Browsing by Author "Wurm, Elisabeth M T"
Now showing 1 - 4 of 4
Results Per Page
Sort Options
- ItemA prospective study of mobile phones for dermatology in a clinical setting.(2013-10-28) Weingast, Jessika; Scheibböck, Christian; Wurm, Elisabeth M T; Ranharter, Elisabeth; Porkert, Stefanie; Dreiseitl, Stephan; Posch, Christian; Binder, MichaelWe evaluated the accuracy of diagnoses made from pictures taken with the built in cameras of mobile phones in a real life clinical setting A total of 263 patients took part who photographed their own lesions where possible and provided clinical information via a questionnaire After the teledermatology procedure each patient was examined face to face and a gold standard diagnosis was made The telemedicine data and pictures were diagnosed by 15 dermatologists The 299 cases contained 1 22 clinical images each median 3 Nine dermatologists finished all the cases and the remaining six completed some of them thus providing 2893 decisions Overall 61 of all cases were rated as possible to diagnose and of those 80 were correct in comparison with the face to face diagnosis Image quality was evaluated and the median was 5 on a 10 point scale There was a significant correlation between the correct diagnosis and the quality of the photographs taken P Under 0 001 In nearly two thirds of all cases a teledermatology diagnosis was possible however there was insufficient information to make a telemedicine diagnosis in about one third of the cases If applied carefully mobile phones could be a powerful tool for people to optimize their health care status
- ItemTeledermatology: an update.(2008-05-19) Massone, Cesare; Wurm, Elisabeth M T; Hofmann-Wellenhof, Rainer; Soyer, H PeterDermatology is perhaps the most visual specialty in medicine making it ideally suited for modern telemedicine techniques as has been shown in a number of recent studies investigating feasibility and reliability of teledermatology It has generally demonstrated high levels of concordance in diagnosis and management plans compared with face to face consultations Teledermatology also has been used for various purposes including triage diagnostic and management services and second opinion services for primary care practitioners It has been set up in a number of ways 1 direct referral for primary care using images and clinical history sent to secondary care dermatology services for second opinion and for triage referrals and 2 facilitating community based clinics led by nurses or general practitioners Moreover in the last years new fields in teledermatology have grown up Teledermoscopy is a promising area for melanoma screening as well as for the diagnosis and management of equivocal pigmented skin lesions The feasibility of mobile teledermatology and mobile teledermoscopy recently has been proven and these new facilities have the potential to become an easy applicable tool for everyone and may open the door for a new flexible triage system for detection of skin cancer in general and melanoma in particular The implementation of virtual slide systems for teledermatopathology has allowed avoiding the limitations imposed by conventional microphotography Finally web consultations in dermatology are a rather new tool that became available in the last years and teledermatologic services through the Internet offer many possibilities including continuing medical education on line atlases and databases and specific web application suited for teledermatology ie www telederm org
- ItemTeledermatology: how to start a new teaching and diagnostic era in medicine.(2008-03-18) Wurm, Elisabeth M T; Campbell, Terri M; Soyer, H PeterTelemedicine is defined as the use of telecommunication technologies for the exchange of medical information across distances Applications include patient management as well as research and education Teledermatology is a steadily growing category of telemedicine This article presents general aspects of telemedicine such as modes of data transmission and practical applications with a special emphasis on their significance for teledermatology
- ItemTelemedicine and teledermatology: Past, present and future.(2008-02-11) Wurm, Elisabeth M T; Hofmann-Wellenhof, Rainer; Wurm, Robert; Soyer, Hans PeterTelemedicine is an emerging field within medicine with potential to revolutionize the delivery of health care It is defined as the use of telecommunication technologies to transfer medical information Teledermatology is a category of telemedicine Early experiments were already made at the beginning of the 20 th century the breakthrough happened in the nineties because of the rapid progress of telecommunication technology The latest advance is mobile telemedicine which is characterized by the use of mobile devices such as mobile phone and PDA personal digital assistant Advantages of telemedicine are the possibility of remote patient care as well as the easy and fast access to expert opinions and education This can either happen through exchange of previously stored data images store and forward method or in real time Since our society is increasingly becoming interconnected via technical advances it is essential that medicine also has an objective understanding of the topic