Colin Fleming
YOU?
Author Swipe
View article: BT04 A dermatology image quality assessment tool for skin cancer teledermatology
BT04 A dermatology image quality assessment tool for skin cancer teledermatology Open
In November 2024, the British Association of Dermatologists released a new Service Guidance and Standards for Teledermatology to provide quality assurance for services nationally. One standard is to ensure personnel are appropriately train…
View article: DS03 <i>Ex vivo</i> confocal laser scanning microscopy of 83 facial basal cell carcinomas: a single-centre prospective 1-year study of real-world Mohs experience
DS03 <i>Ex vivo</i> confocal laser scanning microscopy of 83 facial basal cell carcinomas: a single-centre prospective 1-year study of real-world Mohs experience Open
Ex vivo confocal laser scanning microscopy (CLSM) is a novel integrative noninvasive imaging tool that can be used within Mohs micrographic surgery (MMS) for tumour margin assessment. Studies have reported up to 88% sensitivity and 99% spe…
View article: P161 How safe are community lesion imaging clinics for teletriage of suspected skin cancer? A retrospective study
P161 How safe are community lesion imaging clinics for teletriage of suspected skin cancer? A retrospective study Open
We have previously reported significant system benefits associated with community lesion imaging clinics (CLICs) for teletriage of suspected skin cancers. CLICs are a low-cost model for dermatology triage run by healthcare assistants in co…
View article: BT02 (P161) How safe are community lesion imaging clinics for teletriage of suspected skin cancer? A retrospective study
BT02 (P161) How safe are community lesion imaging clinics for teletriage of suspected skin cancer? A retrospective study Open
We have previously reported significant system benefits associated with community lesion imaging clinics (CLICs) for teletriage of suspected skin cancers. CLICs are a low-cost model for dermatology triage run by healthcare assistants in co…
View article: Teledermatology & Digital Dermatology SymposiumOral presentationsBT01 Developing a national artificial intelligence-assisted skin cancer pathway
Teledermatology & Digital Dermatology SymposiumOral presentationsBT01 Developing a national artificial intelligence-assisted skin cancer pathway Open
The AI Skin Cancer Consortium seeks to progress integration of artificial intelligence (AI) into the skin cancer referral pathway to promote rapid diagnosis of skin cancer and reassurance with benign lesions. In contrast to other fields of…
View article: BT02 Artificial intelligence-ready skin cancer alchemy: transforming routine teledermatology data into metadata-embedded DICOM files
BT02 Artificial intelligence-ready skin cancer alchemy: transforming routine teledermatology data into metadata-embedded DICOM files Open
Most skin artificial intelligence (AI) classifiers are trained only on images with diagnostic labels. However, the addition of clinical information can improve predictive accuracy. Recent interest has been stimulated in incorporating clini…
View article: BT24 Pseudonymization for artificial intelligence skin lesion datasets: a real-world feasibility study
BT24 Pseudonymization for artificial intelligence skin lesion datasets: a real-world feasibility study Open
The use of patient data for artificial intelligence (AI) research should be transparent, rigorous and accountable. In the UK, the General Data Protection Regulation, Data Protection Act 2018 and General Medical Council govern data handling…
View article: Classifying real-world macroscopic images in the primary–secondary care interface using transfer learning: implications for development of artificial intelligence solutions using nondermoscopic images
Classifying real-world macroscopic images in the primary–secondary care interface using transfer learning: implications for development of artificial intelligence solutions using nondermoscopic images Open
Background The application of deep learning (DL) to diagnostic dermatology has been the subject of numerous studies, with some reporting skin lesion classification performance on curated datasets comparable to that of experienced dermatolo…
View article: BT05 Community and Locality Imaging Centres: innovation in the skin cancer care pathway
BT05 Community and Locality Imaging Centres: innovation in the skin cancer care pathway Open
Timely management of patients referred with suspected skin cancer remains challenging due to demand that exceeds the capacity of dermatology departments. Encouraging the attachment of images and key metadata along with referrals from prima…
View article: BT11 Bringing clinical photography closer to home: reporting on a prototype Community and Locality Imaging Centre model
BT11 Bringing clinical photography closer to home: reporting on a prototype Community and Locality Imaging Centre model Open
Teledermatology services are widely used and operate using different models. We work with a long-established teledermatology service across a mixed rural and urban population, where primary care attaches images of variable quality to secon…
View article: DS24 Prospective study comparing <i>ex vivo</i> confocal laser scanning microscopy and frozen section histopathology of 23 basal cell carcinomas treated with Mohs micrographic surgery
DS24 Prospective study comparing <i>ex vivo</i> confocal laser scanning microscopy and frozen section histopathology of 23 basal cell carcinomas treated with Mohs micrographic surgery Open
Ex vivo confocal laser scanning microscopy (CLSM) is an emerging technique that is used for the rapid analysis of freshly excised tissue during Mohs micrographic surgery (MMS). Previous studies on fluorescence CLSM have shown 88% and 99% s…
View article: BT07 Creation of a skin lesion image pipeline: key steps in developing a mobile application with DICOM® fields and metadata
BT07 Creation of a skin lesion image pipeline: key steps in developing a mobile application with DICOM® fields and metadata Open
A key issue facing artificial intelligence (AI) for dermatology is the lack of standardization around capture, transfer and storage of skin images and clinical data. To assist systematic capture of clinical data, we developed a nationally …
View article: BT15 Development of a validated image grading scale to assess the quality of skin lesion images
BT15 Development of a validated image grading scale to assess the quality of skin lesion images Open
Image quality is important for diagnostic confidence. For teledermatologists, low-quality images cause greater uncertainty, necessitating more cautious decision-making. Likewise, artificial intelligence systems are trained to recognize low…
View article: Key issues when considering adopting a skin cancer diagnostic tool that uses artificial intelligence
Key issues when considering adopting a skin cancer diagnostic tool that uses artificial intelligence Open
Image-based skin cancer diagnostic technologies utilizing artificial intelligence (AI) are increasing in popularity in dermatology. The World Health Organization has cautioned against overestimating the benefits of AI at the expense of cor…
View article: Fossils in Silk: Historical Hoods of Trinity College, Toronto
Fossils in Silk: Historical Hoods of Trinity College, Toronto Open
The hoods used by Trinity College at the University of Toronto bear out to some extent what Groves and Christianson suggested, namely that ‘colonial universities initially borrowed their [academical dress] from the mother country, and part…
View article: DS05: Two‐thirds of patients may not require review after Mohs micrographic surgery
DS05: Two‐thirds of patients may not require review after Mohs micrographic surgery Open
has increased over the last 10 years, with more fellows completing UK-based fellowships.The average number of PAs allocated for MMS has also increased from 1Á84 to 2Á87.This study provides a valuable update to the 2011 national survey outc…
View article: DS06: Contending with COVID‐19 in a Mohs micrographic surgery service
DS06: Contending with COVID‐19 in a Mohs micrographic surgery service Open
has increased over the last 10 years, with more fellows completing UK-based fellowships.The average number of PAs allocated for MMS has also increased from 1Á84 to 2Á87.This study provides a valuable update to the 2011 national survey outc…
View article: Narrowband ultraviolet B phototherapy is associated with a reduction in topical corticosteroid and clinical improvement in atopic dermatitis: a historical inception cohort study
Narrowband ultraviolet B phototherapy is associated with a reduction in topical corticosteroid and clinical improvement in atopic dermatitis: a historical inception cohort study Open
Our data confirm the significant efficacy of NB-UVB for AD under conditions of routine care.
View article: How much emollient and steroid cream do eczema patients use, and the link between depression and steroid cream use
How much emollient and steroid cream do eczema patients use, and the link between depression and steroid cream use Open
Atopic dermatitis (AD), often known simply as eczema, is a widespread condition, affecting between 15‐25% of children and between 4‐7% of adults worldwide. AD causes dry and itchy skin, and for many is a life‐long affliction. AD varies eno…
View article: Narrowband ultraviolet B treatment for psoriasis is highly economical and causes significant savings in cost for topical treatments
Narrowband ultraviolet B treatment for psoriasis is highly economical and causes significant savings in cost for topical treatments Open
NB-UVB is a low-cost treatment; cost figures currently used in health technology appraisals are an overestimate based on the data presented here. Creating or extending access to NB-UVB is likely to offer additional savings by delaying or a…
View article: Narrowband UVB treatment is highly effective and causes a strong reduction in the use of steroid and other creams in psoriasis patients in clinical practice
Narrowband UVB treatment is highly effective and causes a strong reduction in the use of steroid and other creams in psoriasis patients in clinical practice Open
NB-UVB treatment is highly effective and leads to a remarkable reduction in the need for topical cream treatments for a period of at least 12 months.
View article: Trends in dermoscopy use in the UK: results from surveys in 2003 and 2012
Trends in dermoscopy use in the UK: results from surveys in 2003 and 2012 Open
Background: Dermoscopy is a useful tool to aid diagnosis of pigmented and non-pigmented skin lesions, as well as many other dermatological conditions. Use of dermoscopy is increasing worldwide, but to date, there are no reported data on at…