Teledermoscopy - Results of a multicentre study on 43 pigmented skin lesions

Domenico Piccolo, Josef Smolle, Giuseppe Argenziano, Ingrid H. Wolf, Ralph Braun, Lorenzo Cerroni, Angela Ferrari, Rainer Hofmann-Wellenhof, Robert O. Kenet, Fabio Magrini, Giampiero Mazzocchetti, Maria A. Pizzichetta, Herwig Schaeppi, Wilhelm Stolz, Masaru Tanaka, Helmut Kerl, Sergio Chimenti, H. Peter Soyer

Research output: Contribution to journalArticlepeer-review


We performed a multicentre study to evaluate the agreement between the direct clinical diagnosis and the telediagnosis of 43 cutaneous pigmented lesions. Digital clinical and dermoscopic images of the 43 pigmented skin lesions (11 melanomas, 23 melanocytic naevi, three basal cell carcinomas, three lentigines, two seborrhoeic keratoses and one angiokeratoma) were sent by email to 11 colleagues (six dermatologists, two residents in dermatology, one oncologist, one specialist in internal medicine and one general practitioner) in 10 centres. These 11 colleagues had different degrees of experience in dermoscopy. With histopathology as the gold standard, an average of 85% of the telediagnoses were correct, with results varying from 77% to 95%, whereas face-to-face diagnosis by an expert dermatologist was correct in 91% of cases. The kappa value for all participants ranged from 0.35 to 0.87. The results confirm that teledermoscopy can be a reliable technique for the diagnosis of pigmented skin lesions but one that will depend on the expertise of the observer.

Original languageEnglish
Pages (from-to)132-137
Number of pages6
JournalJournal of Telemedicine and Telecare
Issue number3
Publication statusPublished - 2000

ASJC Scopus subject areas

  • Health Informatics
  • Health Policy
  • Nursing(all)


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