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e-Derma – a Novel Wireless Dermatoscopy System

  • Mobile & Wireless Health
  • Published:
Journal of Medical Systems Aims and scope Submit manuscript

Abstract

Cutaneous Melanoma (CM) is a malignant tumour, and is one of the most rapidly growing cancers. Discovering a melanoma in the early stages of the disease is extremely difficult and, as such, only an invasive disease stage can be identified easily with the naked eye. Dermatoscopy is a diagnostic method intended to maximise early detection of CM performed by the dermatoscopy system. To address the limitations of existing systems a novel, wireless digital dermatoscopy system is presented for providing high-resolution images. It integrates a wire-free camera operation and offers a safe transfer of captured images to the computer. The working process of available dermatoscopy systems was studied, which are the most commonly used in everyday dermatology practice. Some findings, like operability, image quality, scalability, user-friendliness, and safeness, were used for the development of an e-Derma dermatoscopy system. An assessment method was performed by a group of dermatoscopy trained dermatologists to evaluate the quality of the testing images. Finally, a laboratory evaluation of images in regard to different parameters like sharpness, colour representation and illumination was performed with the side-by-side comparison of images of available dermatoscopy systems. e-Derma is a novel dermatoscopy system, which eliminates some limitations of existing systems and provides high-quality images. A novel low-budget highly capable dermatoscopy system is presented. The integrated wireless image transfer technology eliminates the movement limitations of a therapist. The image resolution is not limited by the integrated camera; it is easily upgradable with a wide range of on market alternative or improved camera models.

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References

  1. Nikolaou, V., and Stratigos, A., Emerging trends in the epidemiology of melanoma. Br. J. Dermatol. 170(1):11–19, 2014.

    Article  CAS  PubMed  Google Scholar 

  2. Little, E.G., and Eide, M.J., Update on the current state of melanoma incidence. Dermatol. Clin. 30(3):355–361, 2012.

    Article  CAS  PubMed  Google Scholar 

  3. Bay, C., Kejs, A.M.T., Storm, H.H., and Engholm, G., Incidence and survival in patients with cutaneous melanoma by morphology, anatomical site and TNM stage: A Danish population-based register study 1989–2011. Cancer Epidemiol. 39(1):1–7, 2015.

    Article  PubMed  Google Scholar 

  4. Goodson, A.G., and Grossman, D., Strategies for early melanoma detection: Approaches to the patient with nevi. J. Am. Acad. Dermatol. 60(5):719–735, 2009.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Whited, J.D., and Grichnik, J.M., Does this patient have a mole or a melanoma? JAMA. 279(9):696–701, 1998.

    Article  CAS  PubMed  Google Scholar 

  6. Grob, J., and Bonerandi, J., The'ugly duckling'sign: Identification of the common characteristics of nevi in an individual as a basis for melanoma screening. Arch. Dermatol. 134(1):103, 1998.

    Article  CAS  PubMed  Google Scholar 

  7. Vestergaard, M., Macaskill, P., Holt, P., and Menzies, S., Dermoscopy compared with naked eye examination for the diagnosis of primary melanoma: A meta-analysis of studies performed in a clinical setting. Br. J. Dermatol. 159(3):669–676, 2008.

    CAS  PubMed  Google Scholar 

  8. Fink, C., and Haenssle, H., Strategien zur nichtinvasiven Diagnostik des Melanoms. Hautnah. 15(4):110–121, 2016.

    Article  Google Scholar 

  9. Argenziano, G., Ferrara, G., Francione, S., Nola K. D., Martino, A., and Zalaudek, I., Dermoscopy—The ultimate tool for melanoma diagnosis. Semin. Cutan. Med. Surg. 28(3):142–148, 2009.

  10. Carli, P., De Giorgi, V., Crocetti, E., Mannone, F., Massi, D., Chiarugi, A., and Giannotti, B., Improvement of malignant/benign ratio in excised melanocytic lesions in the ‘dermoscopy era’: A retrospective study 1997–2001. Br. J. Dermatol. 150(4):687–692, 2004.

    Article  CAS  PubMed  Google Scholar 

  11. Salerni, G., Terán, T., Puig, S., Malvehy, J., Zalaudek, I., Argenziano, G., and Kittler, H., Meta-analysis of digital dermoscopy follow-up of melanocytic skin lesions: A study on behalf of the international dermoscopy society. J. Eur. Acad. Dermatol. Venereol. 27(7):805–814, 2013.

    Article  CAS  PubMed  Google Scholar 

  12. Tromme, I., Sacré, L., Hammouch, F., Legrand, C., Marot, L., Vereecken, P., Theate, I., van Eeckhout, P., Richez, P., and Baurain, J.-F., Availability of digital dermoscopy in daily practice dramatically reduces the number of excised melanocytic lesions: Results from an observational study. Br. J. Dermatol. 167(4):778–786, 2012.

    Article  CAS  PubMed  Google Scholar 

  13. Marghoob, A.A., Usatine, R.P., and Jaimes, N., Dermoscopy for the family physician. Am. Fam. Physician. 88(7):441–450, 2013.

    PubMed  Google Scholar 

  14. Langford, M., Basic photography. Taylor & Francis, Boca Raton, 2000.

    Google Scholar 

  15. Fossum, E.R., CMOS image sensors: Electronic camera-on-a-chip. IEEE Trans. Electron Devices. 44(10):1689–1698, 1997.

    Article  Google Scholar 

  16. Ratner, D., Thomas, C.O., and Bickers, D., The uses of digital photography in dermatology. J. Am. Acad. Dermatol. 41(5):749–756, 1999.

    Article  CAS  PubMed  Google Scholar 

  17. Wolf, J.A., Moreau, J.F., Akilov, O., Patton, T., English, J.C., Ho, J., and Ferris, L.K., Diagnostic inaccuracy of smartphone applications for melanoma detection. JAMA Dermatol. 149(4):422–426, 2013.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Maier, T., Kulichova, D., Schotten, K., Astrid, R., Ruzicka, T., Berking, C., and Udrea, A., Accuracy of a smartphone application using fractal image analysis of pigmented moles compared to clinical diagnosis and histological result. J. Eur. Acad. Dermatol. Venereol. 29(4):663–667, 2015.

    Article  CAS  PubMed  Google Scholar 

  19. Juric, S., Flis, V., Debevc, M., Holzinger, A., and Zalik, B., Towards a low-cost mobile subcutaneous vein detection solution using near-infrared spectroscopy. Sci. World J. 2014(1):1–15, 2014.

  20. Kroemer, S., Frühauf, J., Campbell, T., Massone, C., Schwantzer, G., Soyer, H.P., and Hofmann-Wellenhof, R., Mobile teledermatology for skin tumour screening: Diagnostic accuracy of clinical and dermoscopic image tele-evaluation using cellular phones. Br. J. Dermatol. 164(5):973–979, 2011.

    Article  CAS  PubMed  Google Scholar 

  21. Juric, S., and Zalik, B., An innovative approach to near-infrared spectroscopy using a standard mobile device and its clinical application in the real-time visualization of peripheral veins. BMC Med. Inform. Decis. Mak. 14(1):1, 2014.

    Article  Google Scholar 

  22. Derma Medical: MoleMax. http://www.dermamedicalsystems.com/. Accessed 4 June 2016, 2016.

  23. Medici Medical: Digital Videosdermoscopy VIDIY 5Mpx. http://www.medici-medical.com/. Accessed 4 June 2016, 2016.

  24. FotoFinder. http://www.fotofinder.de/. Accessed 4 June 2016, 2016.

  25. Bittorf, A., Fartasch, M., Schuler, G., and Diepgen, T.L., Resolution requirements for digital images in dermatology. J. Am. Acad. Dermatol. 37(2):195–198, 1997.

    Article  CAS  PubMed  Google Scholar 

  26. Dugonik, B., Dugonik, A., and Brezocnik, Z., Advanced computer applications in tele dermatology. Citeseer, New York, 2001.

    Google Scholar 

  27. Dinevski, D., Dugonik, B., and Kelc, R., Video communication in telemedicine. INTECH Open Access Publisher, Rijeka, 2011.

    Book  Google Scholar 

  28. Braun, R.P., Vecchietti, J.L., Thomas, L., Prins, C., French, L.E., Gewirtzman, A.J., Saurat, J.-H., and Salomon, D., Telemedical wound care using a new generation of mobile telephones: A feasibility study. Arch. Dermatol. 141(2):254–258, 2005.

    Article  PubMed  Google Scholar 

  29. Chung, P., Yu, T., and Scheinfeld, N., Using cellphones for teledermatology, a preliminary study. Dermatol. Online J. 13(3):1–2, 2007.

    CAS  Google Scholar 

  30. VISIOMED. http://www.visiomedag.com/.

  31. Heine. http://www.heine.com.

  32. Dermlite. http://dermlite.com/.

  33. Zeng, W., Zhao, Y., Song, W., and Ou, K., Research on wireless storage system key technologies. In: Computer Sciences and Convergence Information Technology. ICCIT'09. Fourth International Conference on. IEEE, pp 191–195, 2009.

  34. Eye-Fi Mobi SD card. http://www.eyefi.com/products/.

  35. Lakhtaria, K.I., Next generation wireless network security and privacy. IGI Global, Hershey, 2015.

    Book  Google Scholar 

  36. Rezaei, F., Hempel, M., and Sharif, H., A survey of recent trends in wireless communication standards, routing protocols, and energy harvesting techniques in E-health applications. Int. J. E-Health Med Commun. (IJEHMC). 6(1):1–21, 2015.

    Article  Google Scholar 

  37. Konstantaras, S., and Dillon, C., Exploiting vulnerabilities of Wi-Fi SD cards. https://www.os3.nl/_media/2013-2014/courses/ot/connor_stavros.pdf.

  38. Gossen Digisky light meter. http://www.gossen-photo.de/english/foto_p_digisky.php.

  39. Lamminen, H., Ruohonen, K., and Uusitalo, H., Visual tests for measuring the picture quality of teleconsultations for medical purposes. Comput. Methods Programs Biomed. 65(2):95–110, 2001.

    Article  CAS  PubMed  Google Scholar 

  40. Maglogiannis, I., Design and implementation of a calibrated store and forward imaging system for teledermatology. J. Med. Syst. 28(5):455–467, 2004.

    Article  PubMed  Google Scholar 

  41. Blum, A., and Jaworski, S., Deutliche Unterschiede von Hand-Dermatoskopen in der Bildqualität. JDDG: J. Dtsch. Dermatol. Ges. 4(12):1054–1057, 2006.

  42. Rosado, L., Vasconcelos, M., and Castro, R., From dermoscopy to mobile teledermatology. Dermoscopy Image Analysis. CRC Press, pp. 385-418, 2015.

  43. Wueller, D., and Kejser, U. B., Standardization of image quality analysis–ISO 19264. In: Archiving Conference. vol 1. Society for Imaging Science and Technology, pp 111–116, 2016.

  44. X-Rite ColorChecker. http://xritephoto.com/colorchecker-classic.

  45. Lens Testing for Resolution, Chromatic Aberration and Distortion. http://bobatkins.com/photography/technical/lens_sharpness.html.

  46. imatest - Sharpness. http://www.imatest.com/docs/sharpness/.

  47. Adobe Photoshop. http://www.photoshop.com/.

  48. Image engineering - Exposure. http://www.image-engineering.de/library/video-tutorials/663-video-tutorial-exposure.

  49. Luminous landscape - Determining exposure. https://luminous-landscape.com/determining-exposure/.

  50. Cambridge in colour - Sharpness. http://www.cambridgeincolour.com/tutorials/sharpness.htm.

  51. ISO 12233:2014 - Photography: Electronic still picture imaging - Resolution and spatial frequency responses. https://www.iso.org/obp/ui/#iso:std:iso:12233:ed-2:v1:en.

  52. NBS-1010A RESOLUTION TEST. https://www.appliedimage.com/using-nbs-1010a-resolution-test-target.

  53. Salomon, D., Data compression: The complete reference. Springer Science & Business Media, London, 2004.

    Google Scholar 

Download references

Acknowledgements

Authors thanks the medical personnel of the Department of Dermatology in the University Medical Centre Maribor for their significant help in the image assessment evaluation.

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Correspondence to Bogdan Dugonik.

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The authors declare that they have no conflict of interest.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.

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Informed consent was obtained from all individual participants included in the study.

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This article is part of the Topical Collection on Mobile & Wireless Health

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Dugonik, B., Dugonik, A., Horvat, D. et al. e-Derma – a Novel Wireless Dermatoscopy System. J Med Syst 41, 205 (2017). https://doi.org/10.1007/s10916-017-0849-6

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