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BACKGROUND As a result of advances in skin imaging technology and the development of suitable image processing techniques, during the last decade, there has been a significant increase of interest in the computer-aided diagnosis of melanoma. Automated border detection is one of the most important steps in this procedure, because the accuracy of the(More)
BACKGROUND Providing ongoing clinical care that adequately addresses patients' medical, psychosocial and information needs is challenging, particularly for patient groups at increased risk of developing life-threatening disease such as malignant melanoma. This study examined a model of clinical care developed by the High Risk Clinic (HRC) of the Sydney(More)
We recently described an in vivo reflectance confocal microscopy (RCM) method and our aim was to evaluate a possible additive value of this type of analysis in the management of melanocytic lesions. In two referral centers (Sydney and Modena), lesions (203 nevi and 123 melanomas (MMs) with a median Breslow thickness of 0.54 mm) were excised on the basis of(More)
In previous research, a watershed-based algorithm was shown to be useful for automatic lesion segmentation in dermoscopy images, and was tested on a set of 100 benign and malignant melanoma images with the average of three sets of dermatologist-drawn borders used as the ground truth, resulting in an overall error of 15.98%. In this study, to reduce the(More)
O IL EPILUMINESCENCE microscopy (ELM), surface microscopy, dermatoscopy, and dermoscopy all refer to the same process of examination of cutaneous le-sions with an incident light magnification system with oil at the skin-microscope interface. This technique greatly increases the morphological detail that is visualized, which results in an improvement in the(More)
OBJECTIVE To systematically review psycho-educational interventions developed for melanoma survivors. METHODS Electronic databases Medline, PsycINFO, Embase, and CINAHL were systematically searched using key words and subject headings for articles describing educational or psychological interventions designed specifically for people affected by melanoma.(More)
BACKGROUND Patients with early stage melanoma have high survival rates but require long-term follow-up to detect recurrences and/or new primary tumours. Shared care between melanoma specialists and general practitioners is an increasingly important approach to meeting the needs of a growing population of melanoma survivors. METHODS In-depth qualitative(More)
BACKGROUND Despite a good prognosis for most melanoma survivors, many experience substantial fear of new or recurrent melanoma, worry and anxiety about the future, and unmet healthcare needs. In this protocol, we outline the design and methods of the Melanoma Care Study for melanoma survivors at high risk of developing new primary disease. The objective of(More)
Objective: To describe and analyze the clinical and der-moscopic characteristics of desmoplastic melanoma (DM) as a function of pathologic subtype and phenotypic traits. Setting: Eight high-risk dermatology clinics. Patients: Patients with DM confirmed by histopatho-logic analysis whose records included a high-quality der-moscopic image. Results: A total of(More)
INTRODUCTION Psychological support programmes are not currently funded for people with a history of melanoma. A major barrier to the implementation of effective psychological interventions in routine clinical care is a lack of cost-effectiveness data. This paper describes the planned economic evaluation alongside a randomised controlled trial of a(More)