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从诊断到干预:远程医疗在皮肤癌治疗中的作用综述。

From diagnosis to intervention: a review of telemedicine's role in skin cancer care.

机构信息

University of Miami Miller School of Medicine, 1600 NW 10th Ave #1140, Miami, FL, 33136, USA.

Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, 1150 NW 14th Street, Miami, FL, 33136, USA.

出版信息

Arch Dermatol Res. 2024 May 2;316(5):139. doi: 10.1007/s00403-024-02884-7.

Abstract

Skin cancer treatment is a core aspect of dermatology that relies on accurate diagnosis and timely interventions. Teledermatology has emerged as a valuable asset across various stages of skin cancer care including triage, diagnosis, management, and surgical consultation. With the integration of traditional dermoscopy and store-and-forward technology, teledermatology facilitates the swift sharing of high-resolution images of suspicious skin lesions with consulting dermatologists all-over. Both live video conference and store-and-forward formats have played a pivotal role in bridging the care access gap between geographically isolated patients and dermatology providers. Notably, teledermatology demonstrates diagnostic accuracy rates that are often comparable to those achieved through traditional face-to-face consultations, underscoring its robust clinical utility. Technological advancements like artificial intelligence and reflectance confocal microscopy continue to enhance image quality and hold potential for increasing the diagnostic accuracy of virtual dermatologic care. While teledermatology serves as a valuable clinical tool for all patient populations including pediatric patients, it is not intended to fully replace in-person procedures like Mohs surgery and other necessary interventions. Nevertheless, its role in facilitating the evaluation of skin malignancies is gaining recognition within the dermatologic community and fostering high approval rates from patients due to its practicality and ability to provide timely access to specialized care.

摘要

皮肤癌治疗是皮肤科的核心内容,依赖于准确的诊断和及时的干预。远程皮肤病学在皮肤癌治疗的各个阶段都具有重要价值,包括分诊、诊断、管理和手术咨询。传统的皮肤镜检查和存储转发技术的结合,使具有可疑皮肤病变的高分辨率图像能够迅速与各地的咨询皮肤科医生共享。实时视频会议和存储转发格式都在弥合地理隔离的患者和皮肤科医生之间的护理提供差距方面发挥了关键作用。值得注意的是,远程皮肤病学的诊断准确率通常可与传统的面对面咨询相媲美,这突出了其强大的临床实用性。人工智能和反射共聚焦显微镜等技术进步不断提高图像质量,并有可能提高虚拟皮肤病护理的诊断准确性。虽然远程皮肤病学是一种有价值的临床工具,适用于包括儿科患者在内的所有患者群体,但它并不旨在完全替代Mohs 手术等当面程序和其他必要的干预措施。然而,它在促进皮肤恶性肿瘤评估方面的作用在皮肤科界得到了认可,并且由于其实用性和提供及时获得专业护理的能力,获得了患者的高度认可。

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