Update and Clinical Use of Imaging Technologies for Pigmented Lesions of the Skin

The incidence of melanoma is on the rise, and early detection of disease is imperative to
reduce mortality. Dermatologists are key players in the early detection of melanoma;
however, some clinicians rely on their clinical examination without any additional diagnostic
tools to make this important diagnosis. Certain patients, such as atypical nevus patients,
have more complicated mole examinations, making the diagnosis of melanoma difficult,
whereas some melanomas, such as amelanotic melanomas, can be diagnostically challenging.
The goal of the clinician is to detect melanoma with the highest accuracy, while
avoiding unnecessary biopsies. Using diagnostic melanoma tools as an adjunct to the
clinical examination, dermatologists have the opportunity to increase both their sensitivity
and specificity for melanoma detection. This article will review current imaging technologies
and those in development for pigmented lesions, updating the clinician on basic
principals of such modalities and clinical use of such technologies in practice.
Semin Cutan Med Surg 31:38-44 © 2012 Elsevier Inc. All rights reserved.

The incidence of melanoma is on the rise, and early detection of disease is imperative to
reduce mortality. Dermatologists are key players in the early detection of melanoma;
however, some clinicians rely on their clinical examination without any additional diagnostic
tools to make this important diagnosis. Certain patients, such as atypical nevus patients,
have more complicated mole examinations, making the diagnosis of melanoma difficult,
whereas some melanomas, such as amelanotic melanomas, can be diagnostically challenging.
The goal of the clinician is to detect melanoma with the highest accuracy, while
avoiding unnecessary biopsies. Using diagnostic melanoma tools as an adjunct to the
clinical examination, dermatologists have the opportunity to increase both their sensitivity
and specificity for melanoma detection. This article will review current imaging technologies
and those in development for pigmented lesions, updating the clinician on basic
principals of such modalities and clinical use of such technologies in practice.
Semin Cutan Med Surg 31:38-44 © 2012 Elsevier Inc. All rights reserved.

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