Arzberger, EdithCuriel-Lewandrowski, ClaraBlum, AndreasChubisov, DmitryOakley, AmandaRademaker, MariusSoyer, HansHofmann-Wellenhof, Rainer2022-05-122022-05-122016-08(2016). Acta Dermato-Venereologica, 96(6), 779-783.0001-5555https://hdl.handle.net/2292/59230Teledermoscopy is considered a reliable tool for the evaluation of pigmented skin lesions. We compared the management decision in face-to-face visits vs. teledermatology in a high-risk melanoma cohort using total-body photography, macroscopic and dermoscopic images of single lesions. Patients were assessed both face-to face and by 4 remote teledermatologists. Lesions identified as suspicious for skin cancer by face-to-face evaluation underwent surgical excision. The teledermatologists recommended "self-monitoring", "short-term monitoring", or "excision". A 4-year monitoring was completed in a cohort of participating subjects. The general agreement, calculated by prevalence and bias-adjusted κ (PABAK), showed almost perfect agreement (PABAK 0.9-0.982). A total of 23 lesions were excised; all teledermatologists identified the 9 melanomas. The greatest discrepancy was detected in "short-term monitoring". During 4-year monitoring one melanoma was excised that had been considered benign. In conclusion, melanoma identification by experts in pigmented lesions appears to be equivalent between face-to-face and teledermatological consultation.PrintItems in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher.https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htmhttps://creativecommons.org/licenses/by-nc/4.0/HumansMelanomaSkin NeoplasmsDermoscopyPhotographyRemote ConsultationAdolescentAdultAgedAged, 80 and overMiddle AgedChildAustriaFemaleMaleCancerClinical Research1103 Clinical SciencesJournal Article10.2340/00015555-23442022-04-18Copyright: The author26776245 (pubmed)http://purl.org/eprint/accessRights/OpenAccess1651-2057