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Arch Dermatol. 1999;135:1538-1540.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

OIL EPILUMINESCENCE microscopy (ELM), surface microscopy, dermatoscopy, and dermoscopy all refer to the same process of examination of cutaneous lesions with an incident light magnification system with oil at the skin-microscope interface. This technique greatly increases the morphological detail that is visualized, which results in an improvement in the diagnostic accuracy of most pigmented skin tumors, including melanoma.^1-7 Well-defined ELM methods for the diagnosis of melanoma that are suitable for inexperienced clinicians have been developed,^{5, 8-9} and detailed atlases are also available.^10-12 This allows formal training in ELM that, not surprisingly, is necessary to improve diagnostic accuracy.⁷

To avoid the need for training, automated image analysis instruments are under development. Automated diagnostic instrumentation devices diagnose without the need for expertise by the operator. Development of such instruments has coincided with the worldwide increase in the incidence of melanoma, in awareness of the fact that the confidence level of nonexpert clinicians in . . . [Full Text of this Article]

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