title: Use of multispectral digital skin lesion analysis for evaluation of nevi in children.
abstract: OBJECTIVE
  We determine if the use of Multispectral Digital Skin Lesion Analysis for the evaluation of nevi in children and possible detection of malignancies.
  
  
  METHODS
  Evidence gathered from a pivotal study involving 1,383 patients with 1,831-pigmented lesions. The isolated use of the pediatric population within this study was used to determine the specificity and sensitivity of such a device with comparison to a dermatologists evaluation.
  
  
  RESULTS
  For all lesions from the assessed pediatric population the biopsy ratio was equivalent for the Multispectral Digital Skin Lesion Analysis device as for the dermatologists when performing as independent reviewers. Furthermore analyzed data suggests that dermatologists who incorporate the Multispectral Digital Skin Lesion Analysis device perform better than they would independently or if they were to follow the device blindly without incorporating their own judgment.
  
  
  CONCLUSIONS
  An approach that integrates automated imaging technology like the Multispectral Digital Skin Lesion Analysis device, along with another diagnostic aid, with the end result being cost-effective, easy to use by even non-experts and comforting for the pediatric patient is likely to compete to be the new gold standard in successful early diagnosis and management of melanoma.
authors.forename: Andrew S
authors.initials: AS
authors.lastname: Dorizas
authors.forename: Amer H
authors.initials: AH
authors.lastname: Nassar
authors.forename: David J
authors.initials: DJ
authors.lastname: Goldberg
mesh_terms: D000293:Adolescent; D001706:Biopsy; D002648:Child; D003880:Dermatology / Q000295:instrumentation / Q000379:methods*; D003936:Diagnosis, Computer-Assisted; D004867:Equipment Design; D005260:Female; D006801:Humans; D007090:Image Interpretation, Computer-Assisted / Q000379:methods*; D008297:Male; D009508:Nevus, Pigmented / Q000175:diagnosis*; D012189:Retrospective Studies; D012680:Sensitivity and Specificity; D012878:Skin Neoplasms / Q000175:diagnosis*; D055815:Young Adult