CASH Algorithm for Dermoscopy Revisited

Dermatoscopy for Melanoma and Pigmented Lesions

“…16,[21][22][23] In an Internet Consensus Meeting of 40 expert dermatologists, the reproducibility and validity of pattern analysis, the ABCD rule, the Menzies method, and the 7-point checklist were compared. All of the methods allowed for better sensitivity in distinguishing melanoma versus benign melanocytic lesions.…”

“…Based solely on the 7-point checklist threshold of at least 3 points, the study achieved a sensitivity of 62%, which was lower than any of the reported levels (76%-95%) in previous retrospective studies. 18,22,23,28 Of 127 melanomas, 48 lesions had scores less than 3 points, and thus would not have been detected with the 7-point checklist alone. The use of complementary information such as lesional history or dynamic changes detected through digital dermatoscopy were responsible for diagnosing these melanomas that were missed through the algorithm alone.…”

Dermoscopy: Where are we?

“…LED dermatoscopes have increased diagnostic precision by up to 30%, compared to clinical naked eye examinationsdepending on the type of skin lesion and skill of the practitioner [5] . A new CASH algorithm for dermoscopy has recently been defined [6,7] , which uses the criteria of color, architecture, symmetry, and homogeneity. Vascular arrangements of skin lesions have also gained more significance in dermoscopy in recent years [5] .…”

Dermoscopy for the diagnosis of melanoma: primary care diagnostic technology update

“…[8][9][10] An alternative to dermoscopy called MoleMate™, which uses spectrophotometric intracutaneous analysis (SIAscopy) along with an algorithm specifically developed for primary care, has been evaluated in a multicentre randomised controlled trial in the UK. 11 The trial was completed in December 2010; however, the findings are as yet unpublished.…”