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Dermatoscope: The Third Eye of Skin Doctors. Then What is A Dermatoscope and Dermoscopy Meaning?

What is a dermatoscope ? Dermatoscope (Dermoscopy) is a handheld optical device usually used to examine skin or hair much more accurately. It combines high quality magnify lens and powerful lighting system to enhance the view of deeper skin. Without any side effective or adverse reactions, also avoiding unnecessary biopsies and surgeries, it is very…

What is a dermatoscope ?

Dermatoscope (Dermoscopy) is a handheld optical device usually used to examine skin or hair much more accurately. It combines high quality magnify lens and powerful lighting system to enhance the view of deeper skin. Without any side effective or adverse reactions, also avoiding unnecessary biopsies and surgeries, it is very helpful for doctors to diagnose skin lesions,such as infection skin disease,pigmented skin disease,inflammatory skin disease,vascular skin disease, onychosis and so on.Only by clearly understanding dermoscopy meaning,people can use it in high efficiency.

Types of dermatoscope

There are three main types of dermatoscopy, polarized dermatoscopy ,nonpolarised dermatoscope and amber dermatoscopy.
•Polarized dermatoscopy: To eliminate surface glare and reflection of the skin by utilizing polarized light, it gets deeper peer of skin and can clearly display the dermis structure.No need to use liquid on skin surface and no need to touch skin,it is more safety for diagnosing skin lesion and avoiding the risk of cross infection.
•Nonpolarized dermatoscopy: Nonpolarized dermoscopy can clearly show the cuticular layer of skin with or without liquid medium.
• Amber dermatoscopy: By using amber dermoscopy, we can clearly inspect the outline of structure of skin dermis and epidermis from its shape,size,color,bugle,etc.
As we can know from above, three types of dermoscopy provide complementary skin information, so that diagnose will be more accurte and comprehensive.

Principle of dermatoscope

Dermatoscopy combines the medical technology and principle of physics and optics. Dermatologists can observe skin lesions accurately and objectively by dermatoscopy, seeing through appearance to the essence, seeing through surface layer to deep layer,seeing through epidermal layer to dermal layer,seeing through naked eye to lens.
For the observation of skin lesion,dermatoscopy plays a role far more than a magnifier. It uses polarizing filter to filter out the diffuse reflection light and then with the aid of optical,
it filters out the diffuse light of the epidermis by using polarizing filters, and then through the optical amplification equipment to observe the skin including under the epidermis, dermal-epidermis junction, pigment of the dermal papillary layer and blood vessels such skin structures which cannot be saw by naked eyes. Knowing dermoscopy meaning deeply will help skin doctors work more easily and confidently.

What is the use of dermastocope?

By using dermatoscopy, dermatologists can diagnose skin lesions and diseases more accurately. And dermascope is easy to operate. The whole process of using dermoscope is simple and painless. With the help of dermoscopy, person can examine their own hair,scalp,skin, and nails clearly. Then they can send images captured by phone or tables under dermoscope to dermatologists for analysis.

Then what is a dermatoscope? Dermatscopy is hand-held device which is also known as dermoscope. It usually used in skin lesions examination by dermatologists. It reveals structures of skin surface and subsurface invisible to naked eyes by the technology combining optics and physics. Dermatscope creates a process of green,painless and noninvasive. That is the dermoscopy meaning. There are common uses of dermatoscope as below:
Common Uses:
1, Detecting hair loss and alopecia areata
2, Distinguishing melanoma from pigmented naevus
3, Identifying skin cancer from its benign lesion
4, Inspecting other skin disease such as lichen planus, vitiligo and scabies

Which kind of diseases can be detected by dermoscopy?

By dermoscopy, doctors can detecte skin lesions, skin cancer, dermatitis, infections, acne, hair loss and nail problmes, etc.
Common diseases:
Begin melanoma, early skin tumor, basal cell carcinoma, benign and malignant cascular lesions, etc.
Many skin diseases can be examined under dermoscopy otherwise routine naked eyes cannot pick them out. That is dermoscopy meaning to the whole medical world.

What will effect the examination of dermatoscopy?

What is a dermatoscope? Dermoscopy is a device usually used by skin doctors for examining skin lesions. It is hand-held and easy to operate. It can greatly enhance the view of inspection to improve the diagnostic accuracy. Otherwise, there are some factors which will effect the results of dermoscopy examination, such as lighting conditionS, ointment on skin surface, device quality and setting,etc.
1.Lighting conditions
Poor or Hard light both will affect dermatoscope examination. So proper light is very necessary for the accurate examination of dermatoscope.
2.Ointment on skin surface
Ointment will bring disturb for dermatoscope examination. Before dermatoscopy examination, people do not apply any ointment to the skin to avoild misdiagnosis. It is better to keep the skin clear and try as far as possible.
3.Device quality and setting
Good quality for dermatoscopy is crucial for dermatologists inspection. And its setting whether can be adjustable matters the possibility of customization for different kinds of skin lesions.

Can dermatoscope detect skin cancer?
Yes, dermatoscope can detect skin cancer. As we know dermoscopy meaning for dermatologists, with magnification and illumination of dermatscope, examination by dermatoscope increases not only specificity but also sensitivity for skin cancer. It can detect smaller and thinner skin cancer from its structure,pattern,shape which may be missed by naked eyes, increasing biopsy of melanomas,reducing the the biopsy of lesion beginning.

What does skin cancer look like under dermatoscope?

When examining skin cancer under a dematoscope, there are various features presented with valuable information which invisible by routine inspection.Then what is dermatoscope? Dermatoscope is often also called epiluminescence microscopy, which is a hand-held aid device equip skin doctors observing skin cancer more effectively. Because dermatoscope enhance the visualization of skin lesions. There are types of skin cancer with diverse key features showed under dermatscope, such as multiple brown dots, blue-white veil,scar-like depigmentation, pseudopods, squamous cell carcinoma, radial streamlines,peripheral black spots/globules, multiple colors, broad nedwork, focal sharp cut odd boundary, malignant melanoma, basel cell carcinoma ,ect.

Is dermatoscope accurate?

People will wonder is dermoscope accurate, so first let us to understand what is a dermatoscope?
Dermatoscopy, also known as a dermoscope, is a dependable optical tool for detecting skin disease or skin problems. It enhances the visibility by polarized light or non-polarized light or amber light combining magnification. Particularly in experienced hands, it can detect and diagnose skin situations much more clearly and accurately.
Compared with routine examination by naked eyes, dermatologist can use dermatoscope uniting phone or tablet to capture photos of skin lesion layers from epidermis to dermis. It not only saves time for people in inspection but also creates much more convenience for analysis.

Report from Oncology Section of the Skin and Cancer Unit of NYU Langone Medical Center, that dermatologist can only diagnose 65%~80% of melanomas. Accuracy of diagnosis by dermatologists is only 64% (Grin et al.,1990). But by using dermoscopy, it increases the accuracy of diagnosis by 10~27% (Kittler et al.,2002)
Dermoscopy meaning is very important for various of skin examinations, especially in uncommon skin problems. Even though, it still needs to combine the clinical knowledge and clinical experience to diagnose skin lesions much more accuracy.

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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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