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Dermascope Skin Analysis

Through dermoscopy, physicians are able to visualize slight alterations in the skin, such as blood vessels and pigmentation. It is first used for the screening of skin tumours, for the diagnosis of skin infections and inflammatory diseases, and for the monitoring of vascular skin lesions. This article provides a brief outlook on the application and…

Through dermoscopy, physicians are able to visualize slight alterations in the skin, such as blood vessels and pigmentation. It is first used for the screening of skin tumours, for the diagnosis of skin infections and inflammatory diseases, and for the monitoring of vascular skin lesions. This article provides a brief outlook on the application and effectiveness of dermoscopy. This article is helpful for readers to the know basic principles of how to use dermatoscopes correctly.


Introduction to Dermoscopy Examination
Dermoscopy is the use of a dermascope by a doctor to examine the skin of a patient. It needs only the full exposure of the examination area and no special preoperative preparation. For example, IBOOLO Dermatoscope is used to distinguish between benign pigmented nevi and malignant melanomas and to check for abnormal growth or malignancy.

Dermoscopy Examination
Dermoscopy Examination


Preparation for Dermoscopy
The patient will need to clean the skin prior to the examination, removing oils, dirt, make-up, hand-held patients. etc., dermatoscope, The so the examination that dermatoscope room the probe needs physician is to can first be clearly sterilised well visualise to lit the avoid so skin cross-infection that condition. between the Before doctor using can the clearly observe the skin condition. At the same time, the doctor needs to adjust the light and focus according to the observation needs.


Dermoscopy-related Equipment and Tools
Dermascopes can be broadly categorised into digital dermoscopes and handheld dermoscopes. Handheld dermatoscopes are the most traditional and common type of dermatoscopy equipment. The DE-3100 and DE-4100 are part of IBOOLO’s professional handheld dermatoscopy series, with a magnification of 10X and four built-in different illumination modes.
IBOOLO dermascope devices are now designed to be used with smartphone accessories. Examples include cases with threads as well as universal phone clips and magnetic rings. Users can use them with the accessories and save dermascope images through their mobile phones.

IBOOLO DE-3100 Dermoscopy-related Equipment and Tools
IBOOLO DE-3100 Dermoscopy-related Equipment and Tools


Steps in Dermoscopy
Prior to the dermoscopic examination, the patient will keep the area of skin under observation clean. The doctor should point the dermatoscope’s probe at the area to be examined, select the appropriate illumination mode and adjust the focus until the image is clear enough for observation.IBOOLO handheld dermatoscopes are packaged by default with a mobile phone clip and a magnetic ring, which allows the user to connect the dermatoscope to a mobile phone for image saving.


Analysis of Dermoscopic Images
Colour is one of the most visual and important features of a dermoscopic image, with different colours reflecting the depth, nature and composition of the skin lesion. Brown and black colours are usually associated with the distribution of melanin within the epidermis. Blue or grey, on the other hand, suggests that melanin is located in the dermis and is a potential marker of malignant melanoma.
Patterns are structural features in dermoscopic images that reflect the histological properties of a skin lesion, such as reticular patterns. Brown or black reticular structures are commonly found in benign nevi. Irregularities, fractures or thickening of the reticulation may indicate malignant lesions.
Structural analysis focuses on the borders, shape, and internal structure of the skin lesion. Benign lesions have clear, smooth borders. Malignant lesions often present fuzzy, irregular borders. Uniform structure is usually a sign of a benign lesion. Uneven, disorganised structures suggest malignant potential.
Dermoscopic image analysis can assist the physician in the early identification of malignant lesions such as melanoma, basal cell carcinoma, and squamous cell carcinoma by providing a detailed view of the colours, patterns, and structures. Dermoscopy improves diagnostic sensitivity and specificity compared to visual observation.

Dermascope Skin Analysis
Dermascope Skin Analysis


Clinical Significance of Dermatological Microscopy
Through dermoscopy, doctors can distinguish between harmless and dangerous skin growths and enhance the diagnostic precision, rate which for may early decrease stage the melanoma chances can of be misdiagnosis 90% or or underdiagnosis. better, The while five the year survival survival rate for advanced melanoma is significantly worse. Other skin cancers are also highly curable if treated surgically at an early stage with a cure rate of nearly 100%.


Limitations and Challenges of Dermoscopy
This is because dermoscopy enhances the early diagnosis precision through magnification of skin features and visualization of the skin surface and its superficial structures in comparison to the conventional visual assessments. Compared to other techniques, imaging such as skin ultrasound and optical coherence tomography, it has the advantages of being portable, relatively to cheap, display and information easy from to deeper use. tissues, However, and it having has specific the and disadvantages sensitive of signals being that operator are dependent, determined unable by optical methods. These issues can be solved by increasing the level of training of physicians, incorporating other diagnostic methods (biopsy and ultrasound), and enhancing the equipment technology, which may include higher resolution and multimodal imaging.

IBOOLO DE-300 Dermascope
IBOOLO DE-300 Dermascope


Future Developments in Dermoscopy
Future developments in dermoscopy are focused on technological progress and skill development. AI can enhance the ability of doctors to analyze dermoscopy images quickly and accurately, detect malignant lesions and decrease the probability of misdiagnosis. However, telemedicine and digital technologies are also expanding the front door of the doctor’s office to the internet, enabling image sharing, specialist cooperation, and tele-diagnosis, especially in areas with limited access to healthcare providers. To fully take advantage of these technologies, doctors will need to resources continue and to gaining develop hands-on their experience. skills, The for use instance of by technology attending and training specialisation sessions, will using increase the the internet role and of other electronic dermoscopy in diagnosis, prevention and management of health, thus making precision medicine available to more people.


Dermoscopy and Skin Health Management
Dermoscopy is a non-invasive, rapid and highly effective tool for the evaluation of skin lesions. It can help physicians differentiate between benign and malignant skin lesions and is especially important in the early detection of malignant tumours such as melanoma. In skin health monitoring, dermoscopy not only helps doctors to make an accurate diagnosis, but also provides a basis for ongoing follow-up and evaluation.

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How can dermoscopy images be captured?

Dermoscopy images can be captured and stored in different ways, such as: • Using a smartphone or tablet with dermoscopic adapter, which consisted in the package.• Using a digital camera

Dermoscopy images can be captured and stored in different ways, such as:

• Using a smartphone or tablet with dermoscopic adapter, which consisted in the package.
• Using a digital camera with dermoscopic adapter, there’s 49mm screw size camera adapter available to order now.

Compatible phone/tablet models:
All iPhone models, 95% Android phones, 90% tablet. For phone/tablet size in 5.25-14mm

Compatible camera models:
All camera with built 49mm filter screw, such as Canon EOS 70D, 80D, 90D; Canon EOS R7, R10, R50, R100; Canon M100, M200, M50, Mark II; Canon G7X Mark III, Sony ZV-1

How can I connect my phone to my dermatoscope?

There’s universal phone adapter for all our dermoscopes. Please check the installation procedure bellow or watch operation guide. Smartphone Connector (1) Place phone adapter screw in the center of smartphone’s

There’s universal phone adapter for all our dermoscopes. Please check the installation procedure bellow or watch operation guide.

Smartphone Connector

(1) Place phone adapter screw in the center of smartphone’s main camera.
(2) Screw magnet attachment on phone adapter.
(3) Put dermoscope’s back ring and magnet attachment together

Take The Best Images

You need to adjust the focus ring after the dermoscpe connected on smartphone to get the best images.

How can I clean my dermoscopy after usage?

Cleaning your dermoscopy after usage is important to prevent cross-contamination and infection. The cleaning method may vary depending on the type and model of your dermoscopy, so you should always

Cleaning your dermoscopy after usage is important to prevent cross-contamination and infection. The cleaning method may vary depending on the type and model of your dermoscopy, so you should always follow the manufacturer’s instructions. However, some general steps are:

• Turn off and disconnect your dermoscopy from any power source or device.

• Wipe off any visible dirt or debris from the dermoscopy with a soft cloth or tissue.

• Disinfect the dermoscopy with an alcohol-based wipe or spray, or a disinfectant solution recommended by the manufacturer. Make sure to cover all surfaces, especially the lens and contact plate.

• Let the dermoscopy air dry completely before storing it in a clean and dry place.

• Do not use abrasive or corrosive cleaners, solvents, or detergents that may damage the dermoscopy.

• Do not immerse the dermoscopy in water or any liquid, unless it is waterproof and designed for immersion.

You should clean your dermoscopy after each use, or at least once a day if you use it frequently. You should also check your dermoscopy regularly for any signs of damage or malfunction, and contact the manufacturer or service provider if needed.

Polarized VS Non-polarized Dermoscopy

A dermoscopy is a device that allows the examination of skin lesions with magnificationand illumination. By revealing subsurface structures and patterns that are not visible tothe naked eye. It can

A dermoscopy is a device that allows the examination of skin lesions with magnificationand illumination. By revealing subsurface structures and patterns that are not visible tothe naked eye. It can improve the diagnose accuracy of skin lesions, such as melanoma,basal cell carcinoma, seborrheic keratosis, etc.

There are two main types of dermoscopy: Non polarized and polarized dermoscopy.We’ve fitted most of our dermoscopys with polarized and non-polarized light. They canbe used in multiple skin structures.

Non-polarized contact Mode

In non-polarized mode, the instrument can provide information about the superficialskin structures, such as milia-like cysts, comedo-like openings, and pigment in theepidemis.

The dermoscopy requires applying a liquid such as mineral oil or alcohol to the skin andplacing the lens in contact with the skin. This reduces surface reflection and enhancesthe view of subsurface structures.

Image with non-polarized light (DE-3100)

Polarized contact Mode

In polarized mode, the instrument allows for visualization for deeper skin structures,such as blood vessels, collagen, and pigment in the dermis.

The dermoscopy does not need to be in contact with the skin or use any liquid. Theirpolarized light can help to eliminate surface reflection and allow visualization ofvascular structures.

Image with polarized light (DE-3100)

Polarized non-contact Mode

The dermoscopy can also use polarized light to examine the skin without direct contact.

In polarized non-contact mode, the instrument allows for examination infected areasand lesions that are painful for the patient, or the difficult to contact pigmented lesions,such as nails and narrow areas.

The contact plate should be removed in this mode, and it does not require applying aliquid to the skin. As it doesn’t require pressure or fluid application on the skin, it canalso avoid cross-contamination and infection risk.

Image in polarized non-contact mode (DE-3100)

How effectiveness is dermoscopy

Compared with visual inspection, the dermoscopy can be used to capture and store skin lesion photos, which play an important role in early skin cancer examination. The dermoscopy allows the

Compared with visual inspection, the dermoscopy can be used to capture and store skin lesion photos, which play an important role in early skin cancer examination.

The dermoscopy allows the examination of skin lesions with magnification and illumination. This can be greatly avoiding the factors that cause interference to visual detection. Such as lighting, skin color, hair and cosmetics.

Several studies have demonstrated that dermoscopy is useful in the identification of melanoma, when used by a trained professional.

It may improve the accuracy of clinical diagnosis by up to 35%
It may reduce the number of harmless lesions that are removed
In primary care, it may increase the referral of more worrisome lesions and reduce the referral of more trivial ones

A 2018 Cochrane meta-analysis published the accuracy of dermoscopy in the detection.

Table 1. Accuracy of dermoscopy in the detection of melanoma in adults
Detection Method Sensitivity, % Specificity, % Positive Likelihood Ratio NegativeLikelihood Ratio
Visual inspection alone (in person) 76 75 3.04 0.32
Dermoscopy with visual inspection (in person) 92 95 18 0.08
Image-based visual inspection alone (not in person) 47 42 0.81 1.3
Dermoscopy with image-based visual inspection (not in person) 81 82 4.5 0.23
ROC—receiver operating characteristic. *Estimated sensitivity calculated on the summary ROC curve at a fixed specificity of 80%.

As we can see, the dermoscope can improve the accuracy of diagnosis of skin lesions, especially melanoma.

Table 1. Accuracy of dermoscopy in the detection of melanoma in adults
Detection Method Sensitivity, % Specificity, % Positive Likelihood Ratio NegativeLikelihood Ratio
Visual inspection alone (in person) 79 77 3.4 0.27
Dermoscopy with visual inspection (in person) 93 99 93 0.07
Image-based visual inspection alone (not in person) 85 87 6.5 0.17
Dermoscopy with image-based visual inspection (not in person) 93 96 23 0.07
ROC—receiver operating characteristic. *Estimated sensitivity calculated on the summary ROC curve at a fixed specificity of 80%.

Characteristics of the dermatoscopic structure of the skin lesions include:

• Symmetry or asymmetry
• Homogeny/uniformity (sameness) or heterogeny (structural differences across the lesion)
• Distribution of pigment: brown lines, dots, clods and structureless areas
• Skin surface keratin: small white cysts, crypts, fissures
• Vascular morphology and pattern: regular or irregular
• Border of the lesion: fading, sharply cut off or radial streaks
• Presence of ulceration

There are specific dermoscopic patterns that aid in the diagnosis of the following pigmented skin lesions:

• Melanoma
• Moles (benign melanocytic naevus)
• Freckles (lentigos)
• Atypical naevi
• Blue naevi
• Seborrhoeic keratosis
• Pigmented basal cell carcinoma
• Haemangioma

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