WFRF:(Cartocci A.)
Search: WFRF:(Cartocci A.) > (2023) > A risk-scoring mode...
- 1 of 1
- Previous record
- Next record
- To hitlist
A risk-scoring model for the differential diagnosis of lentigo maligna and other atypical pigmented facial lesions of the face: The facial iDScore
- Tognetti, L. (author)
- Cartocci, A. (author)
- Zychowska, M. (author)
- show more...
- Savarese, I. (author)
- Cinotti, E. (author)
- Pizzichetta, M. A. (author)
- Moscarella, E. (author)
- Longo, C. (author)
- Farnetani, F. (author)
- Guida, S. (author)
- Lallas, A. (author)
- Tiodorovic, D. (author)
- Stanganelli, I. (author)
- Magi, S. (author)
- Dika, E. (author)
- Zalaudek, I. (author)
- Suppa, M. (author)
- Argenziano, G. (author)
- Pellacani, G. (author)
- Perrot, J. L. (author)
- Miracapillo, C. (author)
- Rubegni, G. (author)
- Cevenini, G. (author)
- Rubegni, P. (author)
- show less...
- (creator_code:org_t)
- 2023
- 2023
- English.
- In: Journal of the European Academy of Dermatology and Venereology. - 0926-9959. ; 37:11, s. 2301-2310
- Journal article (peer-reviewed)
Abstract
Subject headings
Close
- BackgroundDue to progressive ageing of the population, the incidence of facial lentigo maligna (LM) of the face is increasing. Many benign simulators of LM and LMM, known as atypical pigmented facial lesions (aPFLs-pigmented actinic keratosis, solar lentigo, seborrheic keratosis, seborrheic-lichenoid keratosis, atypical nevus) may be found on photodamaged skin. This generates many diagnostic issues and increases the number of biopsies, with a subsequent impact on aesthetic outcome and health insurance costs. ObjectivesOur aim was to develop a risk-scoring classifier-based algorithm to estimate the probability of an aPFL being malignant. A second aim was to compare its diagnostic accuracy with that of dermoscopists so as to define the advantages of using the model in patient management. Materials and MethodsA total of 154 dermatologists analysed 1111 aPFLs and their management in a teledermatology setting: They performed pattern analysis, gave an intuitive clinical diagnosis and proposed lesion management options (follow-up/reflectance confocal microscopy/biopsy). Each case was composed of a dermoscopic and/or clinical picture plus metadata (histology, age, sex, location, diameter). The risk-scoring classifier was developed and tested on this dataset and then validated on 86 additional aPFLs. ResultsThe facial Integrated Dermoscopic Score (iDScore) model consisted of seven dermoscopic variables and three objective parameters (diameter & GE; 8 mm, age & GE; 70 years, male sex); the score ranged from 0 to 16. In the testing set, the facial iDScore-aided diagnosis was more accurate (AUC = 0.79 [IC 95% 0.757-0.843]) than the intuitive diagnosis proposed by dermatologists (average of 43.5%). In the management study, the score model reduced the number of benign lesions sent for biopsies by 41.5% and increased the number of LM/LMM cases sent for reflectance confocal microscopy or biopsy instead of follow-up by 66%. ConclusionsThe facial iDScore can be proposed as a feasible tool for managing patients with aPFLs.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Dermatologi och venereologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Dermatology and Venereal Diseases (hsv//eng)
Keyword
- sun-damaged skin
- dermoscopic differentiation
- actinic keratosis
- melanoma
- dermatoscopy
- accuracy
- macules
- Dermatology
Publication and Content Type
- ref (subject category)
- art (subject category)
Find in a library
- Journal of the European Academy of Dermatology and Venereology (Search for host publication in LIBRIS)
To the university's database
- 1 of 1
- Previous record
- Next record
- To hitlist
Find more in SwePub
- By the author/editor
- Tognetti, L.
- Cartocci, A.
- Zychowska, M.
- Savarese, I.
- Cinotti, E.
- Pizzichetta, M. ...
- show more...
- Moscarella, E.
- Longo, C.
- Farnetani, F.
- Guida, S.
- Paoli, John, 197 ...
- Lallas, A.
- Tiodorovic, D.
- Stanganelli, I.
- Magi, S.
- Dika, E.
- Zalaudek, I.
- Suppa, M.
- Argenziano, G.
- Pellacani, G.
- Perrot, J. L.
- Miracapillo, C.
- Rubegni, G.
- Cevenini, G.
- Rubegni, P.
- show less...
- About the subject
-
- MEDICAL AND HEALTH SCIENCES
- MEDICAL AND HEAL ...
- and Clinical Medicin ...
- and Dermatology and ...
- Articles in the publication
- Journal of the E ...
- By the university
- University of Gothenburg
Search outside SwePub
- Extend your search to:
- Google Book Search
- Google Scholar
Kungliga biblioteket hanterar dina personuppgifter i enlighet med EU:s dataskyddsförordning (2018), GDPR. Läs mer om hur det funkar här.
Så här hanterar KB dina uppgifter vid användning av denna tjänst.
- Copyright © LIBRIS - National Library Systems
- LIBRIS.kb.se
