Melanoma Clinical Trial
Official title:
To Excise or Not?: Comparing Clinical Management Decisions for Melanoma Between Dermatologists With and Without the Aid of MelaFind
The objective of this study is to determine and compare the performance of dermatologists
(in Germany) on the excision decision against the performance of MelaFind, a non-invasive
and objective multi-spectral computer vision system designed as a tool to aid dermatologists
in the detection of early melanoma. The hypothesis is that MelaFind's sensitivity is
superior to the average excisions sensitivity of dermatologists.
Another objective is to determine and compare the performance of dermatologists (in Germany)
with and without the aid of MelaFind. The hypothesis is that the average excision
sensitivity of dermatologists with the aid of MelaFind is superior to the average excision
sensitivity of dermatologists without the aid of MelaFind.
A similar study was previously conducted with dermatologists in the US (NCT01011153). An
exploratory objective is to compare the excision decisions of dermatologists from the
previous study (in the US) to dermatologists in in this study (in Germany).
Early detection of melanoma is critical for favorable prognosis, since patients with earlier
stage melanomas have a much higher probability of survival than with later stages. The
traditional method of early detection has been with serial total body skin exams where the
health care provider examines all skin surfaces, including mucosa, for suspicious pigmented
lesions. The diagnostic performance of dermatologists for melanoma depends on the level of
dermatological training. More important than being able to make a diagnosis of melanoma on
clinical impression is the ability to make an appropriate decision to excise the lesion. To
aid dermatologists in the detection of early melanoma, MelaFind was developed, a
non-invasive and objective multi-spectral computer vision system technology. It was designed
to generate output - MelaFind Positive or MelaFind Negative- for consideration in the lesion
management decisions.
This survey study will determine and compare the average excision sensitivity to melanoma
and specificity of dermatologists (in Germany) without MelaFind output to the average
excision sensitivity to melanoma and specificity of dermatologists (in Germany) with
MelaFind output. Another purpose is to determine and compare the sensitivity to melanoma and
specificity of MelaFind to the average excision sensitivity to melanoma and specificity of
dermatologists without MelaFind output.
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Observational Model: Case Control, Time Perspective: Prospective
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