{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:16:24Z","timestamp":1787008584768,"version":"build-2736575974"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2024,1,25]],"date-time":"2024-01-25T00:00:00Z","timestamp":1706140800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,21]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Despite the huge improvement in smartphone cameras, there has not been any real interest in the UK in pursuing patient-facing teledermatology within the sphere of skin lesion triage. High-specification dermoscopic images can be generated with smartphone attachments, but, to date, no formal clinical trial has been performed to establish the efficacy and feasibility of these consumer-level dermoscopes in skin lesion triage. The objectives of this study were to assess the ability of patients to capture dermoscopic images using a smartphone attachment, and to identify the safety and diagnostic accuracy of consumer-level dermoscopy in triaging out benign skin lesions from the 2-week-wait (2WW) cancer pathway. We recruited 78 patients already attending a face-to-face clinic at two locations. They were provided with instruction leaflets and asked to obtain dermoscopic and macroscopic images of their lesion(s) using their own smartphones. The images (and a brief history) were distributed to five experienced blinded assessors (consultants), who were asked to state their working diagnosis and outcome (reassurance, routine review or 2WW pathway), as they would in teledermatology. We compared their outcomes to the gold-standard in-person diagnosis and\/or histological diagnosis, where available. The device achieved 100% sensitivity in diagnosing melanoma and squamous cell carcinoma (SCC). The specificity for the diagnoses of melanoma (89%) and SCC (83%) was high. The overall diagnostic accuracy was 77% for both benign and malignant lesions, The diagnostic accuracy was high for seborrhoeic keratosis (91%) and simple naevi (81%). Patient-captured dermoscopic images using bespoke smartphone attachments could be the future in safely triaging out benign lesions.<\/jats:p>","DOI":"10.1093\/ced\/llae031","type":"journal-article","created":{"date-parts":[[2024,1,23]],"date-time":"2024-01-23T15:35:53Z","timestamp":1706024153000},"page":"612-615","source":"Crossref","is-referenced-by-count":5,"title":["Patient-led teledermatology for skin lesion triage: a\u00a0service evaluation of the DyplensTM dermoscope"],"prefix":"10.1093","volume":"49","author":[{"given":"Shafiah Muna","family":"Abdul Gafoor","sequence":"first","affiliation":[{"name":"Department of Dermatology, University Hospital Plymouth NHS Trust , Plymouth , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toby","family":"Nelson","sequence":"additional","affiliation":[{"name":"Department of Dermatology, University Hospital Plymouth NHS Trust , Plymouth , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Woodcock","sequence":"additional","affiliation":[{"name":"Department of Dermatology, University Hospital Plymouth NHS Trust , Plymouth , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Btari","family":"Adityani","sequence":"additional","affiliation":[{"name":"Department of Dermatology, University Hospital Plymouth NHS Trust , Plymouth , UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,1,25]]},"reference":[{"key":"2024052116310648100_llae031-B1","doi-asserted-by":"crossref","first-page":"e0270715","DOI":"10.1371\/journal.pone.0270715","article-title":"A prospective diagnostic evaluation of accuracy of self-taken and healthcare worker-taken swabs for rapid COVID-19 testing","volume":"17","author":"Savage","year":"2022","journal-title":"PLOS 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short-term monitoring of clinically atypical nevi","volume":"151","author":"Wu","year":"2015","journal-title":"JAMA Dermatol"},{"key":"2024052116310648100_llae031-B5","article-title":"Teledermatology for diagnosing skin cancer in adults","volume":"12","author":"Chuchu","year":"2018","journal-title":"Cochrane Database Syst Rev"},{"key":"2024052116310648100_llae031-B6","first-page":"218","article-title":"Telehealth benefits and barriers","volume":"17","author":"Gajarawala","year":"2021","journal-title":"J\u00a0Nurse Pract"},{"key":"2024052116310648100_llae031-B7","doi-asserted-by":"crossref","first-page":"1589","DOI":"10.1111\/ced.14795","article-title":"Every cloud has a silver lining: the environmental benefit of teledermatology during the COVID-19 pandemic","volume":"46","author":"O\u2019Connell","year":"2021","journal-title":"Clin Exp Dermatol"},{"key":"2024052116310648100_llae031-B8","doi-asserted-by":"crossref","first-page":"1038","DOI":"10.1111\/jdv.14565","article-title":"Teledermoscopy images acquired in primary health care and hospital settings \u2013 a comparative study of image quality","volume":"32","author":"Dahl\u00e9n Gyllencreutz","year":"2017","journal-title":"J\u00a0Eur Acad Dermatol Venereol"},{"key":"2024052116310648100_llae031-B9","doi-asserted-by":"crossref","first-page":"495","DOI":"10.1089\/tmj.2020.0057","article-title":"The comparative use of multiple electronic devices in the teledermoscopic diagnosis of early melanoma","volume":"27","author":"Tognetti","year":"2021","journal-title":"Telemed J E Health"},{"key":"2024052116310648100_llae031-B10","author":"NHS"}],"container-title":["Clinical and Experimental 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