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Şenel E, Yuyucu Karabulut Y, Doğruer Şenel S. Clinical, histopathological, dermatoscopic and digital microscopic features of dermatofibroma: a retrospective analysis of 200 lesions. J Eur Acad Dermatol Venereol 2015; 29:1958-66. [DOI: 10.1111/jdv.13092] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2014] [Accepted: 02/12/2015] [Indexed: 11/28/2022]
Affiliation(s)
- E. Şenel
- Faculty of Medicine; Department of Dermatology; Hitit University; Çorum Turkey
| | - Y. Yuyucu Karabulut
- Faculty of Medicine; Department of Pathology; Mersin University; Mersin Turkey
| | - S. Doğruer Şenel
- Faculty of Economics; Department of Public Administration; Anadolu University; Eskişehir Turkey
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Şenel E, Sabancılar E, Mansuroğlu C, Demir E. A preliminary study of the contribution of telemicroscopy to the diagnosis and management of skin tumours in teledermatology. J Telemed Telecare 2014; 20:178-183. [DOI: 10.1177/1357633x14533885] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Dermatology images can be acquired using a miniature handheld digital microscope at magnifications of 10- to 30-fold. We investigated the contribution of telemicroscopy to the reliability and accuracy of teledermatology for skin tumours. In a retrospective study of the reliability of diagnosis and management plans, two dermatologists compared teledermatology with face-to-face assessment. We also measured the accuracy of diagnosis by comparing teledermatology with histopathological examination. Two dermatologists evaluated the clinical images and information for 120 randomly sorted cases and recorded a diagnosis and a management plan for each case. Two months later, the same dermatologists re-evaluated the cases and suggested a new diagnosis and management plan for each case. The reliability of teledermatology diagnosis was not significantly different from face-to-face examination; it was significantly increased with the addition of microscopic images ( P < 0.001). The reliability of teledermatology management plans was not significantly different from face-to-face examination; it was significantly increased with the addition of the microscopic images ( P < 0.001). The accuracy of teledermatology was significantly increased with microscopic images ( P = 0.05). Telemicroscopy appears to be a useful adjunct to teledermatology with a digital camera. Future studies with different magnifications should be performed to detect the optimum magnification for telemicroscopy.
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Affiliation(s)
- Engin Şenel
- Department of Dermatology, Faculty of Medicine, Hitit University, Çorum, Turkey
| | - Emine Sabancılar
- Dermatology Clinic, Hitit University, Çorum Training and Research Hospital, Çorum, Turkey
| | - Cem Mansuroğlu
- Dermatology Clinic, Fatih Sultan Mehmet Training and Research Hospital, Istanbul, Turkey
| | - Emre Demir
- Technical Programmes Department, Hitit University, Çorum, Turkey
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