{"id":"https://openalex.org/W2053838010","doi":"https://doi.org/10.1159/000069939","title":"Effect of Lesion Size on the Diagnostic Performance of Dermoscopy in Melanoma Detection","display_name":"Effect of Lesion Size on the Diagnostic Performance of Dermoscopy in Melanoma Detection","publication_year":2003,"publication_date":"2003-01-01","ids":{"openalex":"https://openalex.org/W2053838010","doi":"https://doi.org/10.1159/000069939","mag":"2053838010","pmid":"https://pubmed.ncbi.nlm.nih.gov/12771468"},"language":"en","primary_location":{"id":"doi:10.1159/000069939","doi":"https://doi.org/10.1159/000069939","is_oa":false,"landing_page_url":"https://doi.org/10.1159/000069939","pdf_url":null,"source":{"id":"https://openalex.org/S135397728","display_name":"Dermatology","issn_l":"1018-8665","issn":["1018-8665","1421-9832"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310317820","host_organization_name":"Karger Publishers","host_organization_lineage":["https://openalex.org/P4310317820"],"host_organization_lineage_names":["Karger Publishers"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Dermatology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5108400922","display_name":"Paolo Carli","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I45084792","display_name":"University of Florence","ror":"https://ror.org/04jr1s763","country_code":"IT","type":"education","lineage":["https://openalex.org/I45084792"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Paolo Carli","raw_affiliation_strings":["Department of Dermatology, University of Florence, Italy. carli@unifi.it","Department of Dermatology, University of Florence, Florence, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Dermatology, University of Florence, Italy. carli@unifi.it","institution_ids":["https://openalex.org/I45084792"]},{"raw_affiliation_string":"Department of Dermatology, University of Florence, Florence, Italy","institution_ids":["https://openalex.org/I45084792"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5001196565","display_name":"Vincenzo DE GIORGI","orcid":"https://orcid.org/0000-0001-6531-7998","observed_orcids":["https://orcid.org/0000-0001-6531-7998"]},"institutions":[{"id":"https://openalex.org/I45084792","display_name":"University of Florence","ror":"https://ror.org/04jr1s763","country_code":"IT","type":"education","lineage":["https://openalex.org/I45084792"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Vincenzo De Giorgi","raw_affiliation_strings":["Department of Dermatology, University of Florence, Florence, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Dermatology, University of Florence, Florence, Italy","institution_ids":["https://openalex.org/I45084792"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016821513","display_name":"Alessandra Chiarugi","orcid":"https://orcid.org/0000-0002-7392-9350","observed_orcids":["https://orcid.org/0000-0002-7392-9350"]},"institutions":[{"id":"https://openalex.org/I45084792","display_name":"University of Florence","ror":"https://ror.org/04jr1s763","country_code":"IT","type":"education","lineage":["https://openalex.org/I45084792"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Alessandra Chiarugi","raw_affiliation_strings":["Department of Dermatology, University of Florence, Florence, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Dermatology, University of Florence, Florence, Italy","institution_ids":["https://openalex.org/I45084792"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5061549012","display_name":"Paolo Nardini","orcid":"https://orcid.org/0009-0007-3062-2280","observed_orcids":["https://orcid.org/0009-0007-3062-2280"]},"institutions":[{"id":"https://openalex.org/I45084792","display_name":"University of Florence","ror":"https://ror.org/04jr1s763","country_code":"IT","type":"education","lineage":["https://openalex.org/I45084792"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Paolo Nardini","raw_affiliation_strings":["Department of Dermatology, University of Florence, Florence, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Dermatology, University of Florence, Florence, Italy","institution_ids":["https://openalex.org/I45084792"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5023932921","display_name":"Francesca Mannone","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I45084792","display_name":"University of Florence","ror":"https://ror.org/04jr1s763","country_code":"IT","type":"education","lineage":["https://openalex.org/I45084792"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Francesca Mannone","raw_affiliation_strings":["Department of Dermatology, University of Florence, Florence, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Dermatology, University of Florence, Florence, Italy","institution_ids":["https://openalex.org/I45084792"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5055773868","display_name":"Marcello Stante","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I45084792","display_name":"University of Florence","ror":"https://ror.org/04jr1s763","country_code":"IT","type":"education","lineage":["https://openalex.org/I45084792"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Marcello Stante","raw_affiliation_strings":["Department of Dermatology, University of Florence, Florence, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Dermatology, University of Florence, Florence, Italy","institution_ids":["https://openalex.org/I45084792"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5072214732","display_name":"Elena Quercioli","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I45084792","display_name":"University of Florence","ror":"https://ror.org/04jr1s763","country_code":"IT","type":"education","lineage":["https://openalex.org/I45084792"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Elena Quercioli","raw_affiliation_strings":["Department of Dermatology, University of Florence, Florence, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Dermatology, University of Florence, Florence, Italy","institution_ids":["https://openalex.org/I45084792"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5077304867","display_name":"Serena Sestini","orcid":"https://orcid.org/0000-0002-7892-4444","observed_orcids":["https://orcid.org/0000-0002-7892-4444"]},"institutions":[{"id":"https://openalex.org/I45084792","display_name":"University of Florence","ror":"https://ror.org/04jr1s763","country_code":"IT","type":"education","lineage":["https://openalex.org/I45084792"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Serena Sestini","raw_affiliation_strings":["Department of Dermatology, University of Florence, Florence, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Dermatology, University of Florence, Florence, Italy","institution_ids":["https://openalex.org/I45084792"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5111577336","display_name":"Benvenuto Giannotti","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I45084792","display_name":"University of Florence","ror":"https://ror.org/04jr1s763","country_code":"IT","type":"education","lineage":["https://openalex.org/I45084792"]}],"countries":["IT"],"is_corresponding":false,"raw_author_name":"Benvenuto Giannotti","raw_affiliation_strings":["Department of Dermatology, University of Florence, Florence, Italy"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Dermatology, University of Florence, Florence, Italy","institution_ids":["https://openalex.org/I45084792"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I45084792"],"apc_list":null,"apc_paid":null,"fwci":0.6654,"has_fulltext":false,"cited_by_count":26,"citation_normalized_percentile":{"value":0.67611132,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":97},"biblio":{"volume":"206","issue":"4","first_page":"292","last_page":"296"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10392","display_name":"Cutaneous Melanoma Detection and Management","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10392","display_name":"Cutaneous Melanoma Detection and Management","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2730","display_name":"Oncology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11144","display_name":"melanin and skin pigmentation","score":0.0,"subfield":{"id":"https://openalex.org/subfields/1307","display_name":"Cell Biology"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10862","display_name":"AI in cancer detection","score":0.0,"subfield":{"id":"https://openalex.org/subfields/1702","display_name":"Artificial Intelligence"},"field":{"id":"https://openalex.org/fields/17","display_name":"Computer Science"},"domain":{"id":"https://openalex.org/domains/3","display_name":"Physical Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/dermoscopy","display_name":"dermoscopy","score":0.9670000076293945},{"id":"https://openalex.org/keywords/melanoma-detection","display_name":"melanoma detection","score":0.9660000205039978},{"id":"https://openalex.org/keywords/lesion-size","display_name":"lesion size","score":0.949999988079071},{"id":"https://openalex.org/keywords/melanocytic-lesions","display_name":"melanocytic lesions","score":0.8069999814033508},{"id":"https://openalex.org/keywords/melanoma-thickness","display_name":"melanoma thickness","score":0.5440000295639038},{"id":"https://openalex.org/keywords/diagnostic-accuracy","display_name":"diagnostic accuracy","score":0.6539999842643738},{"id":"https://openalex.org/keywords/sensitivity","display_name":"sensitivity","score":0.6489999890327454},{"id":"https://openalex.org/keywords/melanocytic-nevi","display_name":"melanocytic nevi","score":0.8349999785423279},{"id":"https://openalex.org/keywords/melanoma-in-situ","display_name":"melanoma in situ","score":0.7419999837875366},{"id":"https://openalex.org/keywords/microstaging","display_name":"microstaging","score":0.5619999766349792}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8355358839035034},{"id":"https://openalex.org/C2777658100","wikidata":"https://www.wikidata.org/wiki/Q180614","display_name":"Melanoma","level":2,"score":0.7189199924468994},{"id":"https://openalex.org/C3020132585","wikidata":"https://www.wikidata.org/wiki/Q2671652","display_name":"Diagnostic accuracy","level":2,"score":0.677926242351532},{"id":"https://openalex.org/C2781156865","wikidata":"https://www.wikidata.org/wiki/Q827023","display_name":"Lesion","level":2,"score":0.5731021761894226},{"id":"https://openalex.org/C2778324318","wikidata":"https://www.wikidata.org/wiki/Q902923","display_name":"Dermatoscopy","level":3,"score":0.541245698928833},{"id":"https://openalex.org/C3018023364","wikidata":"https://www.wikidata.org/wiki/Q425265","display_name":"Significant difference","level":2,"score":0.4614388644695282},{"id":"https://openalex.org/C82157600","wikidata":"https://www.wikidata.org/wiki/Q2671652","display_name":"Diagnostic test","level":2,"score":0.43211299180984497},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.4315846562385559},{"id":"https://openalex.org/C2989005","wikidata":"https://www.wikidata.org/wiki/Q214963","display_name":"Nuclear medicine","level":1,"score":0.382146418094635},{"id":"https://openalex.org/C142724271","wikidata":"https://www.wikidata.org/wiki/Q7208","display_name":"Pathology","level":1,"score":0.3445211946964264},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.2913014888763428},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.14354950189590454},{"id":"https://openalex.org/C502942594","wikidata":"https://www.wikidata.org/wiki/Q3421914","display_name":"Cancer research","level":1,"score":0.0},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008545","descriptor_name":"Melanoma","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true},{"descriptor_ui":"D008853","descriptor_name":"Microscopy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D012680","descriptor_name":"Sensitivity and Specificity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012878","descriptor_name":"Skin Neoplasms","qualifier_ui":"Q000473","qualifier_name":"pathology","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1159/000069939","doi":"https://doi.org/10.1159/000069939","is_oa":false,"landing_page_url":"https://doi.org/10.1159/000069939","pdf_url":null,"source":{"id":"https://openalex.org/S135397728","display_name":"Dermatology","issn_l":"1018-8665","issn":["1018-8665","1421-9832"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310317820","host_organization_name":"Karger Publishers","host_organization_lineage":["https://openalex.org/P4310317820"],"host_organization_lineage_names":["Karger Publishers"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Dermatology","raw_type":"journal-article"},{"id":"pmid:12771468","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/12771468","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Dermatology (Basel, Switzerland)","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.9391000270843506}],"study_designs":[],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":14,"referenced_works":["https://openalex.org/W33101247","https://openalex.org/W1995368035","https://openalex.org/W1999332774","https://openalex.org/W2008148517","https://openalex.org/W2055123697","https://openalex.org/W2076018290","https://openalex.org/W2084111518","https://openalex.org/W2096457735","https://openalex.org/W2140959850","https://openalex.org/W2144535097","https://openalex.org/W2151287908","https://openalex.org/W2164273268","https://openalex.org/W2168062509","https://openalex.org/W4417057867"],"related_works":["https://openalex.org/W2072650223","https://openalex.org/W7196965503","https://openalex.org/W2055123697","https://openalex.org/W2008148517","https://openalex.org/W2012960965","https://openalex.org/W1939314877","https://openalex.org/W7167687078","https://openalex.org/W2121402564","https://openalex.org/W2805675371","https://openalex.org/W2164273268"],"abstract_inverted_index":{"BACKGROUND:":[0],"Dermoscopy":[1,148],"is":[2,16,222,232,250],"able":[3],"to":[4,35,129,219,237],"correctly":[5],"classify":[6],"a":[7],"higher":[8],"number":[9],"of":[10,31,39,41,47,65,99,136,153,156,217,227,245],"melanomas":[11,137],"than":[12,109],"naked-eye":[13,154,220],"examination.":[14],"Little":[15],"known":[17],"however":[18],"about":[19],"factors":[20],"which":[21],"may":[22],"influence":[23],"the":[24,32,37,42,96,100,134,150,186,215,225,228],"diagnostic":[25,45,89,151,173,203,211],"performance":[26,46,90,152],"during":[27],"practice.":[28],"The":[29,210,242],"aim":[30],"study":[33],"was":[34,91,192],"analyze":[36],"effect":[38],"size":[40,226],"lesion":[43],"on":[44],"dermoscopy":[48,218,246],"in":[49,74,93,240,247,258],"melanoma":[50,248],"detection.":[51],"METHODS:":[52],"Eight":[53],"dermatologists":[54],"examined":[55],"clinical":[56,59],"and,":[57],"separately,":[58],"and":[60,76,83,115,118,143,159,168,180],"dermoscopic":[61],"(combined":[62],"examination)":[63],"images":[64],"200":[66],"melanocytic":[67,85,254],"lesions":[68,101,161,197,235,255],"previously":[69],"excised":[70],"[64":[71],"melanomas,":[72],"24":[73],"situ":[75],"40":[77],"invasive":[78],"(median":[79,138],"thickness":[80,139],"0.30":[81],"mm)":[82,117],"136":[84],"nevi].":[86],"After":[87],"examination,":[88],"analyzed":[92],"accordance":[94],"with":[95,195,214,234,253],"major":[97],"diameter":[98,259],"divided":[102],"into":[103],"3":[104],"groups,":[105],"i.e.":[106,230],"small":[107,196],"(less":[108],"6":[110,114,238,256],"mm),":[111],"intermediate":[112,158],"(between":[113],"9":[116],"large":[119,160],"(10":[120],"mm":[121,239,257],"or":[122,260],"more)":[123],"lesions.":[124],"These":[125],"groups":[126],"were":[127],"shown":[128],"be":[130],"highly":[131],"comparable":[132],"concerning":[133],"microstaging":[135],"value":[140],"0.30,":[141],"0.22":[142],"0.32":[144],"mm,":[145],"respectively).":[146],"RESULTS:":[147],"increased":[149],"examination":[155,221],"both":[157],"[sensitivity":[162],"value:":[163,175],"+19.3":[164],"(p":[165,170,177,182],"=":[166,171,178,183,201,207],"0.002)":[167],"+10.3":[169],"0.007);":[172],"accuracy":[174,204],"+7.4":[176],"0.004)":[179],"+6.1":[181],"0.07)].":[184],"On":[185],"contrary,":[187],"no":[188],"statistically":[189],"significant":[190],"increase":[191],"found":[193],"dealing":[194,252],"(sensitivity":[198],"+3.7,":[199],"p":[200,206],"0.66;":[202],"-1.7,":[205],"0.55).":[208],"CONCLUSIONS:":[209],"improvement":[212],"associated":[213],"addition":[216],"influenced":[223],"by":[224],"lesion,":[229],"it":[231],"lacking":[233],"up":[236],"diameter.":[241],"optimized":[243],"use":[244],"detection":[249],"obtained":[251],"larger.":[261]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2024,"cited_by_count":1},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":3},{"year":2020,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":3},{"year":2017,"cited_by_count":1},{"year":2015,"cited_by_count":1},{"year":2014,"cited_by_count":2},{"year":2013,"cited_by_count":1},{"year":2012,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
