Simplified teledermoscopy for early detection of melanoma and a screening of nevi.

简化的远程皮肤镜检查用于早期发现黑色素瘤和筛查痣。

• 批准号: 14570822
• 负责人: TANAKA Masaru
• 金额: $ 1.86万
• 依托单位: Keio University
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2002
• 资助国家: 日本
• 起止时间: 2002 至 2003
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-14570822/
• 关键词: dermoscopy; melanoma; melanocytic nevus; tele-diagnosis; pigmented skin lesion; ダーモスコープ; 電子メール; 母斑細胞母斑

Patients, who agreed to enroll in this study, were photographed of their lesions with USB-Microscope M2. The dermoscopic and clinical photos were taken and saved as digital images in a format of JPEG. Patients were basically followed up every three month. All the saved images were sent to Kobayashi and Soyer via e-mails. The number of enrolled patients was twelve in total. The lesions included seborrheic keratosis, solar lentigo as well as melanocytic nevi. Those diagnosis and dermoscopic findings should be carefully evaluated. The dark images and bad white-balanced images were standardized based on surrounding skin color. Statistical analysis was not performed because the tele-diagnosed cases were a few. Correctly diagnosed rate was approximately 90%. It was demonstrated that fewer pixels were enough for correct diagnosis. However, longer follow-up period would be preferred, since only little changes might be observed, if it is a malignant lesion. There was no malignant melanoma case. It was depicted that this study has low possibility of finding melanoma. However, many variety of pigmented skin lesions, including basal cell carcinoma, seborrheic keratosis and solar lentigo, might be involved.

同意参加这项研究的患者用USB微镜M2拍摄了病变。将皮肤镜和临床照片以JPEG格式拍摄并保存为数字图像。基本上每三个月跟踪患者。所有保存的图像均通过电子邮件发送到Kobayashi和Soyer。入学患者的数量总计十二。病变包括脂肪毛的角化病，太阳宽孢菌和黑素细胞NEVI。这些诊断和皮肤镜检查结果应仔细评估。深色图像和不良白色平衡的图像是根据周围肤色标准化的。没有进行统计分析，因为远程诊断的病例有几例。正确诊断的率约为90％。证明更少的像素足以正确诊断。但是，更长的随访期是首选的，因为如果是恶性病变，只能观察到很少的变化。没有恶性黑色素瘤病例。据描述，这项研究可能发现黑色素瘤的可能性很小。然而，可能涉及许多各种色素的皮肤病变，包括基底细胞癌，脂肪脂性角化病和太阳刺刺。

项目成果

Oka H, Hashimoto M, Iyatomi H, Argenziano G, Soyer HP, Tanaka M: "Internet-based program for automatic discrimination of dermoscopic images between melanomas and Clark nevi."Br J Dermatol. (in press). (2004)

Oka H、Hashimoto M、Iyatomi H、Argenziano G、Soyer HP、Tanaka M：“基于互联网的程序，用于自动区分黑色素瘤和克拉克痣之间的皮肤镜图像。”Br J Dermatol。

Oka H et al.: "Linear discriminant analysis of dermoscopic parameters for differentiation of early melanomas from Clark nevi."Melanoma Research. in press.

Oka H 等人：“用于区分早期黑色素瘤和克拉克痣的皮肤镜参数的线性判别分析。”黑色素瘤研究。

Oka H et al.: "Internet-based program for automatic discrimination of dermoscopic images between melanomas and Clark nevi."Br J Dermatol. in press.

Oka H 等人：“基于互联网的程序，用于自动区分黑色素瘤和克拉克痣之间的皮肤镜图像。”Br J Dermatol。

Piccolo D, Soyer HP, Burgdorf W, Talamini R, Peris K, Bugatti L, Canzonieri V, Cerroni L, Chimenti S, De Rosa G, Filosa G, Hoffmann R, Julis I, Kutzner H, Manente L, Misciali C, Schaeppi H, Tanaka M, Tyler W, Zelger B, Kerl H: "Concordance between telepat

Piccolo D、Soyer HP、Burgdorf W、Talamini R、Peris K、Bugatti L、Canzonieri V、Cerroni L、Chimenti S、De Rosa G、Filosa G、Hoffmann R、Julis I、Kutzner H、Manente L、Misciali C、Schaeppi

Argenziano G et al.: "Dermoscopy of pigmented skin lesions : results of a consensus meeting via the Internet."J Am Acad Dermatol. 48. 679-693 (2003)

Argenziano G 等人：“色素性皮肤病变的皮肤镜检查：通过互联网达成共识的结果。”J Am Acad Dermatol。