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Assessing the impact of color blindness on the ability of identifying benign and malignant skin lesions by naked-eye examination
BACKGROUND: Color vision deficiency describes the inability to distinguish certain shades of color. The aim of this study was to assess the impact of having color vision deficiency on the accuracy of distinguishing benign and malignant skin lesions by naked-eye examination. METHODS: This was a cross...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Public Library of Science
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9348688/ https://www.ncbi.nlm.nih.gov/pubmed/35921375 http://dx.doi.org/10.1371/journal.pone.0270487 |
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author | Elfalah, Mutasem Sulyman, Nesrin Alrwashdeh, Anas Al Hajaj, Sari Alrawashdeh, Sonia Al-Rawashdeh, Asad AlRyalat, Saif Aldeen |
author_facet | Elfalah, Mutasem Sulyman, Nesrin Alrwashdeh, Anas Al Hajaj, Sari Alrawashdeh, Sonia Al-Rawashdeh, Asad AlRyalat, Saif Aldeen |
author_sort | Elfalah, Mutasem |
collection | PubMed |
description | BACKGROUND: Color vision deficiency describes the inability to distinguish certain shades of color. The aim of this study was to assess the impact of having color vision deficiency on the accuracy of distinguishing benign and malignant skin lesions by naked-eye examination. METHODS: This was a cross-sectional study conducted during the period August 2020 to February 2021. We randomly selected a total of 20 nevi and 20 melanoma images from an open access image database. The 40 images were divided into four sets of images, each set contained 5 benign and 5 malignant skin lesion images simulated as if they were seen by a protanope physician, deuteranope physician, tritanope physician, and a set of images presented without simulation. In an online survey, students who were in their final year of medical school or had newly graduated were asked to diagnose each image as benign or malignant. RESULTS: A total of 140 participants were included with a mean (SD) age of 24.88 (1.51). We found a significantly higher mean accuracy for non-simulated images compared to deuteranope simulated images (p< 0.001, mean difference = 11.07, 95% CI 8.40 to 13.74). We did not find a significant difference in accuracy classification for protanope simulated images (p = 0.066), nor for tritanope simulated images (p = 0.315). Classification accuracy for malignant lesions was higher than classification accuracy for benign lesions, with the highest difference belonging to deuteranope simulated images, with a difference in mean accuracy of classifying malignant lesions by 32.2 (95% CI 27.0 to 37.6). CONCLUSION: Deuteranope participants (i.e., green color deficiency) had a significantly lower accuracy of distinguishing pigmented skin lesions as benign or malignant, an impact not found for other color vision deficiencies, which was mainly for misdiagnosing benign lesions as malignant. |
format | Online Article Text |
id | pubmed-9348688 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-93486882022-08-04 Assessing the impact of color blindness on the ability of identifying benign and malignant skin lesions by naked-eye examination Elfalah, Mutasem Sulyman, Nesrin Alrwashdeh, Anas Al Hajaj, Sari Alrawashdeh, Sonia Al-Rawashdeh, Asad AlRyalat, Saif Aldeen PLoS One Research Article BACKGROUND: Color vision deficiency describes the inability to distinguish certain shades of color. The aim of this study was to assess the impact of having color vision deficiency on the accuracy of distinguishing benign and malignant skin lesions by naked-eye examination. METHODS: This was a cross-sectional study conducted during the period August 2020 to February 2021. We randomly selected a total of 20 nevi and 20 melanoma images from an open access image database. The 40 images were divided into four sets of images, each set contained 5 benign and 5 malignant skin lesion images simulated as if they were seen by a protanope physician, deuteranope physician, tritanope physician, and a set of images presented without simulation. In an online survey, students who were in their final year of medical school or had newly graduated were asked to diagnose each image as benign or malignant. RESULTS: A total of 140 participants were included with a mean (SD) age of 24.88 (1.51). We found a significantly higher mean accuracy for non-simulated images compared to deuteranope simulated images (p< 0.001, mean difference = 11.07, 95% CI 8.40 to 13.74). We did not find a significant difference in accuracy classification for protanope simulated images (p = 0.066), nor for tritanope simulated images (p = 0.315). Classification accuracy for malignant lesions was higher than classification accuracy for benign lesions, with the highest difference belonging to deuteranope simulated images, with a difference in mean accuracy of classifying malignant lesions by 32.2 (95% CI 27.0 to 37.6). CONCLUSION: Deuteranope participants (i.e., green color deficiency) had a significantly lower accuracy of distinguishing pigmented skin lesions as benign or malignant, an impact not found for other color vision deficiencies, which was mainly for misdiagnosing benign lesions as malignant. Public Library of Science 2022-08-03 /pmc/articles/PMC9348688/ /pubmed/35921375 http://dx.doi.org/10.1371/journal.pone.0270487 Text en © 2022 Elfalah et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Elfalah, Mutasem Sulyman, Nesrin Alrwashdeh, Anas Al Hajaj, Sari Alrawashdeh, Sonia Al-Rawashdeh, Asad AlRyalat, Saif Aldeen Assessing the impact of color blindness on the ability of identifying benign and malignant skin lesions by naked-eye examination |
title | Assessing the impact of color blindness on the ability of identifying benign and malignant skin lesions by naked-eye examination |
title_full | Assessing the impact of color blindness on the ability of identifying benign and malignant skin lesions by naked-eye examination |
title_fullStr | Assessing the impact of color blindness on the ability of identifying benign and malignant skin lesions by naked-eye examination |
title_full_unstemmed | Assessing the impact of color blindness on the ability of identifying benign and malignant skin lesions by naked-eye examination |
title_short | Assessing the impact of color blindness on the ability of identifying benign and malignant skin lesions by naked-eye examination |
title_sort | assessing the impact of color blindness on the ability of identifying benign and malignant skin lesions by naked-eye examination |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9348688/ https://www.ncbi.nlm.nih.gov/pubmed/35921375 http://dx.doi.org/10.1371/journal.pone.0270487 |
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