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Related Experiment Video

Updated: Mar 10, 2026

Combining Reflectance Confocal Microscopy with Optical Coherence Tomography for Noninvasive Diagnosis of Skin Cancers via Image Acquisition
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Unimaged Melanomas in Store-and-Forward Teledermatology.

James L Gendreau1, Jordan Gemelas1, Melinda Wang2

  • 11 School of Public Health, University of Washington, Seattle, Washington.

Telemedicine Journal and E-Health : the Official Journal of the American Telemedicine Association
|December 9, 2016
PubMed
Summary

Primary care providers may miss imaging melanomas in store-and-forward teledermatology (SFT) referrals. This study found a 10.1 per 10,000 consultation rate for unimaged melanomas, suggesting SFT is noninferior to in-person care.

Keywords:
dermatologyteledermatologytelehealthtelemedicineveteran

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Area of Science:

  • Dermatology
  • Telemedicine
  • Public Health

Background:

  • Store-and-forward teledermatology (SFT) relies on captured images for diagnosis.
  • Concerns exist about primary care providers (PCPs) accurately imaging melanoma lesions.
  • Unimaged melanomas are those not photographed by PCPs.

Purpose of the Study:

  • To determine the frequency of unimaged melanomas in Veterans using SFT.
  • To assess the diagnostic limitations of SFT in melanoma detection.

Main Methods:

  • Retrospective analysis of SFT consultations for melanoma diagnoses.
  • Data sourced from VA corporate data warehouse and patient records.
  • Inclusion criteria applied to identify relevant melanoma cases.

Main Results:

  • 13 out of 69 identified melanomas were unimaged.
  • The frequency of unimaged melanoma was 10.1 per 10,000 SFT consultations.
  • Study population comprised 7,960 Veterans over a 30-month period.

Conclusions:

  • PCPs may fail to image melanomas when referring patients via SFT.
  • The rate of unimaged melanomas suggests SFT is comparable to face-to-face care for Veterans.
  • Findings are specific to the Veteran population and may not generalize to the public.