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  • Presentation

The State of Total Body Photography

Description

The session focused on advancements in total body photography, specifically at MD Anderson Cancer Center, highlighting the transition from traditional photographic methods to modern systems designed to improve patient care and outcomes. The speaker discussed the selection of patients for total body photography, emphasizing those with known skin cancer risks, multiple melanoma histories, or anxiety related to skin lesions. She outlined various systems, including Photo Finder, Meta Optima, and Canfield Vectra, each with distinctive features, advantages, and limitations regarding image capture efficiency, decision support capabilities, and patient comfort. Emphasis was placed on effective communication with patients to maintain comfort during the process and the importance of staff support for creating a positive experience. By using technology, clinicians can now analyze images outside of patient interactions, leading to more thorough evaluations. Ultimately, the speaker underscored the array of systems available, the growing recognition of patients with high-risk genetic syndromes, and the significant benefits of using total body photography for patient reassurance and satisfaction.

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Conclusions

  • Total body photography (TBP) is beneficial for patients at high risk of melanoma, including those with germline pathogenic variants and multiple prior melanomas.
  • Anxiety management is an important reason for selecting patients for TBP, providing reassurance and reducing unnecessary biopsies.
  • The comparison of photographic images outside of the exam room enhances evaluation and accuracy for dermatologists.
  • Several TBP systems, such as FotoFinder, MetaOptima/DermEngine, and Canfield Vectra, offer varying advantages in terms of image capture, comparison, and user interface.
  • Clear communication and supportive staff significantly enhance patient experience during the TBP process.
  • Detailed implementation tips include starting with lower complexity cases and establishing collaborative care practices.
  • Xu et al. Br J Dermatol. 2021 Aug;185(2):302-312
  • Hornung et al. Int J Environ Res Public Health. 2021 Feb 10;18(4):1726
  • Thomas and Groben, JAAD 2004; 51:466-70