clinical imaging with an iphone
TRANSCRIPT
![Page 1: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/1.jpg)
ClinicalimagingwithaniPhone
HonA/ProfAmandaOakley
WaikatoHospital,25June2015
![Page 2: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/2.jpg)
ThispresentaDon
• Whytakeclinicalimages?• PaDentconsent• Smartphonecameras• BestpracDce• Anatomicviews• Close-upphotography• Dermatoscopy• Somehelpfulapps
![Page 3: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/3.jpg)
Whytakeclinicalimages?
• DocumentaDon• Compareclinicalstatusatfollow-up• Referraltodermatologist• Histopathologyrequest• MulDdisciplinaryreview• PersonaleducaDon• Teaching• PublicaDon
![Page 4: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/4.jpg)
DocumentaDon
SamsungGalaxyS4,September2014
![Page 5: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/5.jpg)
Follow-up
drmolescope.com
![Page 6: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/6.jpg)
Referraltodermatologist
Theoldway Thenewway
![Page 7: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/7.jpg)
Histopathologyrequest
![Page 8: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/8.jpg)
MulDdisciplinarymeeDng
![Page 9: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/9.jpg)
PersonaleducaDon
![Page 10: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/10.jpg)
Teaching
![Page 11: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/11.jpg)
PublicaDon
![Page 12: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/12.jpg)
PaDentconsent
![Page 13: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/13.jpg)
ConsentoniPhone
PicSafeMedi Consent
![Page 14: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/14.jpg)
Smartphonecameras
• Alwayswithyou• Highqualityintopendmodels
• Sensorsworkinlowlight• Easytoarchive/backup• Easytoemail/message/uploadtowebsite
![Page 15: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/15.jpg)
iPhone6oriPhone6+
![Page 16: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/16.jpg)
iPhone6+oriPhoneTouch
8MPiSightcamera5.5”1920-by-1080-pixelresoluEonat401ppi
5MPiSightcamera4”1920-by-1080-pixelresoluEonat401ppi
![Page 17: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/17.jpg)
SamsungGalaxy6
• 16MP
• Workswellinlowlight
• HDRremovesshadowsandhighlights
• 5.1”display
![Page 18: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/18.jpg)
OtherAndroids
• HTCOneM920MP
• SonyXperiaZ320.7MB
![Page 19: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/19.jpg)
BestpracDce
• Privacy+security• Backup• Removingimagefromthephone
• Qualityimages
![Page 20: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/20.jpg)
Privacy
• Checkprivacyse^ngs
• Avoidfull-faceimageswherepossible
• Removejewelleryandclothing
• Ta`oosareidenDfying
![Page 21: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/21.jpg)
Security
• Lockyourscreen• TouchIDisbest• Use8+-charactermemorablepasscodesegil2tlk2U!
![Page 22: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/22.jpg)
AutomaDcencryptedbackup
• iCloudDrive– Or,viaiTuneswhenconnected
• MyPhotoStream
• Dropbox
![Page 23: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/23.jpg)
Sharingthepicture
![Page 24: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/24.jpg)
Removeimagefromthephone
![Page 25: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/25.jpg)
PicsafeMediremovesitforyou
Emailreport Onlinereport
![Page 26: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/26.jpg)
Imagequality
• Ensureplentyoflight• Checkexposureisadequate• Suitablebackground• Avoidextraneousobjects• Ensurefocus• Lensparallelwithsubject
![Page 27: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/27.jpg)
Under-exposed
• AvoidsidelighDng• Useflashifnecessary(forceflash)
AppleiPhone3GS,August2011
![Page 28: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/28.jpg)
Shadowsrarelyhelpdiagnosis
AppleiPhone3GS,August2011AppleiPhone4S,November2014
![Page 29: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/29.jpg)
Tap&dragtoadjustexposure
![Page 30: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/30.jpg)
Useaplainma`ebackground
• Neutralblue,green,grey
• Cloth,paper,wall,photographicbackdrop
![Page 31: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/31.jpg)
Avoidabusybackground
HTC_PO582,April2015HTC_PO582,April2015
![Page 32: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/32.jpg)
Avoidextraneousobjects
![Page 33: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/33.jpg)
Avoidextraneousobjects
![Page 34: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/34.jpg)
Ensurefocus
• Lensparallelwithsubject
• Don’tgettooclose• Tapscreentoguidethecameratofocuspoint
NokiaN95,November2008
![Page 35: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/35.jpg)
Lensnotparallelwithsubject
SonyEricssonK800i,April2009SamsungGalaxyS4,January2015
![Page 36: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/36.jpg)
Anatomicviews
![Page 37: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/37.jpg)
Headandneck
![Page 38: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/38.jpg)
Minimisingshadows
![Page 39: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/39.jpg)
Useareflectortogetridofshadow
![Page 40: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/40.jpg)
Trunk
![Page 41: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/41.jpg)
Trunk
![Page 42: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/42.jpg)
Arms
![Page 43: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/43.jpg)
Hands
![Page 44: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/44.jpg)
Nails
![Page 45: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/45.jpg)
Legs
![Page 46: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/46.jpg)
Legs
![Page 47: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/47.jpg)
Legs
Good Bad
![Page 48: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/48.jpg)
Feet
![Page 49: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/49.jpg)
Close-upphotography
• Withandwithoutarulerwhererelevant
• Iftooclose,backoffandzoomtoimprovedepthoffield
• HoldcamerasDllorusetripod
![Page 50: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/50.jpg)
Close-upsofcurvedareas
• Nose,ears,lips• Useaneutral-colouredcardwithaholeinitifyourcameraisstrugglingtofocusorexposureiswrong
![Page 51: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/51.jpg)
Close-upDps
Autoexposure/focuslock Flashon
![Page 52: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/52.jpg)
Camera+
![Page 53: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/53.jpg)
TokeepcamerasDll
Tripod Timer
![Page 54: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/54.jpg)
Skinlesionofconcern
• Anatomicview
• Macroview
• Macroviewwithrule
• Dermatoscopicview
![Page 55: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/55.jpg)
Locatethelesionprecisely
• Anatomymapper.com
• DocumentaDon
• Histopathologyrequests
![Page 56: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/56.jpg)
![Page 57: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/57.jpg)
Naevus
IDlabel Removehair
![Page 58: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/58.jpg)
Dermatoscopicviews
• Smartphoneadaptersforseveraldevices– DermLiteDL1,DL1Basic,DL3,DLIIHRPro,DLIIHybrid
– OpDclar– VEOS– Handyscope
![Page 59: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/59.jpg)
Dermatoscopicimages
• Contactwithskin• Polarisedand/ornonpolarisedviews
• ApplyfluidegsaniDser
![Page 60: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/60.jpg)
Whyhaveadermatoscopiccamera?
• Referraltospecialist– Dermatology
– Teledermatology
– Histopathology• Forfollow-up• It’sfun!
![Page 61: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/61.jpg)
TwoiPhonecamerasforthenon-dermoscopistorpaDent
• MoleScope • DermLiteMonitor
![Page 62: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/62.jpg)
MoleScope
![Page 63: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/63.jpg)
MoleScopedevice
![Page 64: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/64.jpg)
MoleScopeiPhoneapp
RegisterpaEent Chosebodysite
![Page 65: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/65.jpg)
Takethepictures
Overviewimage Dermoscopyimage
![Page 66: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/66.jpg)
Annotate
Ondevice Online
![Page 67: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/67.jpg)
Evaluatethelesion
![Page 68: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/68.jpg)
DrMoleScope.com
![Page 69: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/69.jpg)
AutomaDcrotaDonforfollow-up
![Page 70: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/70.jpg)
DermliteMonitor
![Page 71: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/71.jpg)
ReferraltodermatologyatWH
• Electronicreferralspermita`achments
• However,currently:– ImagesosenprintedinB&Worover2pages
– ProvidingadviceisDmeconsuming;it’seasiertoarrangeanappointment
• Inthefuture,we’llassessreferralsonline,whichwillhelpintriageandinadvice
![Page 72: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/72.jpg)
Teledermatologyreferral
• NewZealandTeledermatologyprovidesanonlineadviceserviceforGPs– DrsOakley,Rademaker,Yung,Hill
• ItiscurrentlyfreetoWaikatoGPs– WechargeorganisaDonsinotherpartsofNZ
![Page 73: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/73.jpg)
www.teledermatology.nz
![Page 74: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/74.jpg)
CollegiumTelemedicus.org
![Page 75: Clinical imaging with an iPhone](https://reader030.vdocument.in/reader030/viewer/2022012015/615a3edc89a58d7d1a67eb46/html5/thumbnails/75.jpg)
Acknowledgements
• GratefulthankstoDavidOakley
• iPhonesupport• Anatomymapper.com• Camera+• PicSafeMedi• DrMoleScope• Dermlite