Staff View: Mobile Phone Imaging in Low Resource Settings for Early Detection of Oral Cancer and Concordance with Clinical Oral Examination

Mobile Phone Imaging in Low Resource Settings for Early Detection of Oral Cancer and Concordance with Clinical Oral Examination

Introduction: This study examined the concordance in clinical diagnosis of high-risk lesions in the oral cavity and referral decisions between clinical oral examination (COE) and teledentistry. Materials and Methods: Sixteen individuals with a range of oral potentially malignant disorders (OPMD) and...

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Main Authors:	Haron, N., Zain, R.B., Ghani, W.M.N.W.A., Saleh, A., Kallarakkal, T.G., Ramanathan, A., Sinon, S.H.M., Cheong, S.C., Razak, I.A.
Format:	Article
Language:	English
Published:	Mary Ann Liebert 2017
Subjects:	Oral surger
Online Access:	http://eprints.um.edu.my/17156/1/Mary_Ann_Liebert%2C_Inc.pdf http://eprints.um.edu.my/17156/ http://online.liebertpub.com/doi/10.1089/tmj.2016.0128
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spelling	my.um.eprints.171562017-08-25T06:20:26Z http://eprints.um.edu.my/17156/ Mobile Phone Imaging in Low Resource Settings for Early Detection of Oral Cancer and Concordance with Clinical Oral Examination Haron, N. Zain, R.B. Ghani, W.M.N.W.A. Saleh, A. Kallarakkal, T.G. Ramanathan, A. Sinon, S.H.M. Cheong, S.C. Razak, I.A. Oral surger Introduction: This study examined the concordance in clinical diagnosis of high-risk lesions in the oral cavity and referral decisions between clinical oral examination (COE) and teledentistry. Materials and Methods: Sixteen individuals with a range of oral potentially malignant disorders (OPMD) and normal oral mucosa were included. Five areas of the oral cavity were photographed by three dentists using mobile phone cameras with 5 MP-13 MP resolutions. On the same day, the patients were given COE by two oral medicine specialists (OMS) and 3 weeks later, they reviewed the images taken using the phone, and concordance was examined between the two by Kappa statistics. The sensitivity and specificity of clinical diagnosis using the phone images were also measured. Pre- and post-program questionnaires were answered by both the dentists and the OMS to determine the feasibility of integrating teledentistry in their clinical practice. Results: The Kappa values in determining the presence of lesion, category of lesion (OPMD or not), and making referral decision were moderate to strong (0.64-1.00). The overall sensitivity was more than 70% and specificity was 100%. The false negative rate decreased as the camera resolution increased. All dentists agreed that the process could facilitate early detection of oral mucosal lesion, and was easy to use in the clinic. Conclusions: This study provides evidence that teledentistry can be used for communication between primary care and OMS and could be readily integrated into clinical setting for patient management. Mary Ann Liebert 2017 Article PeerReviewed application/pdf en http://eprints.um.edu.my/17156/1/Mary_Ann_Liebert%2C_Inc.pdf Haron, N. and Zain, R.B. and Ghani, W.M.N.W.A. and Saleh, A. and Kallarakkal, T.G. and Ramanathan, A. and Sinon, S.H.M. and Cheong, S.C. and Razak, I.A. (2017) Mobile Phone Imaging in Low Resource Settings for Early Detection of Oral Cancer and Concordance with Clinical Oral Examination. Telemedicine and e-Health, 23 (3). pp. 192-199. ISSN 1530-5627 http://online.liebertpub.com/doi/10.1089/tmj.2016.0128 doi: 10.1089/tmj.2016.0128
institution	Universiti Malaya
building	UM Library
collection	Institutional Repository
continent	Asia
country	Malaysia
content_provider	Universiti Malaya
content_source	UM Research Repository
url_provider	http://eprints.um.edu.my/
language	English
topic	Oral surger
spellingShingle	Oral surger Haron, N. Zain, R.B. Ghani, W.M.N.W.A. Saleh, A. Kallarakkal, T.G. Ramanathan, A. Sinon, S.H.M. Cheong, S.C. Razak, I.A. Mobile Phone Imaging in Low Resource Settings for Early Detection of Oral Cancer and Concordance with Clinical Oral Examination
description	Introduction: This study examined the concordance in clinical diagnosis of high-risk lesions in the oral cavity and referral decisions between clinical oral examination (COE) and teledentistry. Materials and Methods: Sixteen individuals with a range of oral potentially malignant disorders (OPMD) and normal oral mucosa were included. Five areas of the oral cavity were photographed by three dentists using mobile phone cameras with 5 MP-13 MP resolutions. On the same day, the patients were given COE by two oral medicine specialists (OMS) and 3 weeks later, they reviewed the images taken using the phone, and concordance was examined between the two by Kappa statistics. The sensitivity and specificity of clinical diagnosis using the phone images were also measured. Pre- and post-program questionnaires were answered by both the dentists and the OMS to determine the feasibility of integrating teledentistry in their clinical practice. Results: The Kappa values in determining the presence of lesion, category of lesion (OPMD or not), and making referral decision were moderate to strong (0.64-1.00). The overall sensitivity was more than 70% and specificity was 100%. The false negative rate decreased as the camera resolution increased. All dentists agreed that the process could facilitate early detection of oral mucosal lesion, and was easy to use in the clinic. Conclusions: This study provides evidence that teledentistry can be used for communication between primary care and OMS and could be readily integrated into clinical setting for patient management.
format	Article
author	Haron, N. Zain, R.B. Ghani, W.M.N.W.A. Saleh, A. Kallarakkal, T.G. Ramanathan, A. Sinon, S.H.M. Cheong, S.C. Razak, I.A.
author_facet	Haron, N. Zain, R.B. Ghani, W.M.N.W.A. Saleh, A. Kallarakkal, T.G. Ramanathan, A. Sinon, S.H.M. Cheong, S.C. Razak, I.A.
author_sort	Haron, N.
title	Mobile Phone Imaging in Low Resource Settings for Early Detection of Oral Cancer and Concordance with Clinical Oral Examination
title_short	Mobile Phone Imaging in Low Resource Settings for Early Detection of Oral Cancer and Concordance with Clinical Oral Examination
title_full	Mobile Phone Imaging in Low Resource Settings for Early Detection of Oral Cancer and Concordance with Clinical Oral Examination
title_fullStr	Mobile Phone Imaging in Low Resource Settings for Early Detection of Oral Cancer and Concordance with Clinical Oral Examination
title_full_unstemmed	Mobile Phone Imaging in Low Resource Settings for Early Detection of Oral Cancer and Concordance with Clinical Oral Examination
title_sort	mobile phone imaging in low resource settings for early detection of oral cancer and concordance with clinical oral examination
publisher	Mary Ann Liebert
publishDate	2017
url	http://eprints.um.edu.my/17156/1/Mary_Ann_Liebert%2C_Inc.pdf http://eprints.um.edu.my/17156/ http://online.liebertpub.com/doi/10.1089/tmj.2016.0128
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score	13.211869

Mobile Phone Imaging in Low Resource Settings for Early Detection of Oral Cancer and Concordance with Clinical Oral Examination

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