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Pitfalls of an Automated Dermoscopic Analysis System in the Differential Diagnosis of Melanocytic Lesions

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dc.contributor.authorOZKAYA, Dilek Biyik
dc.contributor.authorOnsun, NAHİDE
dc.contributor.authorULUSAL, Hande Arda
dc.contributor.authorPIRMIT, Serpil
dc.contributor.institutionauthorBIYIK ÖZKAYA, DİLEK
dc.contributor.institutionauthorONSUN, NAHIDE
dc.contributor.institutionauthorSU KÜÇÜK, ÖZLEM
dc.date.accessioned2019-10-05T12:45:29Z
dc.date.available2019-10-05T12:45:29Z
dc.date.issued2014-01-01
dc.description.abstractDermoscopy plays an important role in the diagnosis of pigmented lesions, particularly in the differential diagnosis of early-stage melanoma. Dermoscopy systems that aim to enable automatic -unmanned-without physician- diagnosis are becoming increasingly common. We aimed to investigate the reliability and weaknesses of diagnosis programs. Furthermore, we attempted to determine whether such programs are superior to diagnosis by a physician, compared to histopathological assessment. The images stored in the DermoGenius ultra-computerized dermoscopy system of the Dermoscopy Unit between January 2008 and December 2008 were surveyed retrospectively. Dermoscopic images made prior to excision of 77 lesions from 51 patients verified by histopathology were reviewed. Nineteen patients were men and 32 were women. Mean age was 35.5 years. Diagnosis by a clinician or automatic analysis revealed that 23 (30%) of the lesions were atypical (dysplastic) nevi, 22 (29%) were compound nevi, 10 (13%) were dermal nevi, 8 (10%) were malignant melanomas, 7 (9%) were common nevi, 6 (7%) were junctional nevi, and 1 (1%) was a blue nevus. Compared to histopathological diagnosis, considered the gold standard, the sensitivity of the automated analysis program was 96.6%, its specificity 14.9%, and its diagnostic accuracy 47%. For the clinician, the values were 100% for sensitivity, 66.7% for specificity, and 95% for diagnostic accuracy.
dc.identifier
dc.identifier.citationOZKAYA D. B. , Onsun N., Su O., ULUSAL H. A. , PIRMIT S., -Pitfalls of an Automated Dermoscopic Analysis System in the Differential Diagnosis of Melanocytic Lesions-, ACTA DERMATOVENEROLOGICA CROATICA, cilt.22, ss.278-283, 2014
dc.identifier.pubmed25580787
dc.identifier.scopus84918770929
dc.identifier.urihttps://hdl.handle.net/20.500.12645/498
dc.identifier.wosWOS:000348615300007
dc.language.isoen
dc.titlePitfalls of an Automated Dermoscopic Analysis System in the Differential Diagnosis of Melanocytic Lesions
dc.typeArticle
dspace.entity.typePublication
local.article.journalnameTürkiye Klinikleri Dii Hekimliği Bilimleri Dergisi
local.avesis.id094a4c68-1a35-49d0-971e-41f3e384d513
local.avesis.response368
local.org.facultyTıp Fakültesi
local.publication.goal16 - Barış, Adalet ve Güçlü Kurumlar
local.publication.isinternational1
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