title: Practice Gaps in Dermatology: Melanocytic Lesions and Melanoma.
abstract: Early detection remains the most important strategy to reduce melanoma mortality. The identification and evaluation of new or changing skin lesions are important components of melanoma screening and are best performed today using complementary noninvasive imaging technologies, such as total body photography (TBP), dermoscopy, sequential digital dermoscopic imaging (SDDI), and reflectance confocal microscopy (RCM). Despite strong evidence showing that these screening techniques improve diagnostic accuracy for melanoma, they are not widely used by dermatologists. In this practice gaps review, the authors highlight the use, evidence, and rationale for TBP, dermoscopy, SDDI, and RCM.
authors.affiliation: Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, 16 East 60th Street, New York, NY 10022, USA.
authors.forename: Maria L
authors.initials: ML
authors.lastname: Marino
authors.affiliation: Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, 16 East 60th Street, New York, NY 10022, USA; Melanoma Unit, Department of Dermatology, Hospital Clinic, IDIBAPS, CIBERER, University of Barcelona, Villarroel 170, Barcelona 08036, Spain.
authors.forename: Cristina
authors.initials: C
authors.lastname: Carrera
authors.affiliation: Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, 16 East 60th Street, New York, NY 10022, USA. Electronic address: marchetm@mskcc.org.
authors.forename: Michael A
authors.initials: MA
authors.lastname: Marchetti
authors.affiliation: Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, 16 East 60th Street, New York, NY 10022, USA. Electronic address: marghooa@mskcc.org.
authors.forename: Ashfaq A
authors.initials: AA
authors.lastname: Marghoob
mesh_terms: D002983:Clinical Competence; D003880:Dermatology / Q000193:education* / Q000592:standards; D046169:Dermoscopy / Q000193:education / Q000379:methods / Q000706:statistics & numerical data*; D055088:Early Detection of Cancer; D006801:Humans; D008545:Melanoma / Q000000981:diagnostic imaging* / Q000473:pathology; D018613:Microscopy, Confocal; D010781:Photography; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D020377:Self Efficacy; D012878:Skin Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology
keywords: Dermoscopy; Digital dermoscopy; Early melanoma diagnosis; Melanoma; Nevi; Reflectance confocal microscopy; Sequential digital dermoscopy imaging; Total body photography