a novel actinic keratosis field assessment scale for grading actinic keratosis disease severity
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ID: 214542
2017
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Abstract
Actinic keratosis (AK) lesions are surrounded by field cancerization (areas of subclinical, non-visible sun damage). Existing AK grading tools rely on AK counts, which are not reproducible. An Actinic Keratosis Field Assessment Scale (AK-FAS) for grading the severity of AK/field was developed. Standardized photographs of patients representing the full range of AK severity were collected. Six investigators independently rated each photograph according to 3 criteria: AK area (total skin area affected by AK lesions), hyperkeratosis and sun damage. Inter-rater reproducibility was good for all 3 criteria. Validation of the AK-FAS showed good reproducibility for AK area and hyperkeratosis, even for dermatologists untrained on use of the scale. In conclusion, the AK-FAS is objective, easy to use and implement, and reproducible. It incorporates assessment of the entire field affected by AK instead of relying on lesion counts. Use of the AK-FAS may standardize AK diagnosis, making it relevant to routine clinical practice
| Reference Key |
drno2017actaa
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| Authors | ;Brigitte Dréno;Rino Cerio;Thomas Dirschka;Ignasi Figueras Nart;John T. Lear;Ketty Peris;Andrés Ruiz de Casas;Shaniko Kaleci;Giovanni Pellacani |
| Journal | renewable energy technologies for water desalination |
| Year | 2017 |
| DOI |
10.2340/00015555-2710
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