皮肤镜图像质量控制标准专家共识(2023)

Expert Consensus on Image Quality Control Standards for Dermoscopy(2023)

皮肤镜是一种非侵入性检查方法,在皮肤病辅助诊疗方面具有较高的灵敏度和特异度,因而在临床得到广泛的应用。然而,由于皮肤镜分类的不规范、操作技能和图像识别的主观性,容易造成图像质量、诊断、疗效评估和AI研究的质量差异,直接影响精准医疗的进展。为此,本文参考和汇集了国内外同行的研究结果,提出了皮肤镜诊断质量控制标准,包括皮肤镜技术、临床应用、标准化操作、规范化术语、图像质量、质量控制、质量评估、教育培训和未来发展方向等,初步形成专家共识,旨在提高皮肤科临床诊疗水平,对皮肤病相关研究提供帮助。

Dermoscopy is a kind of non-invasive examination method,which has relatively high sensitivity and specificity in assisting diagnosis and treatment of dermatosis,and has been widely applied in clinical practice.However,due to the non-standard classification of dermoscopy,the subjectivity of operation skills and image observation,it is easy to cause the quality differences in image quality,diagnosis,efficacy evaluation and AI research,which directly affects the progress of precision medicine.Therefore,by referring to and gathering the research results of domestic and foreign peers,this paper proposes the quality control standards for dermoscopic diagnosis,including dermoscopic technique,clinical application,standardized operation,standardized description,image quality,quality control,quality assessment,education and training,and future development direction,so as to form an expert consensus,aiming at improving the level of clinical diagnosis and treatment in dermatology and contributing to the research.