Digital teledermatology for skin tumours: a preliminary assessment using a receiver operating characteristics ROC analysis

Lewis, K.; Gilmour, E.; Harrison, P. V.; Patefield, S.; Dickinson, Y.; Manning, D.; Griffiths, C.
March 1999
Journal of Telemedicine & Telecare;Mar1999 Supplement 1, Vol. 5, p57
Academic Journal
A low-cost store-and-forward teledermatology systemusing digital images for the remote diagnosis and management of skin tumours was evaluated. Two hospitals participated in the trial. Patients were seen face to face at one hospital, and had their images and clinical history viewed remotely by a different dermatologist at a second hospital. A preliminary receiver operating characteristics ROC analysis revealed clinical agreement between the teledermatologist and face-to-face dermatologist in 93 of cases in terms of their assessment of the benign malignant nature of the lesions. Sensitivity of the judgements was 88 and specificity was 80 . These preliminary findings indicate the potential for remote management of skin tumours using a low-cost system in the National Health Service.


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