Total body photography for skin cancer screening. (16th December 2014)

• Record Type: Journal Article
• Authors: Dengel, Lynn T.; Petroni, Gina R.; Judge, Joshua; Chen, David; Acton, Scott T.; Schroen, Anneke T.; Slingluff, Craig L.
• Is Part Of: International journal of dermatology. Volume 54:Number 11(2015:Nov.)
• Page Start: 1250
• Page End: 1254
• Publication Date: 2014-12-16
• Subjects: Dermatology -- Periodicals; 616.5
• DOI: 10.1111/ijd.12593
• Languages: English
• ISSNs: 0011-9059

Abstract

<abstract abstract-type="main" id="ijd12593-abs-0001"> <title>Abstract</title> <sec id="ijd12593-sec-0001" sec-type="section"> <title>Background</title> <p>Total body photography may aid in melanoma screening but is not widely applied due to time and cost. We hypothesized that a near‐simultaneous automated skin photo‐acquisition system would be acceptable to patients and could rapidly obtain total body images that enable visualization of pigmented skin lesions.</p> </sec> <sec id="ijd12593-sec-0002" sec-type="section"> <title>Methods</title> <p>From February to May 2009, a study of 20 volunteers was performed at the University of Virginia to test a prototype 16‐camera imaging booth built by the research team and to guide development of special purpose software. For each participant, images were obtained before and after marking 10 lesions (five "easy" and five "difficult"), and images were evaluated to estimate visualization rates. Imaging logistical challenges were scored by the operator, and participant opinion was assessed by questionnaire.</p> </sec> <sec id="ijd12593-sec-0003" sec-type="section"> <title>Results</title> <p>Average time for image capture was three minutes (range 2–5). All 55 "easy" lesions were visualized (sensitivity 100%, 90% CI 95–100%), and 54/55 "difficult" lesions were visualized (sensitivity 98%, 90% CI 92–100%). Operators and patients graded the imaging process favorably, with challenges identified regarding lighting and positioning.</p> </sec> <sec id="ijd12593-sec-0004" sec-type="section"> <title>Conclusions</title> <p>Rapid‐acquisition automated skin photography is feasible with a low‐cost system, with excellent lesion visualization and participant acceptance. These data provide a basis for employing this method in clinical melanoma screening.</p> </sec> </abstract>