Aoki Lisia, Pereira Ivana Cardoso, Matayoshi Suzana
Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Clínica Oftalmológica, São Paulo, SP, Brasil.
Rev Col Bras Cir. 2019 Mar 7;46(1):e2083. doi: 10.1590/0100-6991e-20192083.
to compare the accuracy of eyelid tumor diagnosis obtained by evaluating conventional camera images with the ones obtained by evaluating smartphone images.
from January 2016 to July 2017, 36 patients underwent face-to-face external assessments and biomicroscopic examinations to establish clinical diagnoses. The lesions were photographed using Canon PowerShot SX530 HS Digital Camera (16.8 Megapixels) and Samsung GALAXY S4 smartphone camera. All lesions were resected and submitted to anatomopathological examinations. Preoperative images were sent to two specialists in eyelid diseases and then remotely analyzed. Data from in-person diagnoses and telediagnoses were compared with the gold standard of histological diagnosis.
the most frequent lesions were basal cell carcinoma (33.3%), actinic keratosis (19.4%), and nevus (13.9%). Kappa coefficient for the diagnosis of malignant lesion showed agreement between the two tele-evaluators in the conventional digital camera images (0.68) and in the smartphone images (0.78). The face-to-face examiner's accuracy was of 94.4%; the tele-evaluators' accuracy in the conventional digital camera images was of 83.3% and in the smartphone images varied from 80.6% to 86.1%. Comparing the in-person diagnoses with the telediagnoses (obtained by evaluating conventional digital camera images or smartphone images), there was no significant difference in the hit rates.
for eyelid tumor telediagnosis, images obtained using smartphone camera were equivalent to those obtained using conventional digital camera.
比较通过评估传统相机图像与评估智能手机图像所获得的眼睑肿瘤诊断准确性。
2016年1月至2017年7月，36例患者接受了面对面的外部评估和生物显微镜检查以确立临床诊断。使用佳能PowerShot SX530 HS数码相机（1680万像素）和三星GALAXY S4智能手机相机对病变进行拍照。所有病变均被切除并进行解剖病理学检查。术前图像被发送给两名眼睑疾病专家并进行远程分析。将现场诊断和远程诊断的数据与组织学诊断的金标准进行比较。
最常见的病变为基底细胞癌（33.3%）、光化性角化病（19.4%）和痣（13.9%）。在传统数码相机图像（0.68）和智能手机图像（0.78）中，两名远程评估者对恶性病变诊断的kappa系数显示出一致性。面对面检查者的准确率为94.4%；远程评估者在传统数码相机图像中的准确率为83.3%，在智能手机图像中的准确率在80.6%至86.1%之间。将现场诊断与远程诊断（通过评估传统数码相机图像或智能手机图像获得）进行比较，命中率没有显著差异。
对于眼睑肿瘤的远程诊断，使用智能手机相机获得的图像与使用传统相机获得的图像相当。
