Skip to main content

Advertisement

Log in

Systematic review of mobile phone-based teledermatology

  • Review
  • Published:
Archives of Dermatological Research Aims and scope Submit manuscript

Abstract

Teledermatology is an expanding field within dermatology that has grown and become more clinically accepted by both patients and doctors. With approximately 260 million mobile phone users in the US and 4–6 billion worldwide with access to mobile phones, teledermatology serves as a potentially useful tool for diagnosis and management (Samkange-Zeeb and Blettner in Emerg Health Threats J, https://doi.org/10.3134/ehtj.09.005, 2009). In this review, we provide a detailed overview of mobile phone technology and the accumulating evidence for its incorporation into dermatology. Key questions addressed include accuracy and concordance between mobile teledermatology and face-to-face dermatology for the diagnosis of skin conditions. Similarly, accuracy and concordance were compared for the management of skin conditions. To track the development of mobile phone technology, we also assessed how data were captured, stored, and displayed in teledermatology studies.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Barbieri JS, Nelson CA, James WD, Margolis DJ, Littman-Quinn R, Kovarik CL, Rosenbach M (2014) The reliability of teledermatology to triage inpatient dermatology consultations. JAMA Dermatol 150:419–424. https://doi.org/10.1001/jamadermatol.2013.9517

    Article  PubMed  Google Scholar 

  2. Borve A, Dahlen Gyllencreutz J, Terstappen K, Johansson Backman E, Aldenbratt A, Danielsson M, Gillstedt M, Sandberg C, Paoli J (2015) Smartphone teledermoscopy referrals: a novel process for improved triage of skin cancer patients. Acta Dermato-Venereol 95:186–190. https://doi.org/10.2340/00015555-1906

    Article  Google Scholar 

  3. Borve A, Holst A, Gente-Lidholm A, Molina-Martinez R, Paoli J (2012) Use of the mobile phone multimedia messaging service for teledermatology. J Telemed Telecare 18:292–296. https://doi.org/10.1258/jtt.2012.120206

    Article  PubMed  Google Scholar 

  4. Borve A, Molina-Martinez R (2009) A pilot study of a medical information service using mobile phones in Sweden. J Telemed Telecare 15:421–422. https://doi.org/10.1258/jtt.2009.009002

    Article  PubMed  Google Scholar 

  5. Börve A, Terstappen K, Sandberg C, Paoli J (2013) Mobile teledermoscopy-there’s an app for that! Dermatol Pract Concept 3(2):41–48

    Article  Google Scholar 

  6. Boyce Z, Gilmore S, Xu C, Soyer HP (2011) The remote assessment of melanocytic skin lesions: a viable alternative to face-to-face consultation. Dermatology 223:244–250. https://doi.org/10.1159/000333363

    Article  CAS  PubMed  Google Scholar 

  7. Braun RP, Vecchietti JL, Thomas L, Prins C, French LE, Gewirtzman AJ, Saurat JH, Salomon D (2005) Telemedical wound care using a new generation of mobile telephones: a feasibility study. Arch Dermatol 141:254–258

    PubMed  Google Scholar 

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

    PubMed  Google Scholar 

  9. Ebner C, Wurm EM, Binder B, Kittler H, Lozzi GP, Massone C, Gabler G, Hofmann-Wellenhof R, Soyer HP (2008) Mobile teledermatology: a feasibility study of 58 subjects using mobile phones. J Telemed Telecare 14:2–7. https://doi.org/10.1258/jtt.2007.070302

    Article  PubMed  Google Scholar 

  10. Fruhauf J, Hofman-Wellenhof R, Kovarik C, Mulyowa G, Alitwala C, Soyer HP, Kaddu S (2013) Mobile teledermatology in sub-Saharan Africa: a useful tool in supporting health workers in low-resource centres. Acta Dermato-Venereol 93:122–123. https://doi.org/10.2340/00015555-1404

    Article  Google Scholar 

  11. Frühauf J, Schwantzer G, Ambros-Rudolph CM, Weger W, Ahlgrimm-Siess V, Salmhofer W, Hofmann-Wellenhof R (2010) Pilot study using teledermatology to manage high-need patients with psoriasis. Arch Dermatol 146:200–201

    Article  Google Scholar 

  12. Greisman L, Nguyen TM, Mann RE, Baganizi M, Jacobson M, Paccione GA, Friedman AJ, Lipoff JB (2015) Feasibility and cost of a medical student proxy-based mobile teledermatology consult service with Kisoro, Uganda, and Lake Atitlan, Guatemala. Int J Dermatol 54:685–692. https://doi.org/10.1111/ijd.12708

    Article  PubMed  Google Scholar 

  13. Greisman L, Nguyen TM, Mann RE, Baganizi M, Jacobson M, Paccione GA, Friedman AJ, Lipoff JB (2015) Feasibility and cost of a medical student proxy-based mobile teledermatology consult service with Kisoro, Uganda, and Lake Atitlán, Guatemala. Int J Dermatol 54:685–692

    Article  Google Scholar 

  14. Kaliyadan F, Amin TT, Kuruvilla J, Ali WH (2013) Mobile teledermatology-patient satisfaction, diagnostic and management concordance, and factors affecting patient refusal to participate in Saudi Arabia. J Telemed Telecare 19:315–319. https://doi.org/10.1177/1357633x13501778

    Article  PubMed  Google Scholar 

  15. Karlsson MA, Lindelöf B, Wahlgren CF, Wiklund K, Rodvall Y (2015) Mobile teledermatology is a valid method to estimate prevalence of melanocytic naevi in children. Acta Dermato-Venereol 95:303–306

    Article  Google Scholar 

  16. Koller S, Hofmann-Wellenhof R, Hayn D, Weger W, Kastner P, Schreier G, Salmhofer W (2011) Teledermatological monitoring of psoriasis patients on biologic therapy. Acta Dermato-Venereol 91:680–685. https://doi.org/10.2340/00015555-1148

    Article  Google Scholar 

  17. Kroemer S, Fruhauf J, Campbell TM, Massone C, Schwantzer G, Soyer HP, Hofmann-Wellenhof R (2011) Mobile teledermatology for skin tumour screening: diagnostic accuracy of clinical and dermoscopic image tele-evaluation using cellular phones. Br J Dermatol 164:973–979. https://doi.org/10.1111/j.1365-2133.2011.10208.x

    Article  CAS  PubMed  Google Scholar 

  18. Kroemer S, Hofmann-Wellenhof R, Soyer H, Koppitz M, Massone C (2008) The use of mobile phones for skin tumor screening. In: Conference on eHealth 2008 and eHealth benchmarking 2008, Oesterreichische Computer Gesellschaft, pp 81–83

  19. Lamel SA, Haldeman KM, Ely H, Kovarik CL, Pak H, Armstrong AW (2012) Application of mobile teledermatology for skin cancer screening. J Am Acad Dermatol 67:576–581. https://doi.org/10.1016/j.jaad.2011.11.957

    Article  PubMed  Google Scholar 

  20. Massone C, Hofmann-Wellenhof R, Ahlgrimm-Siess V, Gabler G, Ebner C, Soyer HP (2007) Melanoma screening with cellular phones. PLoS One 2:e483. https://doi.org/10.1371/journal.pone.0000483

    Article  PubMed  PubMed Central  Google Scholar 

  21. Massone C, Lozzi GP, Wurm E, Hofmann-Wellenhof R, Schoellnast R, Zalaudek I, Gabler G, Di Stefani A, Kerl H, Soyer HP (2005) Cellular phones in clinical teledermatology. Arch Dermatol 141:1319–1320. https://doi.org/10.1001/archderm.141.10.1319

    Article  PubMed  Google Scholar 

  22. Nami N, Massone C, Rubegni P, Cevenini G, Fimiani M, Hofmann-Wellenhof R (2015) Concordance and time estimation of store-and-forward mobile teledermatology compared to classical face-to-face consultation. Acta Dermato-Venereol 95:35–39. https://doi.org/10.2340/00015555-1876

    Article  Google Scholar 

  23. Nelson CA, Takeshita J, Wanat KA, Bream KD, Holmes JH, Koenig HC, Roth RR, Vuppalapati A, James WD, Kovarik CL (2016) Impact of store-and-forward (SAF) teledermatology on outpatient dermatologic care: a prospective study in an underserved urban primary care setting. J Am Acad Dermatol 74(3):484 – 90.e1

    Article  Google Scholar 

  24. Okita AL, Molina Tinoco LJ, Patatas OH, Guerreiro A, Criado PR, Gabbi TV, Ferreira PS, Neto CF (2016) Use of smartphones in telemedicine: comparative study between standard and teledermatological evaluation of high-complex care hospital inpatients. Telemed J E-Health 22:755–760. https://doi.org/10.1089/tmj.2015.0086

    Article  PubMed  Google Scholar 

  25. Okita AL, Tinoco LJ, Patatas OH, Guerreiro A, Criado PR, Gabbi TV, Ferreira PS, Neto CF (2016) Use of smartphones in telemedicine: comparative study between standard and teledermatological evaluation of high-complex care hospital inpatients. Telemed J E-Health. https://doi.org/10.1089/tmj.2015.0086

    Article  PubMed  Google Scholar 

  26. Osei-tutu A, Shih T, Rosen A, Amanquah N, Chowdhury M, Nijhawan RI, Siegel D, Kovarik C (2013) Mobile teledermatology in Ghana: sending and answering consults via mobile platform. J Am Acad Dermatol 69:e90–e91. https://doi.org/10.1016/j.jaad.2012.08.008

    Article  PubMed  Google Scholar 

  27. Samkange-Zeeb F, Blettner M (2009) Emerging aspects of mobile phone use. Emerg Health Threats J. https://doi.org/10.3134/ehtj.09.005

    Article  PubMed  PubMed Central  Google Scholar 

  28. Shin H, Kim DH, Ryu HH, Yoon SY, Jo SJ (2014) Teledermatology consultation using a smartphone multimedia messaging service for common skin diseases in the Korean army: a clinical evaluation of its diagnostic accuracy. J Telemed Telecare 20:70–74. https://doi.org/10.1177/1357633x14524151

    Article  PubMed  Google Scholar 

  29. Sikka N, Pirri M, Carlin KN, Strauss R, Rahimi F, Pines J (2012) The use of mobile phone cameras in guiding treatment decisions for laceration care. Telemed E-Health 18:554–557. https://doi.org/10.1089/tmj.2011.0216

    Article  Google Scholar 

  30. Tran K, Ayad M, Weinberg J, Cherng A, Chowdhury M, Monir S, El Hariri M, Kovarik C (2011) Mobile teledermatology in the developing world: implications of a feasibility study on 30 Egyptian patients with common skin diseases. J Am Acad Dermatol 64:302–309. https://doi.org/10.1016/j.jaad.2010.01.010

    Article  PubMed  Google Scholar 

  31. Warshaw EM, Hillman YJ, Greer NL, Hagel EM, MacDonald R, Rutks IR, Wilt TJ (2011) Teledermatology for diagnosis and management of skin conditions: a systematic review. J Am Acad Dermatol 64:759–772. https://doi.org/10.1016/j.jaad.2010.08.026

    Article  PubMed  Google Scholar 

  32. Warshaw EM, Lederle FA, Grill JP, Gravely AA, Bangerter AK, Fortier LA, Bohjanen KA, Chen K, Lee PK, Rabinovitz HS, Johr RH, Kaye VN, Bowers S, Wenner R, Askari SK, Kedrowski DA, Nelson DB (2009) Accuracy of teledermatology for pigmented neoplasms. J Am Acad Dermatol 61:753–765. https://doi.org/10.1016/j.jaad.2009.04.032

    Article  PubMed  Google Scholar 

  33. Weingast J, Scheibbock C, Wurm EM, Ranharter E, Porkert S, Dreiseitl S, Posch C, Binder M (2013) A prospective study of mobile phones for dermatology in a clinical setting. J Telemed Telecare 19:213–218. https://doi.org/10.1177/1357633x13490890

    Article  PubMed  Google Scholar 

  34. Whiting P, Rutjes AW, Reitsma JB, Bossuyt PM, Kleijnen J (2003) The development of QUADAS: a tool for the quality assessment of studies of diagnostic accuracy included in systematic reviews. BMC Med Res Methodol 3:25. https://doi.org/10.1186/1471-2288-3-25

    Article  PubMed  PubMed Central  Google Scholar 

  35. Wootton R, Darkins A (1997) Telemedicine and the doctor–patient relationship. J R Coll Phys Lond 31:598–599

    CAS  Google Scholar 

Download references

Funding

The project described was supported by the National Center for Advancing Translational Sciences, National Institutes of Health, through grant number UL1 TR001860 and linked award TL1 TR001861. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. AKC received funding through the UC Davis T32 Medical Student Research Fellowship.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Raja K. Sivamani.

Ethics declarations

Conflict of interest

The authors declare that they have no competing interest.

Ethical approval (research involving human participants and/or animals)

No human participants or animal subjects.

Informed consent

Informed consent was not necessary as this was a review of the literature and did not include individual participants or their personal information.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (PDF 165 KB)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Clark, A.K., Bosanac, S., Ho, B. et al. Systematic review of mobile phone-based teledermatology. Arch Dermatol Res 310, 675–689 (2018). https://doi.org/10.1007/s00403-018-1862-4

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00403-018-1862-4

Keywords

Navigation