Anna Finnane1, Clara Curiel-Lewandrowski2, Glen Wimberley3, Liam Caffery4, Chinmayee Katragadda5, Allan Halpern6, Ashfaq A Marghoob6, Josep Malvehy7, Harald Kittler8, Rainer Hofmann-Wellenhof9, Ivo Abraham10, H Peter Soyer11. 1. Dermatology Research Centre, The University of Queensland, School of Medicine, Translational Research Institute, Brisbane, Australia2Centre for Online Health, The University of Queensland, School of Medicine, Brisbane, Australia. 2. Department of Dermatology, University of Arizona, Tucson4University of Arizona Cancer Center, Tucson. 3. Dermatology Research Centre, The University of Queensland, School of Medicine, Translational Research Institute, Brisbane, Australia. 4. Centre for Online Health, The University of Queensland, School of Medicine, Brisbane, Australia. 5. University of Arizona Center for Health Outcomes and Pharmacoeconomic Research, Tucson. 6. Dermatology Service, Memorial Sloan-Kettering Cancer Center, New York, New York. 7. Department of Dermatology, Hospital Clinic of Barcelona, Barcelona, Spain. 8. Department of Dermatology, Medical University of Vienna, Wien, Austria. 9. Department of Dermatology and Venereology, Medical University of Graz, Graz, Austria. 10. University of Arizona Cancer Center, Tucson6University of Arizona Center for Health Outcomes and Pharmacoeconomic Research, Tucson. 11. Dermatology Research Centre, The University of Queensland, School of Medicine, Translational Research Institute, Brisbane, Australia5Dermatology Department, Princess Alexandra Hospital, Brisbane.
Abstract
Importance: Standardizing dermatological imaging is important to improve monitoring of skin lesions and skin conditions, ensure the availability of high-quality images for teledermatology, and contribute to the development of a robust archive of skin images to be used for research. Objective: To provide guidelines for the clinical application of the Standards for Dermatological Imaging set forward by the ISIC. Evidence Review: The ISIC recommendations were developed through a hybrid Delphi methodology. The methods for achieving consensus have been described previously. The practical application of these recommendations was evaluated by 2 clinical photographers with expertise in skin imaging. Images corresponding to each recommendation were taken by a clinical photographer and provided as visual examples of how these recommendations can be implemented in clinical practice. Results: The Standards for Dermatological Imaging developed by the ISIC members could be followed in the clinical setting. Images showing appropriate lighting, background color, field of view, image orientation, focus and depth of field, resolution, and scale and color calibration were obtained by the clinical photographer, by following the detailed recommendations for regional, close-up and dermoscopic images. Conclusions and Relevance: Adhering to the recommendations is both feasible and achievable in practice. Adopting these Standards is the first step in achieving international standardization of skin imaging, with the potential to improve clinical outcomes and research activities.
Importance: Standardizing dermatological imaging is important to improve monitoring of skin lesions and skin conditions, ensure the availability of high-quality images for teledermatology, and contribute to the development of a robust archive of skin images to be used for research. Objective: To provide guidelines for the clinical application of the Standards for Dermatological Imaging set forward by the ISIC. Evidence Review: The ISIC recommendations were developed through a hybrid Delphi methodology. The methods for achieving consensus have been described previously. The practical application of these recommendations was evaluated by 2 clinical photographers with expertise in skin imaging. Images corresponding to each recommendation were taken by a clinical photographer and provided as visual examples of how these recommendations can be implemented in clinical practice. Results: The Standards for Dermatological Imaging developed by the ISIC members could be followed in the clinical setting. Images showing appropriate lighting, background color, field of view, image orientation, focus and depth of field, resolution, and scale and color calibration were obtained by the clinical photographer, by following the detailed recommendations for regional, close-up and dermoscopic images. Conclusions and Relevance: Adhering to the recommendations is both feasible and achievable in practice. Adopting these Standards is the first step in achieving international standardization of skin imaging, with the potential to improve clinical outcomes and research activities.
Authors: Philipp Tschandl; Noel Codella; Bengü Nisa Akay; Giuseppe Argenziano; Ralph P Braun; Horacio Cabo; David Gutman; Allan Halpern; Brian Helba; Rainer Hofmann-Wellenhof; Aimilios Lallas; Jan Lapins; Caterina Longo; Josep Malvehy; Michael A Marchetti; Ashfaq Marghoob; Scott Menzies; Amanda Oakley; John Paoli; Susana Puig; Christoph Rinner; Cliff Rosendahl; Alon Scope; Christoph Sinz; H Peter Soyer; Luc Thomas; Iris Zalaudek; Harald Kittler Journal: Lancet Oncol Date: 2019-06-12 Impact factor: 41.316
Authors: Liam J Caffery; David Clunie; Clara Curiel-Lewandrowski; Josep Malvehy; H Peter Soyer; Allan C Halpern Journal: J Digit Imaging Date: 2018-08 Impact factor: 4.056
Authors: Philipp Tschandl; Cliff Rosendahl; Bengu Nisa Akay; Giuseppe Argenziano; Andreas Blum; Ralph P Braun; Horacio Cabo; Jean-Yves Gourhant; Jürgen Kreusch; Aimilios Lallas; Jan Lapins; Ashfaq Marghoob; Scott Menzies; Nina Maria Neuber; John Paoli; Harold S Rabinovitz; Christoph Rinner; Alon Scope; H Peter Soyer; Christoph Sinz; Luc Thomas; Iris Zalaudek; Harald Kittler Journal: JAMA Dermatol Date: 2019-01-01 Impact factor: 10.282
Authors: C Muñoz-López; C Ramírez-Cornejo; M A Marchetti; S S Han; P Del Barrio-Díaz; A Jaque; P Uribe; D Majerson; M Curi; C Del Puerto; F Reyes-Baraona; R Meza-Romero; J Parra-Cares; P Araneda-Ortega; M Guzmán; R Millán-Apablaza; M Nuñez-Mora; K Liopyris; C Vera-Kellet; C Navarrete-Dechent Journal: J Eur Acad Dermatol Venereol Date: 2020-11-22 Impact factor: 6.166
Authors: Jenna E Rayner; Antonia M Laino; Kaitlin L Nufer; Laura Adams; Anthony P Raphael; Scott W Menzies; H Peter Soyer Journal: Front Med (Lausanne) Date: 2018-05-23