Study 1
DERM-SUCCESS: Primary Care Study
The DermaSensor device is an easy-to-use, point-of-care, hand-held skin cancer adjunctive diagnostic device with high sensitivity and NPV to help inform PCP decision-making about skin lesions suspicious for cancer that need further evaluation and those that may be monitored. Coupled with clinical exam findings, this device may aid PCPs to improve clinical decisions about suspicious skin lesions (i.e., to refer, or monitor), with this study suggesting device use could rule out 20.7% of suspicious lesions from needing further evaluation. With the device PPV reaching as high as 61%, the device can also help inform which lesions merit urgent evaluation by dermatologists.
*Clinical Evidence Upon Request
DermaSensor demonstrated high sensitivity of 95.5% in detecting all skin cancer types when compared to the gold standard of histopathologic examination, with similar sensitivity and specificity across all Fitzpatrick skin type subgroups.
NPV of the device was 96.6%, meaning a negative “monitor” device result had only a 3.4% chance of being a false negative, i.e. any of the three cancer types.
The overall positive predictive value (PPV) for an “investigate further” result was 16.6% (NNB of 6:1).
The device sensitivity and overall accuracy (i.e. AUC) were both found to be superior to those of the PCPs.
By pairing high sensitivity with clinical exam findings, the device may rule out 20.7% of lesions from needing further evaluation, reducing patient anxiety and optimizing healthcare resource allocation.
Likelihood of malignancy increased significantly with increasing spectral scores. For scores of 1-3, PPV was 6%, which increased to 18% for scores of 4-7 and 40% for scores of 8-10.