J Telemed Telecare - A prospective study of mobile phones for dermatology in a clinical setting.

Tópicos

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Resumo

We evaluated the accuracy of diagnoses made from pictures taken with the built-in cameras of mobile phones in a 'real-life' clinical setting. A total of 263 patients took part, who photographed their own lesions where possible, and provided clinical information via a questionnaire. After the teledermatology procedure, each patient was examined face-to-face and a gold standard diagnosis was made. The telemedicine data and pictures were diagnosed by 15 dermatologists. The 299 cases contained 1-22 clinical images each (median 3). Nine dermatologists finished all the cases and the remaining six completed some of them, thus providing 2893 decisions. Overall, 61% of all cases were rated as possible to diagnose and of those, 80% were correct in comparison with the face-to-face diagnosis. Image quality was evaluated and the median was 5 on a 10-point scale. There was a significant correlation between the correct diagnosis and the quality of the photographs taken (P < 0.001). In nearly two-thirds of all cases, a teledermatology diagnosis was possible; however, there was insufficient information to make a telemedicine diagnosis in about one-third of the cases. If applied carefully, mobile phones could be a powerful tool for people to optimize their health care status.

Resumo Limpo

evalu accuraci diagnos made pictur taken builtin camera mobil phone reallif clinic set total patient took part photograph lesion possibl provid clinic inform via questionnair teledermatolog procedur patient examin facetofac gold standard diagnosi made telemedicin data pictur diagnos dermatologist case contain clinic imag median nine dermatologist finish case remain six complet thus provid decis overal case rate possibl diagnos correct comparison facetofac diagnosi imag qualiti evalu median point scale signific correl correct diagnosi qualiti photograph taken p near twothird case teledermatolog diagnosi possibl howev insuffici inform make telemedicin diagnosi onethird case appli care mobil phone power tool peopl optim health care status

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