Accuracy of epiluminescence microscopy among practical dermatologists: A study from the Emilia-Romagna Region of Italy

I. Stanganelli, M. Serafini, T. Cainelli, M. Cristofolini, L. Baldassari, M. Staffa, L. Bucchi

Research output: Contribution to journalArticle

Abstract

Aims and background: The accuracy of epiluminescence microscopy (ELM) for pigmented skin lesions (PSLs) is still unclear. The large scale utilization of the technique is generally discouraged. The present study was aimed at comparing the accuracy of ELM with that of clinical examination alone in a group of 20 practical dermatologists. Methods and study design: Thirty digital clinical images of benign and malignant PSLs and their digital ELM counterparts were used. A set of cumulative accuracy measures reported in the combined clinical/ELM diagnosis was compared with that reported in the clinical diagnosis alone. Results: The proportion of nonmelanocytic lesions (NMLs), melanocytic nevi, and melanomas correctly identified, the predictive value of such diagnoses, and the proportion of melanomas detected by referral for biopsy (irrespective of the diagnosis reported) increased significantly. The cases referred for biopsy despite a 'benign' impression decreased significantly among NMLs. Conclusions: The observed tendency towards a greater accuracy suggests that even in the routine dermatology practice of ELM has the potential to improve the clinical examination of PSLs.

Original languageEnglish
Pages (from-to)701-705
Number of pages5
JournalTumori
Volume84
Issue number6
Publication statusPublished - 1998

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Keywords

  • Accuracy
  • Dermatoscopy
  • Digital epiluminescence microscopy
  • Melanoma

ASJC Scopus subject areas

  • Cancer Research

Cite this

Stanganelli, I., Serafini, M., Cainelli, T., Cristofolini, M., Baldassari, L., Staffa, M., & Bucchi, L. (1998). Accuracy of epiluminescence microscopy among practical dermatologists: A study from the Emilia-Romagna Region of Italy. Tumori, 84(6), 701-705.