat
J H
JH
Krischer
J
J
D005240:Feasibility Studies; D006801:Humans; D008163:Luminescent Measurements; D008853:Microscopy / Q000379:methods; D019114:Remote Consultation; D012878:Skin Neoplasms / Q000175:diagnosis* / Q000473:pathology