In vivo confocal microscopy in clinical practice: comparison of bedside diagnostic accuracy of a trained physician and distant diagnosis of an expert reader.
J Am Acad Dermatol
; 69(6): e295-300, 2013 Dec.
Article
em En
| MEDLINE
| ID: mdl-24035553
ABSTRACT
BACKGROUND:
Reflectance confocal microscopy (RCM) is an imaging tool that allows the visualization of cellular details without biopsy. To our knowledge, RCM sensitivity and specificity has not been studied in a telemedicine setting.OBJECTIVE:
We sought to assess RCM diagnostic accuracy in a support teleconsultation setting.METHODS:
Between June 2010 and September 2011, 340 lesions were imaged using a confocal scanning microscope. The images were evaluated by 2 readers, one on site, and the other at a distance.RESULTS:
A total of 334 cases were included. For each reader the sensitivity was greater than 90% and specificity for each reader was greater than 60%. Both readers had a combined sensitivity of 98.6% and 44% specificity.LIMITATIONS:
RCM may be limited in the correct classification of epithelial tumors.CONCLUSIONS:
RCM is a tool in the clinical diagnosis of skin lesions, providing a high diagnostic accuracy in teleconsultation use.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Dermatopatias
/
Competência Clínica
/
Telepatologia
/
Dermatologia
Tipo de estudo:
Diagnostic_studies
Limite:
Humans
Idioma:
En
Revista:
J Am Acad Dermatol
Ano de publicação:
2013
Tipo de documento:
Article