Center for Dermatology Research, Department of Dermatology, Wake Forest School of Medicine, Winston-Salem, NC Department of Pathology, Wake Forest School of Medicine, Winston-Salem, NC Department of Social Sciences & Health Policy, Wake Forest School of Medicine, Winston-Salem, NC Department of Dermatology, University of Southern Denmark, Odense.
Dermatol Online J. 2020 Oct 15;26(10):13030/qt75p7q57j.
Evolution of technology in the past several decades has undeniably transformed the practice of medicine. Dermatology, a field relying on visual cues, has been particularly impacted by advancement in imaging technologies. The purpose of this study was to review the current status as well as digital future of dermatology. The PubMed database was searched for articles pertaining to digital dermatology using search terms digital dermatology, teledermatology, and dermatopathology education. Digital dermatology has found a role in almost every aspect of dermatology: research, dermatology education and training, and clinical practice including disease prevention, diagnosis, treatment, and patient follow-up. Smartphone applications such VisualDx, MyDermPath, YouDermoscopy serve as diagnostic aid tools and can also help increase the user's knowledge of dermatology. Tools such as multispectral digital skin lesion analysis (MSDSLA) improve diagnostic accuracy and lead to fewer unnecessary biopsies. Teledermatology increases patient satisfaction, as they are able to experience shorter waits times and decreased costs. Underserved communities and those in rural settings are more likely to have a dermatologic evaluation by a specialist via teledermatology. Addressing important topics such as legal framework and updating reimbursement policies will allow for a smoother incorporation of digital dermatology into clinical practice and likely benefit patient care.
在过去几十年中,技术的发展无疑改变了医学实践。皮肤病学是一个依赖视觉线索的领域,它特别受到成像技术进步的影响。本研究旨在回顾皮肤病学的现状和数字化未来。使用数字皮肤病学、远程皮肤病学和皮肤病病理学教育等术语,在 PubMed 数据库中搜索有关数字皮肤病学的文章。数字皮肤病学已经在皮肤病学的几乎所有方面都找到了用武之地:研究、皮肤病学教育和培训以及临床实践,包括疾病预防、诊断、治疗和患者随访。智能手机应用程序,如 VisualDx、MyDermPath 和 YouDermoscopy,可用作诊断辅助工具,还可以帮助增加用户对皮肤病学的了解。多光谱数字皮肤病变分析 (MSDSLA) 等工具可提高诊断准确性,并减少不必要的活检。远程皮肤病学提高了患者的满意度,因为他们可以体验到更短的等待时间和更低的成本。服务不足的社区和农村地区的人更有可能通过远程皮肤病学获得专家的皮肤科评估。解决法律框架和更新报销政策等重要问题将有助于更顺利地将数字皮肤病学纳入临床实践,并可能有益于患者护理。