Diagnostic Inaccuracy of Smartphone Applications for Melanoma Detection: Representative Lesion Sets and the Role for Adjunctive Technologies

To the Editor The study by Wolf et al¹ highlights the low accuracy of smartphone applications for melanoma self-detection, and correctly concludes that these applications could harm patients by delaying melanoma treatment through incorrect diagnosis. The article also found 98% sensitivity with 30.4% specificity for pigmented lesion evaluation by store-and-forward teledermatology. We question whether the teledermatology results can be reproduced in a real-world setting.