Cumulative Sum Analysis-Integrated E-Learning for Differentiation Between Basal Cell Carcinoma and Non-Basal Cell Carcinoma on Optical Coherence Tomography: An Observational Cohort Study.

ABSTRACT:

Background

The clinical implementation of optical coherence tomography (OCT) for diagnosing clinically equivocal lesions suspicious for basal cell carcinoma (BCC) is limited by an OCT assessor shortage. Cumulative sum (CUSUM) analysis enables monitoring of diagnostic performance during training. The objective was to evaluate whether CUSUM-integrated e-learning is suitable for training healthcare professionals in achieving and maintaining an acceptable error rate for differentiating BCC from non-BCC lesions on OCT. Furthermore, we explored the diagnostic accuracy of high-confidence BCC diagnoses by the newly trained assessors.

Methods

A CUSUM-integrated e-learning was developed. Trainee performance was monitored by CUSUM analysis. The number of OCT scans required to achieve a

SUBMITTER: Wolswijk T 

PROVIDER: S-EPMC12418905 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature