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Stereophotogrammetric three-dimensional photography is an accurate and precise planimetric method for the clinical visualization and quantification of human papilloma virus-induced skin lesions.


ABSTRACT: BACKGROUND:The quantification of human papilloma virus (HPV)-induced skin lesions is essential for the clinical assessment of the course of disease and the response to treatment. However, clinical assessments that measure dimensions of lesions using a caliper do not provide complete insight into three-dimensional (3D) lesions, and its inter-rater variability is often poor. OBJECTIVE:The aim of this study was to validate a stereophotogrammetric 3D camera system for the quantification of HPV-induced lesions. METHODS:The camera system was validated for accuracy, precision and interoperator and inter-rater variability. Subsequently, 3D photographs were quantified and compared to caliper measurements for clinical validation by Bland-Altman modelling, based on data from 80 patients with cutaneous warts (CW), 24 with anogenital warts (AGW) patients and 12 with high-grade squamous intraepithelial lesions of the vulva (vulvar HSIL) with a total lesion count of 220 CW, 74 AGW and 31 vulvar HSIL. RESULTS:Technical validation showed excellent accuracy [coefficients of variation (CV) ? 0.68%] and reproducibility (CVs ? 2%), a good to excellent agreement between operators (CVs ? 8.7%) and a good to excellent agreement between different raters for all three lesion types (ICCs ? 0.86). When comparing 3D with caliper measurements, excellent biases were found for diameter of AGW (long diameter 5%), good biases were found for diameter of AGW (short diameter 10%) and height of CW (8%), and acceptable biases were found for the diameter of CW (11%) and vulvar HSIL (short diameter 14%, long diameter 16%). An unfavourable difference between these methods (bias 25%) was found for the assessment of height of AGWs. CONCLUSION:Stereophotogrammetric 3D imaging is an accurate and reliable method for the clinical visualization and quantification of HPV-induced skin lesions.

SUBMITTER: Rijsbergen M 

PROVIDER: S-EPMC6767777 | biostudies-literature | 2019 Aug

REPOSITORIES: biostudies-literature

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Stereophotogrammetric three-dimensional photography is an accurate and precise planimetric method for the clinical visualization and quantification of human papilloma virus-induced skin lesions.

Rijsbergen M M   Pagan L L   Niemeyer-van der Kolk T T   Rijneveld R R   Hogendoorn G G   Lemoine C C   Meija Miranda Y Y   Feiss G G   Bouwes Bavink J N JN   Burggraaf J J   van Poelgeest M I E MIE   Rissmann R R  

Journal of the European Academy of Dermatology and Venereology : JEADV 20190312 8


<h4>Background</h4>The quantification of human papilloma virus (HPV)-induced skin lesions is essential for the clinical assessment of the course of disease and the response to treatment. However, clinical assessments that measure dimensions of lesions using a caliper do not provide complete insight into three-dimensional (3D) lesions, and its inter-rater variability is often poor.<h4>Objective</h4>The aim of this study was to validate a stereophotogrammetric 3D camera system for the quantificati  ...[more]

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