Diagnostic accuracy and image quality using a digital camera for teledermatology

E. A. Krupinski, B. Lesueur, L. Ellsworth, N. Levine, R. Hansen, N. Silvis, P. Sarantopoulos, P. Hite, J. Wurzel, R. S. Weinstein, A. M. Lopez

Research output: Contribution to journalArticlepeer-review

139 Scopus citations


Objective: The study was designed to evaluate the effectiveness of digital photography for dermatologic diagnoses and compare it with in-person diagnoses. Materials and Methods: Patients referred for specialty consultations (n = 308) were recruited from a university dermatology clinic. Patients were examined in-person by one of three board-certified dermatologists who provided clinical diagnoses. Digital photos were obtained on all patients and were evaluated as computer images by a panel of dermatologists. Results: There was 83% concordance between in-person versus digital photo diagnoses. Intradermatologist concordance averaged 84%, and interdermatologist concordance averaged 81%. Decision confidence was rated as 'very definite' to 'definite' 62% of the time. Concordance with biopsy results was achieved in 76% of the cases. Image sharpness and color quality were rated 'good' to 'excellent' 83% and 93% of the time, respectively. Conclusion: Digital photography for store-and-forward teledermatology produces high-quality images and diagnostic concordance rates that compare favorably with in-person clinical diagnoses.

Original languageEnglish (US)
Pages (from-to)257-263
Number of pages7
JournalTelemedicine Journal
Issue number3
StatePublished - 1999

ASJC Scopus subject areas

  • Medicine(all)


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