Standardising Lesion Photography: Development and Evaluation of the Dundee Image Grading Scale (DIGS) in Teledermatology

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ID: 325196
2026
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Ranked #33 of 169 articles by views in clinical and experimental dermatology

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Abstract
The rapid expansion of teledermatology has resulted in skin lesion photography being undertaken by an increasingly diverse workforce, leading to substantial variation in technical image quality. We describe the development and evaluation of the Dundee Image Grading Scale (DIGS), a brief, numeral-based, image quality assessment tool designed specifically for macroscopic lesion photography. The tool demonstrates reliable performance across users with varied clinical and technical backgrounds, while remaining intuitive and efficient to use. We anticipate that this will support future quality assurance activities across services that are dependant on high-quality image capture, such as; teledermatology and the emerging AI applications for skin cancer diagnosis.
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openalex_W7203652642 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Gillian X M Chin, Trisha J M Chin, Andrew Coon, Alyson Bryden, Ewan Eadie, Colin Fleming
Journal clinical and experimental dermatology
Year 2026
DOI
10.1093/ced/llag356
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