Teledermatology During COVID-19: An Updated Review

Farr, Morgan A.; Duvic, Madeleine; Joshi, Tejas P

doi:10.1007/s40257-021-00601-y

Cited by 41 publications

(29 citation statements)

References 62 publications

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“…Machine-based learning can be combined with RCM and RS to improve diagnostic accuracy without a need for extensive training of physicians [112,121]. In the era of COVID-19, teledermatology has become increasingly popular [122]. These emerging techniques for skin cancer diagnosis have the potential to be part of teledermatology in primary care settings.…”

Section: Conclusion and Future Perspectivesmentioning

confidence: 99%

Emerging Minimally Invasive Technologies for the Detection of Skin Cancer

Jung

Cho

Lee

et al. 2021

JPM

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With the increasing incidence of skin cancer, many noninvasive technologies to detect its presence have been developed. This review focuses on reflectance confocal microscopy (RCM), optical coherence tomography (OCT), high-frequency ultrasound (HFUS), electrical impedance spectroscopy (EIS), pigmented lesion assay (PLA), and Raman spectroscopy (RS) and discusses the basic principle, clinical applications, advantages, and disadvantages of each technology. RCM provides high cellular resolution and has high sensitivity and specificity for the diagnosis of skin cancer. OCT provides lower resolution than RCM, although its evaluable depth is deeper than that of RCM. RCM and OCT may be useful in reducing the number of unnecessary biopsies, evaluating the tumor margin, and monitoring treatment response. HFUS can be mainly used to delineate tumor depths or margins and monitor the treatment response. EIS provides high sensitivity but low specificity for the diagnosis of skin malignancies. PLA, which is based on the genetic information of lesions, is applicable for the detection of melanoma with high sensitivity and moderate-to-high specificity. RS showed high accuracy for the diagnosis of skin cancer, although more clinical studies are required. Advances in these technologies for the diagnosis of skin cancer can lead to the realization of optimized and individualized treatments.

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Section: Conclusion and Future Perspectivesmentioning

confidence: 99%

Emerging Minimally Invasive Technologies for the Detection of Skin Cancer

Jung

Cho

Lee

et al. 2021

JPM

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“…As the shortage of physicians continues to increase, we must expand the boundaries of health care to meet our diverse and growing population needs. Some of the proposed benefits of telemedicine include increased efficiency, increased access to care for individuals in rural areas, increased access to specialty care, decreased costs, decreased need to travel, and triaging for in-person (IP) visits [1].…”

Section: Introductionmentioning

confidence: 99%

Assessing the Diagnostic Accuracy of Teledermatology Consultations at a Local Veterans Affairs Dermatology Clinic

Gerhardt¹,

Foels²,

Grewe³

et al. 2021

Cureus

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With the advances in health information technology and the need for increased access to specialized health care, the advent of telemedicine was designed to bring care to individuals at a distance. Telemedicine decreases barriers to health care and brings medical specialists to underserved areas and populations. We have seen a tremendous increase in the need and utilization of telemedicine during the COVID-19 pandemic due to the lockdowns and social distancing efforts. Virtual care continues to be extended to patients to maintain their health care needs when in-person clinic appointments are not feasible or ideal such as seen during a pandemic. Telemedicine is an additional tool that has proven vital to our healthcare system. To provide optimal care, a strong technological infrastructure must be in place. Once in practice, positive outcomes have been noted for patients and healthcare providers as diagnosis, treatment, and appropriate triage can be made virtually and at the patients' convenience. To ensure high-quality care is provided through the Veterans Affairs teledermatology consultation service, we investigated the concordance of teledermatology diagnoses with clinical examination findings through a retrospective chart review covering a one-year time period. Our study found a concordance of 75.3% between the teledermatology diagnoses and the in-person clinical diagnoses. The main limitation we found to virtual examination is the inability to perform total body skin examinations. We found that 60.2% of patients had additional diagnoses when examined in person, with 8.4% of patients having an additional malignant diagnosis. These findings highlight the need for in-person examinations when feasible to ensure that no other diagnoses go undiscovered if not captured on the submitted images for teledermatology consultation. Despite the limitations posed by photographic examination, teledermatology can be used as a reliable method for diagnosis when a conventional in-person examination is not readily available or ideal, such as during a pandemic, and can serve as a powerful triaging tool.

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“…Moreover, TD offers 2 flexible models of care: synchronously, over a videoconferencing platform and asynchronously, through photographs sent via online communication tools (store and forward dermatology) [6]. Both synchronous and asynchronous TD models have been extensively deployed during the coronavirus disease 2019 (COVID-19) pandemic, and despite their deficiencies, represent promising paradigms of delivering remote care [7].…”

Section: Introductionmentioning

confidence: 99%

Teledermatology in the Control of Skin Neglected Tropical Diseases: A Systematic Review

Joshi

Ren

2021

Dermatol Pract Concept

Self Cite

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Introduction: Neglected tropical diseases (NTDs) include a group of about 20 illnesses that have garnered relatively little attention, despite their ability to inflict significant suffering and disability. Skin neglected tropical diseases (sNTDs) are a subset of NTDs that present with cutaneous manifestations and are well known for their ability to generate stigma and promote poverty. Teledermatology (TD) represents a potential method to control sNTDs. Objective: We sought to analyze the potential for TD to ease the burden of sNTDs. Methods: We performed a systematic literature search using the Texas Medical Center Library One Search, which scans 167 databases, including Embase, PubMed, and Scopus. We included all original investigations published after 2011 that assessed the impact of TD intervention in the control of one or more sNTDs. We excluded studies not written in English and studies that did not perform any outcome analyses. Results: 20 studies met our search criteria, and 18 expressed positive attitudes towards TD. Overall, we found that TD may be a sustainable, cost-effective strategy for expanding access to care for individuals afflicted with sNTDs. However, poor image quality, lack of access to further diagnostic tests, and ethical, legal, and cultural issues pose as barriers to TD utilization. Conclusion: TD may be helpful in achieving control of sNTDs but has its limitations. An integrated approach, which employs TD in conjunction with other strategies, represents a realistic path for alleviating sNTDs.

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Teledermatology During COVID-19: An Updated Review

Cited by 41 publications

References 62 publications

Emerging Minimally Invasive Technologies for the Detection of Skin Cancer

Emerging Minimally Invasive Technologies for the Detection of Skin Cancer

Assessing the Diagnostic Accuracy of Teledermatology Consultations at a Local Veterans Affairs Dermatology Clinic

Teledermatology in the Control of Skin Neglected Tropical Diseases: A Systematic Review

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