The Experience of 3D Total-Body Photography to Monitor Nevi: Results from an Australian General Population-Based Cohort Study

Article

Horsham, Caitlin, O'Hara, Montana, Sanjida, Saira, Ma, Samantha, Jayasinghe, Dilki, Green, Adele C Green, Schaider, Helmut, Aitken, Joanne F, Sturm, Richard A, Prow, Tarl, Soyer, H Peter and Janda, Monika. 2022. "The Experience of 3D Total-Body Photography to Monitor Nevi: Results from an Australian General Population-Based Cohort Study." JMIR Dermatology. 5 (2). https://doi.org/10.2196/37034
Article Title

The Experience of 3D Total-Body Photography to Monitor Nevi: Results from an Australian General Population-Based Cohort Study

Article CategoryArticle
AuthorsHorsham, Caitlin, O'Hara, Montana, Sanjida, Saira, Ma, Samantha, Jayasinghe, Dilki, Green, Adele C Green, Schaider, Helmut, Aitken, Joanne F, Sturm, Richard A, Prow, Tarl, Soyer, H Peter and Janda, Monika
Journal TitleJMIR Dermatology
Journal Citation5 (2)
Article Numbere37034
Number of Pages12
Year2022
PublisherJMIR Publications Inc.
Place of PublicationCanada
ISSN2562-0959
Digital Object Identifier (DOI)https://doi.org/10.2196/37034
Web Address (URL)https://derma.jmir.org/2022/2/e37034
Abstract

Background:
Digital 3D total-body photography of the skin surface is an emerging imaging modality that can facilitate the identification of new and changing nevi.

Objective:
We aimed to describe the experiences of study participants drawn from the general population who were provided 3D total-body photography and dermoscopy for the monitoring of nevi.

Methods:
A population-based prospective study of adults aged 20-70 years from South East Queensland, Australia was conducted. Participants underwent 3D total-body photography and dermoscopy every 6 months over a 3-year period. Participants were asked to provide closed and open-ended feedback on their 3D total-body photography and dermoscopy experience (eg, comfort, trust, intended future use, and willingness to pay) at the halfway study time point (18 months) and final study time point (36 months). We assessed changes in participants’ reported experience of 3D total-body photography, and patient characteristics associated with patient experience at the end of the study (36 months) were analyzed.

Results:
A total of 149 participants completed the surveys at both the 18- and 36-month time points (median age 55, range 23-70 years; n=94, 63.1% were male). At the 18-month time point, most participants (n=103, 69.1%) stated they completely trusted 3D total-body imaging for the diagnosis and monitoring of their nevi, and this did not change at the 36-month (n=104, 69.8%) time point. The majority of participants reported that they were very comfortable or comfortable with the technology at both the 18- (n=138, 92.6%) and 36-month (n=140, 94%) time points, respectively; albeit, the number of participants reporting that they were very comfortable reduced significantly between the 18- and 36-month time points, from 71.1% (n=106) to 61.1% (n=91; P=.01). Almost all participants (n=140, 94%) would consider using this technology if it were to become commercially available, and this did not change during the two study time points. Half of the participants (n=74) cited barriers to participating in 3D total-body photography, including trust in the ability of this technology to detect and monitor suspicious lesions, digital privacy, cost, and travel requirements.

Conclusions:
The majority of participants expressed positive attitudes toward 3D total-body photography for the monitoring of their moles. Half of the participants identified potential barriers to uptake.

Keywordsskin surface; melanocytic nevi; cohort study; artificial intelligence; 3D total-body photography; skin cancer; early detection; moles; melanoma
Byline AffiliationsUniversity of Queensland
QIMR Berghofer Medical Research Institute, Australia
University of Manchester, United Kingdom
Australian Skin and Skin Cancer Research Centre, Australia
Cancer Council Queensland, Australia
Institute for Resilient Regions
University of South Australia
Hull York Medical School, United Kingdom
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Parisi, Alfio, Green, Adele and Kimlin, Michael G.. 2001. "Diffuse Solar UV Radiation and Implications for Preventing Human Eye Damage." Photochemistry and Photobiology. 73 (2), pp. 135-139. https://doi.org/10.1562/0031-8655(2001)0730135DSURAI2.0.CO2
Lifetime ultraviolet exposure estimates for selected population groups in south east Queensland
Parisi, A. V., Meldrum, L. R., Wong, J. C. F., Aitken, J. and Fleming, R. A.. 1999. "Lifetime ultraviolet exposure estimates for selected population groups in south east Queensland." Physics in Medicine and Biology. 44 (12), pp. 2947-2953. https://doi.org/10.1088/0031-9155/44/12/307
Effect of childhood and adolescent ultraviolet exposures on cumulative exposure in south east Queensland schools
Parisi, A. V., Meldrum, L. R., Wong, J. C. F., Aitken, J. and Fleming, R. A.. 2000. "Effect of childhood and adolescent ultraviolet exposures on cumulative exposure in south east Queensland schools." Photodermatology, Photoimmunology and Photomedicine. 16 (1), pp. 19-24. https://doi.org/10.1034/j.1600-0781.2000.160106.x
Evaluation of differences in ultraviolet exposure during weekend and weekday activities
Parisi, A. V., Meldrum, L. R., Kimlin, M. G., Wong, J. C. F., Aitken, J. and Mainstone, J. S.. 2000. "Evaluation of differences in ultraviolet exposure during weekend and weekday activities." Physics in Medicine and Biology. 45 (8), pp. 2253-2262. https://doi.org/10.1088/0031-9155/45/8/314
Photosensitization of the sunscreen octyl-p-dimethylaminobenzoate by UVA in human melanocytes but not in keratinocytes
Xu, Chunxia, Green, Adele, Parisi, Alfio and Parsons, Peter G.. 2001. "Photosensitization of the sunscreen octyl-p-dimethylaminobenzoate by UVA in human melanocytes but not in keratinocytes." Photochemistry and Photobiology. 73 (6), pp. 600-604. https://doi.org/10.1562/0031-8655(2001)0730600POTSOP2.0.CO2