Author/Editor		Argenziano, Giuseppe; Soyer, Peter; Chimenti, Sergio; Talamini, Renato; Corona, Rosamaria; Sera, Francesco; Binder, Michael; Cerroni, Lorenzo; de Rosa, Gaetano; Bartenjev, Igor
Title		Dermoscopy of pigmented skin lesions: results of a consensus meeting via the internet
Type		članek
Source		J Am Acad Dermatol
Vol. and No.		Letnik 48, št. 5
Publication year		2003
Volume		str. 679-89
Language		eng
Abstract		Background: There is a need for better standardization of the dermoscopic terminology in assessing pigmented skin lesions. Objective: The virtual Consensus Net Meeting on Dermoscopy was organized to investigate reproducibility and validity of the various features and diagnostic algorithms. Methods: Dermoscopic images of 108 lesions were evaluated via the Internet by 40 experienced dermascopists using a 2-step diagnostic procedure. The first-step algorithm distinguished melanocytic versus nonmelanocytic lesions. The second step in the diagnostic procedure used 4 algorithms (pattern analssis, ABCD rule, Menzies method, and 7-point checklist) to distinguish melanoma versus benign melanocytic lesions. K Values, log odds ratios, sensitivity, specificity, and positive likelihood ratios were estimated for all diagnostic algorithms and dermoscopic features: Results. Interobserver agreement was fair tb good for all diagnostic methods, but it was poor for the majority of dermoscopic criteria. Intraobserver agreement was good to excellent for all algorithms and features considered. Paaern analysis allowed the best diagnostic performance (positive likelihood ratio: 5.1), whereas alternative algorithms revealed comparable sensitivity but less specificity. Interobserver agreement on management decisions made by dermoscopy was fairly good (mean K value: 0.53). Conclusion: The virtual Consensus Net Meeting on Dermoscopy represents a valid tool for better standardization of the dermoscopic terminology and, moreover, opens up a new territory for diagnosing and managing pigmented skin lesions.
Descriptors		MELANOMA SKIN NEOPLASMS SKIN PIGMENTATION MICROSCOPY PRACTICE GUIDELINES ALGORITHMS CARCINOMA, BASAL CELL DIAGNOSIS, DIFFERENTIAL SKIN DISEASES PHOTOGRAPHY REFERENCE VALUES SENSITIVITY AND SPECIFICITY COMPUTER COMMUNICATION NETWORKS