Validation of a Dermatoscopy-Based Algorithm for the Diagnosis of Acral Melanoma.

ABSTRACT:

Introduction

Diagnosis of acral melanocytic lesions can be challenging. The BRAAFF checklist was introduced as a tool to help differentiate between acral nevi and melanoma but has not been validated.

Methods

We asked raters with varying expertise in dermatoscopy to diagnose dermatoscopic images of 533 acral nevi and 144 melanomas via an online platform with and without use of the BRAAFF checklist. From the ratings, we calculated sensitivity, specificity, and interrater agreement. Additionally, a new simplified version of the checklist was also tested.

Results

We collected 6,880 ratings from 175 readers. The BRAAFF checklist achieved a sensitivity of 92.5% and a specificity of 65.0%, which was similar to diagnosis from pattern recognition (sensitivity 90.0%, specificit

SUBMITTER: Muller C 

PROVIDER: S-EPMC11651327 | biostudies-literature | 2024

REPOSITORIES: biostudies-literature