Types of dermoscopes and dermoscopy image storage software SPEAKER: DR LUIZ ALBERTO BOMJARDIM PÔRTO DERMATOLOGIST BRAZIL

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1 Types of dermoscopes and dermoscopy image storage software SPEAKER: DR LUIZ ALBERTO BOMJARDIM PÔRTO DERMATOLOGIST BRAZIL

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3 TOPICS History of dermoscopy Portable Analog Dermatoscope Digital Dermatoscope Storage of dermatoscopic images.

4 History of dermoscopy

5 HISTORY OF DERMOSCOPY Synonym(s): Dermoscopy and surface microscopy : Christophorus Kolhaus used a microscope to visualize small vases in the nail bed : Hueter used a microscope to visualize small vases in the lip : Saphier made the first detailed description of possible application of surface microspopy and used the name dermatoscopy : The dermatologist Michael used in USA dermatoscopy.

6 HISTORY OF DERMOSCOPY : Goldman perfected a surface microscopy and described its application in dermatoses and cutaneous tumors : Rona Mackie identified advantages of the use in the differentiation of benign and malignant pigmented lesions : In Hamburg, Germany, the first conference on cutaneous surface microscopy took place : In Italy, the Consensus Netmeeting on Dermoscopy took place.

7 DERMATOSCOPY - It is used to evaluate aspects non accessible with naked eye. - Increase sensitivity for skin diseases and auxiliate to indicate biopsy of the lesions. - It is a non invasive diagnostic technique with accuracy of 90%. - The dermatoscopy images can be recorded and immediately scrutinized on the screen of a mobile phone, camera or computer. - Images may be transmitted worldwide in a teledermatoscopical setting.

8 Portable analog dermoscope

9 PORTABLE ANALOG DERMATOSCOPE Principle of operation: Incidence of light on the skin associated with a magnifying glass 0-10 times. Light - Halogen: It creats light reflex and is necessary immersion contact to avoid light reflection. - Polarized: It does not need immersion contact, because there is a filter that absorbs reflected light. Coupling to digital camaras, smarthphones or computers.

10 PORTABLE ANALOG DERMATOSCOPE

11 PORTABLE ANALOG DERMATOSCOPE

12 Digital dermatoscope

13 DIGITAL DERMOSCOPE Digital dermatoscopy: Help to get early diagnosis of melanomas that are not characteristic, that is, they do not yet have typical characteristics that allow their diagnosis in an isolated examination of dermatoscopy. The approach is different from that performed in analogue dermoscopy. Comparison of the standard dermoscopy present in the group of dermatoscopic images of the patient's nevi. Temporary follow-up of suspicious lesions. Temporal follow-up of each lesion-> Increases accuracy. Follow-up every 3-12 months.

14 DIGITAL DERMOSCOPE Advantages: Allow storage of dermatoscopic images and documentation. Allows use in specific software for dermatoscopy and digital mapping. It can be realized in compact devices, videodermatoscopes or coupled to professional digital cameras. -Compact devices are more practical, but lower quality. -Videodermatoscopes or coupled to professional digital cameras: More work, but with better quality.

15 DIGITAL DERMOSCOPE Mapping of nevi: association of digital dermatoscopy and body photography. Indication: Patients at higher risk of developing melanoma. Family history of melanoma. Previous history of melanoma. Multiple nevi Atypical nevi Light Skin Appearance of ephelides.

16 PORTABLE DIGITAL DERMOSCOPE Coupling-> Portable digital dermatoscope: -FotoFinder Handyscope : Customized dermatoscope to be coupled to the iphone or ipod smartphone. -- Images untill 20x magnification -- Sophisticated optical system with twinlight mode for polarization and immersion. -- Dermoscopy with and without contact with the lesion --Requires application to generate and store images. --Compatible with the FotoFinder handyscope 2 application, idoc24 application and DermatologiaWeb web application, among others.

17 PORTABLE DIGITAL DERMOSCOPE Coupling-> Portable digital dermatoscope: -FotoFinder Handyscope.

18 PORTABLE DIGITAL DERMOSCOPE Coupling-> Portable digital dermatoscope: -Compatible with any smartphone.

19 PORTABLE DIGITAL DERMOSCOPE Coupling-> Portable digital dermatoscope:

20 PORTABLE DIGITAL DERMOSCOPE Portable digital dermatoscope: without external lens: "tape dermoscopy".

21 PORTABLE DIGITAL DERMOSCOPE Portable digital dermatoscope: without external lens: "tape dermoscopy".

22 VIDEODERMATOSCOPE Synonym: Videodermatoscope or computerized dermoscopy. Increase: 20 to 160 times. Used for the tricoscopy in the diagnosis of hair and scalp diseases. The tricoscopy is a new method of analyzing the hairs based on the Videodermatoscope of hair and scalp.

23 VIDEODERMATOSCOPE

24 VIDEODERMATOSCOPE

25 VIDEODERMATOSCOPE

26 VIDEODERMATOSCOPE

27 PROFESSIONAL DIGITAL CAMARA CONNECTED TO DERMATOSCOPE

28 Storage of dermatoscopic images

29 STORAGE OF DERMATOSCOPIC IMAGES Devices like CD, DVD, memory card, USB Flash Drives and external HD Virtual storage (Clouds and sites)

30 STORAGE OF DERMATOSCOPIC Virtual Storage IMAGES -Schematic representation of data storage location, breadth and potential of web systems

31 STORAGE OF DERMATOSCOPIC Virtual Storage (Clouds) IMAGES

32 STORAGE OF DERMATOSCOPIC IMAGES Virtual storage (sites / web applications). FotoFinder. The Hub, features and expert systems

33 STORAGE OF DERMATOSCOPIC IMAGES Virtual storage (sites / web applications).

34 BIBLIOGRAPHY 1. PORTO, L.A.B. Prontuário eletrônico de imagens na dermatologia, medicina e cirurgia estética: relato de caso. 37f Monografia (Pós-Graduação Lato Sensu em Medicina e Cirurgia Estética). Orientadora: Dra. Sandra Lyon. Instituto de Dermatologia Medicina e Cirurgia Estética, Belo Horizonte, 2016b. 2. PORTO, L.A.B. DermatologiaWEB Um software para os Dermatologistas. (accessed september 08, 2016). 3. PORTO, L.A.B. Dermatologia Web Software para Exames Dermatológicos. (accessed september 08, 2016). 4. BELDA JUNIOR, W. DI CHIACCHIO, N.; CRIADO, P. R. Tratado de Dermatologia 2ª edição. São Paulo Atheneu; Fiocruz. Objeto em foco: microscópio de Oswaldo Cruz. Disponível em Acessado no dia 24/08/ Bleymed. Produtos. Disponível em Acessado em 24/08/ FotoFinder Systems. Fotofinder handscope - The dermatoscope fo your iphone or ipod Touch. Disponível em:< em: 22 ago FotoFinder. The Hub, features and expert systems. Disponível em:< em: 22 ago BORVE, A. et al. Mobile teledermoscopy there s an app for that! Dermatol Pract Concept 2013;3(2):5 10. Rakowska A. Trichoscopy (hair and scalp videodermoscopy) in the healthy female. Method standardization and norms for measurable parameters. J Dermatol Case Rep , pp Rakowska A, Slowinska M, Kowalska-Oledzka E, Rudnicka L. Trichoscopy in genetic hair shaft abnormalities. J Dermatol Case Rep , pp Sar-Pomian M, Kurzeja M, Rudnicka L, Olszewska M. The value of trichoscopy in the differential diagnosis of scalp lesions in pemphigus vulgaris and pemphigus foliaceus. An. Bras. Dermatol. vol.89 no.6 Rio de Janeiro Nov./Dec MELANOMA - PREVENÇÃO, DIAGNÓSTICO, TRATAMENTO E ACOMPANHAMENTO/ EDITORES WAINSTEIN, ALBERTO JULIUS ALVES / BELFORT, FRANCISCO APARECIDO. 2 ED. São Paulo : Atheneu Editora, Kadunc B, Palermo E, Addor F, Metsavaht L, Rabello L, Mattos R, et al. Tratado de cirurgia dermatológica, cosmiatria e laser da Sociedade Brasileira de Dermatologia. Rio de Janeiro: Ed. Elsevier; 2012.

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