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The role of photography

With the advent of smartphones, digital photography is now on everyone’s fingertips. Having a record of change through photographs may help a doctor to understand if a mole is new or changing, which are all potential signs of melanoma.

Change tends to occur month by month. However, the raised, lump-like melanoma (nodular melanoma) can evolve over a period of weeks. Generally speaking, it is possible for most people to examine and keep an eye on most of their skin and take photographs of the front of your body yourself. However, the back, the backs of your thighs and your scalp are much harder for you to see clearly.

Many members of the public, including local doctors and dermatologists, find that having good quality, well-lit and well-focused photographs of these areas may help in monitoring your skin for changing spots or new spots.

One way of doing this is to have a friend or partner photograph the backs of your thighs, your lower back, your upper back, soles of your feet and your scalp, on your smart phone (4 photos in total, one of each body area). These photos can then be used to monitor for change.

You may then take these photographs to a GP or dermatologist when you have concerns about a particular spot or when it is time for you to have a skin check.

Even your partner and friends can use the photographs to check for change. They do not need, of course, to make a diagnosis – they simply need to be observant enough to notice changes and identify anything new.  This type of photographic record is particularly helpful if you have a lot of moles on your skin and if there is a family history of melanoma. Having such photographs can also assist in reducing the number of unnecessary mole removals because, if the mole or spot in question has not changed over several years, it is unlikely to be a skin cancer at the time it is being checked against the photograph.

Know your ABCDE’s

Examine your skin regularly, looking for any new moles or lesions as well as changes in the moles you already have. When you examine your moles, remember the ABCDEs of melanoma, and the “Ugly Ducking” Rule. If you notice any of the following, consult your healthcare provider immediately.

A = Asymmetry: Is the spot asymmetric?

B = Border: Are the borders uneven?

C = Colour: Does the spot contain different colours?

D = Diameter: Is the spot larger than 5m in diameter?

E = Evolving (or changing): Have you noted an evolution or growth of the spot?

Australian Centre of Excellence in Melanoma Imaging & Diagnosis (ACEMID)

MSCAN advocates for a targeted national skin cancer screening program, and we’re excited about the future of early detection using total body photography.

We’re proud to be a partner of the Australian Centre of Excellence in Melanoma Imaging & Diagnosis (ACEMID). 

The ACEMID project is building research capacity towards the early detection of melanoma. It aims to develop more effective and efficient screening for the early detection of melanoma. This is done through the provision of an innovative 3D total body photography system.

Participants will be asked to participate in 3D total body photography every 6, 12 or 24 months for the 3 year study duration based on their melanoma risk. To be eligible to participate participants must be 18 years of age or older and have a regular medical practitioner.

There will be 15 ACEMID sites located in Queensland, New South Wales and Victoria.

If you would like to be involved in the world’s largest melanoma cohort study, check it out here.

Professor Peter Soyer, University of Queensland

ACEMID Project Lead

MSCAN caught up with Professor Soyer and asked him about the future of skin cancer detection through the ACEMID project.