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Technique Standards for Skin Lesion Imaging: A Delphi Consensus Statement.

Chinmayee Katragadda1, Anna Finnane2, H Peter Soyer3

  • 1University of Arizona Center for Health Outcomes and Pharmacoeconomic Research, Tucson.

JAMA Dermatology
|November 29, 2016
PubMed
Summary
This summary is machine-generated.

Consensus guidelines for skin imaging were developed by the International Skin Imaging Collaboration (ISIC) using a Delphi method. These standards aim to improve the quality and consistency of dermatological images for better clinical practice and research.

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Area of Science:

  • Dermatology
  • Medical Imaging
  • Standardization

Background:

  • Variability in skin image acquisition metrics affects image quality and generalizability.
  • Lack of universal imaging standards hinders dermatology practice and research.
  • Consensus guidelines are crucial for establishing universal imaging standards.

Purpose of the Study:

  • To achieve consensus among International Skin Imaging Collaboration (ISIC) members on standards for skin image acquisition metrics.
  • To establish universal imaging standards in dermatology through a hybrid Delphi method.

Main Methods:

  • A 5-round hybrid Delphi method was employed for consensus building.
  • An initial set of statements was developed by a core group and refined through iterative ratings and revisions.
  • An extended group of ISIC members validated the consensus process through scoring and revisions.

Main Results:

  • A consensus was reached on 33 recommendations for skin imaging standards.
  • Key areas covered include lighting, background color, field of view, image orientation, focus, resolution, scale, color calibration, and image storage.
  • Specific guidelines were established for each of these critical imaging parameters.

Conclusions:

  • The iterative Delphi process successfully yielded strong consensus on skin imaging standards.
  • Adoption of these standards is expected to enhance clinical practice, data exchange, and research.
  • Further testing in real-world clinical settings is recommended to validate the feasibility and effectiveness of these standards.