Lesion Selection by Melanoma High-Risk Consumers During Skin Self-examination Using Mobile Teledermoscopy | Dermatology | JAMA Dermatology | JAMA Network
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Research Letter
June 2014

Lesion Selection by Melanoma High-Risk Consumers During Skin Self-examination Using Mobile Teledermoscopy

Author Affiliations
  • 1School of Public Health, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia
  • 2College of Nursing, The University of Arizona, Mel and Enid Zuckerman College of Public Health, and Skin Cancer Institute, Tucson
  • 3Dermatology Research Center, The University of Queensland, School of Medicine, Translational Research Institute, Princess Alexandra Hospital, Brisbane, Australia
JAMA Dermatol. 2014;150(6):656-658. doi:10.1001/jamadermatol.2013.7743

Mobile teledermatoscopy (MTD) for the early detection of skin cancer uses smartphones with dermatoscope attachments to magnify, capture, and transfer images remotely.1 Using the asymmetry–color variation (AC) rule, consumers achieve dermoscopy sensitivity of 92.9% to 94.0% and specificity of 62.0% to 64.2% for melanoma.2

This pilot randomized trial assessed lesions of concern selected by consumers at high risk of melanoma using MTD plus the AC rule (intervention, n = 10) or the AC rule alone (control, n = 12) during skin self-examination (SSE). Also measured were lesion location patterns, lesions overlooked by participants, provisional clinical diagnoses, likelihood of malignant tumor, and participant pressure to excise lesions.