The trouble with Smartphone cameras in Dermatology

The latest Smartphone technology is truly amazing.  They defy everything we have thought to be true about photography!  Remember those expensive lenses that increase aperture and allow for low light photographs without a tri-pod?  Just look at the size of the camera lens on your phone!  Look at the amazing images we get with our phone!

No question about the incredible images we can all take.  And, they even sell lens attachments that clip on to the phone to improve close shots!  Fabulous images!

Every phone uses a separate proprietary algorithm to create their image using the computer.  None of the manufactures will share their secret process!

Every generation of phone is different!  How can you possible teach a computer to “learn” the colors and patterns when every other image is from a different type of phone?

iPhone 1 compared to iPhone XR, Android, Google, Samsung, Galaxy S9, S9 Plus, Note 9, A9, HTC, LG, Motorola (Lenovo) Sony, OnePlus 6T, ASUS, Blackberry (TCL), Honor, Huawei P20 Pro, Mate 20 Pro, Nokia, Xiaomi, Zenfone 5Z, Asus ROG phone, Mi Mix 2S, Red Hydrogen One, and Posophone F1.

Now imagine everyone sending in a photo over email without knowing what the lighting was or the type of phone or the distance, focus, or other settings!  Way too many variables for A.I. to be consistent!

DermDetect uses DICOM 3 (Digital Imaging COmmunications Medicine) published as NEMA Standard PS3 was created years ago (1985) by the experts in imaging at the American College of Radiology.  You know, Radiologist that use X-Ray, CT, MRI, Ultrasound, Nuclear Medicine, Positron Emission Tomography, Mammography, and more.  They recognized that there needed to be a standard way to allow all the manufacturers to send, display, and store their images on a common workstation platform.

NEMA (National Electrical Manufacturers Association) recognized the need to allow all the manufactures to be able to connect to every existing network.  Proprietary networks that would require total allegiance to one company was not an option that any buyer was willing to accept.  As we have witnessed, GE, Philips, Siemens, Toshiba, sells all the diagnostic tools and no one has the best technology across the board.  The best is often a start-up that grows and they is purchased by the giants.

Here is a good source of information “What are the Differences Between PACS, RIS, CIS, and DICOM?”  The author Stephan O’Connor does great job of explaining the imaging world of acronyms.

Bottom Line for Dermatology?  The American Academy of Dermatology has attempted to establish the DICOM standard for Dermatology.  Three time the committee has disbanded without a resolution.  In 2018, Rob Schumacher (COO DermDetect) and our PACS vendor met with the committee and demonstrated our working DICOM/PACS for Dermatology.  We believe that ours is the first and only in Dermatology that allows secure encrypted uploads of images to the OHSU Academic Dermatologist.

Each image has a “header file” that allows our system to automatically know everything about that image, including the color-code assigned by the Academic Dermatologist.  Our private and secure server is a central processing area for the Health History, Registration, Reports, Images, and Pathology Reports.  Our images are 100% consistent with controlled lighting, color, focus, and we know when and where and who was there when it was taken.  This has never been achieved before and experts believe that the A.I. results will be amazing.

DermDetect developed our own “RIS” system to allow our participants to register, schedule, upload, and securely access their images and reports.  We allow our participants to securely download the PDF files to share with their experts.

We need participants to join our team and get the ASCS!

If your ASCS shows all Code Green, you can be sure that highest resolution imaging technology operated by trained Dermographers that methodically searched for anything suspicious to capture an image and share it with our Academic Dermatologist, agree that a “Routine Follow-up” in 12 months is indicated.  You must always check your skin for changes and if you see something that is changing, call us for a FREE comparison image with your previous image.  Sequential Digital Dermoscopy Imaging” is able to see minute changes that are proven to improve early detection of melanoma.  To get your FREE SDDI, you will need to join the Dermographer at a mutually convenient time and place.  DermDetect simply can’t see everyone at any time.  If we are not able to perform the SDDI in a timely manner, you should seek immediate access to your medical professional. Many times the SDDI shows little to no change and the decision to carefully monitor the lesion is best.

If you have a Code RED, see your medical professional immediately and get the best care available.  Then, MOST IMPORTANT, upload your pathology report.  We do not need your name, only your participant ID.

Then tell everyone that you helped us develop a game changer in Dermatology!

Thank You!


Larry Findleton, President


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