Dermatology Clinic, Çankiri State Hospital, Aksu Mah, Ogretmenler Sokak, 18100 Çankiri, Turkey.
J Telemed Telecare. 2013 Jan;19(1):60-3. doi: 10.1177/1357633X12474961. Epub 2013 Feb 19.
We examined the contribution of dermatoscopy to the reliability of the diagnosis and management of non-melanocytic skin tumours using store-and-forward teledermatology. A total of 150 patients with non-melanocytic skin tumours were enrolled into the study. The reliability of the diagnoses and management plans was measured by comparing teledermatology with face-to-face examination; the effect of adding dermatoscopy images was also analysed. The accuracy of the diagnoses was measured by comparing teledermatology with histology; the effect of adding dermatoscopy images was also analysed. Diagnostic reliability (kappa) for teledermatology without dermatoscopy was 0.75 and 0.77 for two different dermatologists, A and B. The reliability increased significantly when dermatoscopy was added, to 0.86 and 0.88 respectively (P < 0.05). The reliability of management plans without dermatoscopy was 0.67 and 0.70, but it did not increase significantly when dermatoscopy was added. The accuracy of the diagnoses was significantly increased by the addition of dermatoscopic images, from 85% to 94% for dermatologist A and from 88% to 95% for dermatologist B. Teledermatology is a reliable technique for the diagnosis and management of non-melanocytic skin tumours and the addition of dermatoscopic images increases the reliability and the accuracy of teledermatology.
我们通过存储转发远程皮肤病学来检查皮肤镜检查对非黑素细胞性皮肤肿瘤诊断和管理的可靠性的贡献。共有 150 名非黑素细胞性皮肤肿瘤患者纳入研究。通过比较远程皮肤病学与面对面检查来衡量诊断和管理计划的可靠性；还分析了添加皮肤镜图像的效果。通过比较远程皮肤病学与组织学来衡量诊断的准确性；还分析了添加皮肤镜图像的效果。没有皮肤镜的远程皮肤病学的诊断可靠性（kappa）为 0.75 和 0.77，对于两位不同的皮肤科医生 A 和 B。当添加皮肤镜时，可靠性显着增加，分别为 0.86 和 0.88（P <0.05）。没有皮肤镜的管理计划的可靠性为 0.67 和 0.70，但当添加皮肤镜时，它并没有显着增加。添加皮肤镜图像显着提高了诊断的准确性，皮肤科医生 A 从 85％增加到 94％，皮肤科医生 B 从 88％增加到 95％。远程皮肤病学是诊断和管理非黑素细胞性皮肤肿瘤的可靠技术，添加皮肤镜图像可提高远程皮肤病学的可靠性和准确性。
