FotoFinder INSIGHTS 2021/22 by FotoFinder Systems GmbH

Made with

in Bavaria

Issue 2021 / 2022

INSIGHTS The customer magazine by FotoFinder Systems

// FotoFinder AI Pioneer in Artiﬁcial Intelligence

// FotoFinder Academy

Birthday edition for the 30th company anniversary

“Edutainment”-online & LIVE again on site in 2022

30 Jahre FotoFinder //

INSIGHTS 2021 / 2022

// Editorial

Welcome! 4

Anniversary FotoFinder is turning 30 – let us celebrate!

ATBM master Total Body Dermoscopy powered by AI

FotoFinder AI The pioneers in intelligent assistance systems

Academy Training from practice for practice

An interview with: Aimilios Lallas as the new IDS President

Editorial

A reason to celebrate! That FotoFinder’s 30th birthday could fall into the time of a worldwide pandemic was as unimaginable as the Eiffel Tower without tourists, at least two years ago. Until the summer of 2021, none of us felt like celebrating anyway. However, the silver lining on the horizon is shining a little brighter and we are happy that we can finally celebrate something again! 30 years – FotoFinder is a child of Gen Y and looks back on great technological leaps, from the tube screen of the first dermoscope systems to the latest smartphone, from Windows 3.0 to Artificial Intelligence. The other day I found old floppy disks in my office cupboard, plastic dinosaurs from a different age. 30 years – In marriage, that’s called a pearl anniversary. Round, dazzling and mature, each milestone in early skin cancer detection signifies one pearl, and each medicam, each expert system, each academy, each device another – the 30-year necklace has many rows. 30 years – Prince and Queen were playing on the CD player when we stood by the window in our first Munich office, in late summer, holding glasses of champagne as we youngsters toasted in a new era. 30 years – Some of us have spent more years with FotoFinder than without. On the one hand, this is frightening, because (life) time has passed by so quickly. On the other, it’s also great, because it has been 30 years of encounters with wonderful people, 30 years with a team that is second to none, 30 years of passion for dermoscopy. 30 years – How many malignant skin tumours could be detected early across the globe with the help of FotoFinder systems, how many lives could be saved – if every single one of them were a pearl, it would be the most beautiful necklace in the world. 30 years – time to press PAUSE for a moment and celebrate. Today, our big thanks go to YOU, our wonderful clients, some of whom have been on the road as long as we have, accompanied by FotoFinder systems of all generations. None of this would have been possible without you! We look forward to the next 30 years with you!

FotoFinder Systems GmbH Industriestraße 12 84364 Bad Birnbach Germany phone-square

+49 8563 97720-0

Fax

+49 8563 97720-10

envelope-square

presse@fotofinder.de

globe-americas www.fotofinder.de

Editorial Board: Kathrin Niemela Elena Zinner Martin Baumgartner Design: Andreas Honisch Florian Forster Date of Publication: December 2021

Image Rights: p. 1 Adobe Stock © zdyma4 p. 4 Adobe Stock © Konstantinos Moraiti p. 16 Adobe Stock © deagreez p. 19 EnvatoElements @ graphicstockphoto @ KYNASTUDIO @ Dionisvero p. 25 EnvatoElements @ photocreo p. 28 Adobe Stock @ K!NGW!N p. 44 Adobe Stock @ tiero p. 52 EnvatoElements @ Giallo More Images: Dominik Gruss, Fritz Bielmeier, Manuela Rötzer iPhone, iPod, iPad and iMac are trademarks of Apple Inc., registered in the U.S. and other countries.

Kind regards,

Kathrin Niemela Member of the Executive Board INSIGHTS 2021 / 2022

Anniversary //

FotoFinder Moments Rudolf and Andreas Mayer laid the cornerstone for FotoFinder Systems GmbH in 1991. Many years have passed since then – but some things have not changed since the beginning. Join us in our travels through three decades full of FotoFinder moments.

Arrow-alt-circle-right In 1995, Rudolf and Andreas Mayer, together with Kathrin Niemela, visited their first trade fair – the CEBIT – to present the “FotoFinder Bildzentrale”. Shortly afterwards, the Munich dermatologist Prof. Reiner Scherer (†) gave the founders the idea of developing a system for monitoring nevi: FotoFinder was born! The first device was delivered in summer with temperatures of 30°C and using a small Fiat Uno.

2002 with Luiz Lamardo at AAD, Washington D.C.

n: CEBIT 1995 1st exhibitio

Then and now, major trade fairs such as the EADV are a particular highlight. To turn a visit to the trade fair into an experience for our clients, we are working on ever more innovative and interactive booth concepts, such as here in Madrid in 2019. Arrow-alt-circle-right

ARROW-ALT-CIRCLE-LEFT Soon, the first international business contacts were made in France, Italy and Brazil, resulting in the development of long-standing friendships. Here we are at our first AAD in Washington D.C. in 2002 with Luiz Lamardo, whose company Emdutos still represents us in Brazil.

FotoFinder Systems GmbH welcomed a special addition to its family in 2017: It was decided to cooperate with TrichoLAB, the Polish expert laboratory for hair analysis. Arrow-alt-circle-right

2013 EADV in Istanbu

Kasprzak 2017 with Michał from TrichoLAB

Madrid 2019 EADV in 2018 Distributors’ Meeting

We love our inter national FotoFinder Community! When we meet old friends and partners and exchange ideas about our passion – dermoscopy – some meetings become a special highlight, like here in Jūrmala (Latvia) at the New Wave Meeting of Raimonds Karls Arrow-alt-circle-right

2013

2019 In Jūrmala

arrow-alt-circle-up Naturally, we do not want to miss out on a regular meeting with all our partners. Since 2007, we have regularly invited to our Distributors’ Meeting in Bad Birnbach – most recently on a virtual basis due to the pandemic.

INSIGHTS 2021 / 2022

// Anniversary

ARROW-ALT-CIRCLE-LEFT After having small offices in Munich and Bad Griesbach, we moved to the first FotoFinder headquarters in Bad Birnbach, Lower Bavaria. The premises in a converted farmhouse were still quite compact – back then, development and sales were close together. Together with Rudolf Mayer, we tinkered with our cameras in “Gyro Gearloose” style.

ARROW-ALT-CIRCLE-LEFT One of the first team photos: At the time, the meeting table sufficed as a photo location. Then as now, the FotoFinder morning ritual: sharing a buttered pretzel! The great part: many people from those days are still members of the FotoFinder Family today.

2015 FotoFinder Headquarters

arrow-alt-circle-up Meanwhile, the former two-man business has grown into a FotoFinder Family of around 80 employees … ARROW-ALT-CIRCLE-LEFT … and moved into its new home in 2015. We ship our cutting-edge technology to over 100 countries from our modern company building in Bad Birnbach.

2013 Ground-breaking ceremony

The FotoFinder Family also likes to exercise together, as in 2010 during the “Cycle to Work” campaign. Arrow-alt-circle-down ARROW-ALT-CIRCLE-LEFT At weekly company sports with trainer Lars, who has been raising the pulse rate of our staff since 2016. Or even at the regional company run, when the FotoFinder team gives its all!

2018 Citymarathon

2017 Christmas party

arrow-alt-circle-up The family principle has always applied at FotoFinder, with its strong cohesion the special something that makes colleagues become family and friends. So, it’s no wonder that at Christmas parties people get together to lend a hand or sing a (Christmas) carol or two.

INSIGHTS 2021 / 2022

our de FotoFinder 2010 T

To bring you even closer to the FotoFinder Family Feeling and our passion for dermoscopy, we launched the FotoFinder Academy classroom events in 2017. Since then, doctors from all over the world have been visiting us in Bad Birnbach and enjoying the full FotoFinder “edutainment” programme. Arrow-alt-circle-right

Anniversary //

FotoFinder Technology A revolution.

medicam 500

medicam 800 HD

medicam 400

2001 Bodyscan

medicam 200

dermoscope Towerstation

dermoscope HD Tower

bodystudio complete

mediscope Towerstation Tuebinger Moleanalyzer

FotoFinder Bildzentrale

FotoFinder MEDIC

FotoFinder DERMA

dermoscope classic

FotoFinder dermoscope

2nd dermoscope classic

1st handyscope

mediscope portrait

1991 6

1994

1998

2003

2004

2006

mediscope studio

2007

2009

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// Anniversary

FotoFinder Artificial Intelligence

FotoFinder medicam 1000s

2nd bodystudio ATBM

FotoFinder ATBM master

1st bodystudio ATBM

3rd dermoscope classic

2nd dermoscope vexia

1st dermoscope vexia

2nd handyscope 3rd handyscope

FotoFinder vexia

DermLite handyscope

Adonia deluxe

2011

2013

INSIGHTS 2021 / 2022

2014

FotoFinder studio

2015

2017

2019

2020

2021 7

Anniversary //

We’ve asked… With over 1,200 ATBM systems and over 7,000 medicams in practices and clinics around the world to date, we were curious to hear what our clients think of the FotoFinder technology and how they fared over the past decades. So we asked them!

Dr. Francisco Paschoal

Dr. med. Tanja C. Fischer

Dermatologist, São Paulo (Brazil)

Dermatologist, Venereologist and Allergist, Potsdam/Berlin (Germany)

quote-left

quote-left In 2000, I bought my first FotoFinder system. It was also the very first FotoFinder in Brazil! In those days, I purchased the system from Rolf Mayer on his first trip to Brazil. I do not remember exactly which system it was, but I guess it must have been the ancestor model of today's vexia.

I’ve known FotoFinder for longer than 20 years. After working with the technology during my residency at the Charité in Berlin, I acquired my first own FotoFinder for my Potsdam practice in 2005 – a tower station, the forerunner of the ATBM. At that time, there was no classic total body mapping, and I was the doctor with the most extensive progress documentation for nevi in Germany.

Now, many years have passed, and I still work with FotoFinder in my practice. More precisely, with the most modern version of the equipment, the ATBM master. Over the last three decades, I've been following all the developments of the equipment. I worked with all versions of the FotoFinder medicam. I concentrated more and more on the follow-up of patients with multiple nevi, using the indication provided by the body map. My work as a dermatologist certainly changed with the remarkable development of the technology, which made my patients and me more confident over time.

Today, there are two ATBM master and two ATBM classic at the two locations in Potsdam and Berlin.

quote-right Dr. med. Dagmar Richter-Hintz

Working with these systems is not only holistic and logical, but also pleasantly simple – simply fun for me and my team! I am particularly impressed by the “leap in technology” that the cameras have made in recent decades. The images in the Mosaic View and in video dermoscopy are so detailed and the patterns so well recognisable that even the smallest melanomas are detected by FotoFinder, something which would not be possible with the naked eye! My patients also appreciate the FotoFinder devices very much: For one thing, it doesn’t matter what location they come to, images and data are always available through the networking of the Universe wireless app. On the other hand, they can follow the entire examination, which makes the whole thing transparent and strengthens their trust in me.

Dermatologist and Allergist Erftstadt, North Rhine-Westphalia (Germany)

quote-left My first FotoFinder device was a medicam 500 in 2008, which I was so enthusiastic about that its successors medicam 800, 1000 and 1000s followed over the years. The latter is the heart of my new ATBM master.

In my opinion, FotoFinder is a real enrichment for every dermatological practice and its patients.

Thanks to Total Body Mapping, I can make a much more valid statement about which nevi actually need to be excised. The number of surgeries has since decreased and is focussed on those that are really necessary. It’s also remarkable that in my practice the demand for appointments for skin cancer screening increased even during the pandemic – quite different from what many colleagues experienced. The ATBM master with its hygienic distance of 1.6 m is appreciated by the patients and is not least a unique selling point in the region.

quote-right

What I particularly like about FotoFinder is that, in addition to dermoscopy, we can also use solutions for trichoscopy and aesthetics. This way, everything comes from a single source and helps to feel familiar with the systems.

quote-right 8

INSIGHTS 2021 / 2022

// Anniversary

Dr. Klaus Toblier

Dr. Gabriel Salerni (MD, MSc, PhD)

Specialist in General Dermatology, Baden (Austria)

Dermatologist, Rosario (Argentina)

quote-left

quote-left When I started my specialist training in 1991, we usually only worked with ordinary magnifying glasses in the practices to examine the total body status of the patients. Only hospitals and clinics routinely had hand-held dermatoscopes. It was in 1998 that I first came into contact with a FotoFinder device and purchased my first medicam – the medicam 400 model. When I opened my practice at that time, I was the only dermatologist in Baden who worked with this system. Although it was only a small private practice, I had a huge influx of people who wanted to be examined with the FotoFinder. That was over 21 years ago and I haven’t worked a single day without my FotoFinder since. It is not only reassuring for the patients to see what is being done. They can see for themselves which nevus I’m examining, right on the screen. Over the past decades, I too have always grown with this technology and become more confident in my work. By looking at the histology of an excised lesion, one can always revert back to the documentation. This confirms one’s own suspicions – or not. Since April 2021, I have been working with a new vexia system and the medicam 1000s. The images that this camera delivers are a quantum leap. I can recognise vascular patterns and especially the criteria for malignant, non-pigmented or low-pigmented lesions. The introduction of Artificial Intelligence has also significantly improved my daily routine. Even after 20 years of experience, I can always get a quick, sensible and simple second opinion in case of an inconclusive diagnosis – and that impresses my patients as much as it does me! In short: FotoFinder has always been the heart of my exam room and I wouldn't want to miss working with it.

INSIGHTS 2021 / 2022

I have been working with FotoFinder systems for over 12 years. We currently work with two ATBM towers, paired in our network, one is the ATBM classic and the other is the ATBM master edition. Our first device was a FotoFinder medicam 500, after that we bought a FotoFinder dermoscope in 2015 and later we updated to automated total body mapping in 2017. As we were the first to perform sequential digital dermoscopy in our region, our early start with FotoFinder placed us in a leading position. Generating trust with dermatologists and colleagues from other specialties allowed a very important flow of patient referrals. The start was gradual, and we currently perform about 300 evaluations per month. The technological advances of the devices, the increasing image quality of the dermoscopic images together with the incorporation of body maps with polarised light, made our task much more agile and more reliable – even for our patients. Initially, our work was mainly focussed on the digital monitoring of lesions in high-risk patients. Although we incorporated the "Two-step Method of Digital Follow-up" (total body photography and digital dermoscopy) as our main approach from the beginning, the body maps were registered manually with the medicam, which implied special dedication to make body maps as similar as possible in subsequent follow-ups and, although image quality was adequate for dermoscopy, it was less adequate for body mapping. With the incorporation of the ATBM classic, the mapping process became easier in terms of time and reproducibility. Finally, with the use of the ATBM master, the polarised maps, the Mosaic View and the Bodyscan software, everything became even easier and much more reliable, because now we received crucial information with body mapping only.

quote-right Dr. Klaus Toblier in 2002 in his practice at Medicent Baden (Austria). Even then he was working with a FotoFinder system.

Anniversary //

Interview With Rudolf and Andreas Mayer, father and son who founded FotoFinder Systems GmbH together in 1991.

It has been 30 years since Rudolf and Andreas Mayer, father and son, founded FotoFinder Systems GmbH together – at that time still under the name TeachScreen. Their first office was the back room of an Asian shop in Munich, and there was no business plan or any start-up capital worth mentioning. However, they did have a vision: to develop a digital image database that would make photo archives superfluous. Today, FotoFinder is a global leader in skin imaging and the brand stands not only for brilliant images, but also for a family community whose goal it is to give people worldwide access to state-of-the-art skin and hair examinations.

FF By founding the company in 1991, you laid the cornerstone for a long success story. What were your motives back then and how did the start go? AM We started in a completely different direction. Originally, we didn't think about medical technology at all, but about multimedia. At that time, frame grabber cards were a new technology for transferring moving images to computers. I was still a student in Munich at the time and worked in a young, innovative company. We recognised the potential of this technology and thought that it actually needed the development of applications, as these were not yet available. All one could do was feed the images into the computer, but then we asked what one could do with these images. That's when we came up with the idea of using software to create computer-based training and image databases. RM At that time I was in sales for an American company. However, we actually started our own company at relatively short notice – with a lot of enthusiasm and very little know-how. We only came to medical technology by chance. FF When you started in 1991, it was just the two of you. Today, FotoFinder employs over 80 people and is the market leader in skin imaging systems. Would you ever have dreamt of this development? What brought you to dermoscopy in the first place? RM Of course, we did not anticipate this positive development initially. In 1991, the only thing that mattered was the survival of the company. We came to dermoscopy purely by chance – and I always like to tell people about it. The start-up situation was already difficult at that time, until one day we were approached by a company from Dortmund that sold sunbeds for tanning salons. This chain had heard about us through the Munich dermatologist Prof. Dr. Scherer and wanted to carry out some kind of skin check to find out the recommended duration of tanning for different skin types. At the time, that was a very innovative idea.

INSIGHTS 2021 / 2022

// Anniversary

AM The idea was to use image and camera technology to gain insights into this topic. This is where we came in, because we were asked to develop the appropriate software. We agreed with Professor Scherer, the project's scientific advisor on dermatology at the time, to get involved and put together a prototype camera system. Unfortunately, the chain went broke before the project could be completed. There we were – without an order and with a development in its infancy. However, Professor Scherer then said, “Well, we dermatologists would also be quite happy about such a camera system.” He encouraged us to continue building our prototype with the prospect of buying a further development from us. That’s how we came to dermoscopy. FF When was the moment you realised you had created something great with FotoFinder? AM There’s actually no concrete key moment. However, we experienced something special after this very hard initial phase when we sold the first “dermoscope”, giving us a real sense of achievement and making us realise that our business idea could actually be something after all. RM The device looked very different back then and we had to fiddle around a lot with the configuration. But the fact that our system was accepted by a client made us think, “OK, there is something to it after all, something we can work with.” That would have been sometime around the year 1995. FF What successes are you particularly proud of? What are the big milestones? RM Of course, our idea with the camera was a milestone. Unlike other cameras, the medicam had a special feature that enabled the capture of both micro and overview images with autofocus and high light intensity thanks to the patented microscope attachment. This was extremely convenient for the user and the quality of the images was also very good. The camera therefore represented an important key component and a unique selling point for us for years – even today. AM And then we were the first to have this idea with Body Mapping. That was in 2007, with the first models of our bodystudio system. Many dermatologists were excited to be able to look at moles with our video camera. However, the fact that the whole body was now being captured with such a machine was a completely new approach and accordingly, there was a lot of scepticism. At the time, we already wanted to define a different workflow. The fact that we have managed to establish and perfect this over the many years is certainly a milestone. And there’s the FotoFinder AI. Continued on next page

INSIGHTS 2021 / 2022

Anniversary //

Impressions FF Were there moments when you would have preferred to give up? Would you do anything differently today? RM In the beginning, everything was incredibly stressful. Money was tight because, at the time, there was no such thing as venture capital. We had to finance everything with our savings. Or let's put it this way, we always financed ourselves from our own earnings, we never had outside financing. AM That's why I started working part-time to earn some extra money. At some point, we had the breakthrough. I was 23 at the time; that was certainly quite a bumpy start to my career. I had no experience, and my father took some surprising risks. But he has always been someone who was quite willing to take risks. You ask what we would have done differently? I would no longer dare to start something like that today. And if yes, I would go ahead in more targeted manner. These days, business models look more professional. We did not have a business plan, as is now common practice. We have always moved slowly, something that is no longer the norm at present, everything has to move much faster. In this respect, FotoFinder 2021 would start completely differently. But for us it was fortunate at the time that we were close to the market with our method of always elaborating our findings. FF Looking back, what tips would you give your 30-year younger self? AM One was brave at the time and did not know what lay ahead. That’s why we had the courage to go ahead. With today’s knowledge, we probably wouldn’t do that again. [laughs] RM But perhaps we would approach it differently. But that’s difficult today because so much has changed. At that time, we also entered a period of fundamental upheavals in IT. It was certainly also a pioneering time. Now options are so exhausted, back then the situation was still very manageable. Today’s challenges posed by the abundance of regulations did not exist in this form in the past. In this respect, it is probably difficult to see all this in light of the present day. FF Which moment will you never forget? RM There are lots of those. When you think back to the wonderful moments, you do recognise some milestones. When we were at trade fairs, at some point with a larger booth, we realised: “Gosh, we used to dream of such a great stand. Now we’ve made it and have one ourselves!” What a sensational feeling. AM In the beginning, I’ll never forget that, after the first sales, we used to say, “Every time we sell a FotoFinder system, we’ll go out to have dinner at this nice restaurant on Schärding’s town square as a reward.” That would be difficult today [laughs]. Unfortunately, the restaurant has also long ceased to exist. RM And we would have been overweight long ago! [laughs] 12

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// Anniversary

FF 30 years after its foundation, FotoFinder is still a family business. What does the “FotoFinder Family” mean to you? RM For us, it’s an extremely strong element. We are actually able to work without conflict from within the innermost family circle. That's great, as is the knowledge that you can also transfer this feeling of connection and strength to employees, clients and partners. AM We have repeatedly found that the family atmosphere is very much appreciated and that it is possible to achieve what otherwise would not be possible. It is really special when you feel that our company is not just a place to make money, but also a place of fairness where you enjoy being, and meeting likeminded people. Taking responsibility for each other, that’s what we mean by “family”. Our thanks for this approach is commitment and loyalty. That’s really a wonderful thing! FF How did the industry change in the last three decades and what makes FotoFinder so unique when it comes to global competition? AM Although the industry has partly consolidated over the last three decades, and there are fewer and fewer players, one does notice that conditions are becoming more difficult. As we can see from the many regulations and all the quality requirements, it is expensive. This means that although there are fewer competitors, the market has become more demanding overall. We tried early on to establish a brand and give it a face, and I think we managed that extremely well. FotoFinder is a household name in many countries, and this is also based on many subtle factors: contacts and friendships, of course, key opinion leaders and, last but not least, our consistent brand policy. This distinguishes us from our competitors and makes us unique. We have very loyal clients who know what FotoFinder is all about. Our image, something extremely important in this day and age, is very good, and we are constantly working on it. This is especially noticeable now with our Online Academy series. If you're not known, you don't inspire people to look at anything online.

FF In a world that is becoming increasingly complex and digital, what gives you strength for your everyday work as a FotoFinder CEO? AM Of course, I also draw strength from my private life and the fact that we have quite a good work-life balance here in Lower Bavaria. Here you are usually quite grounded and live in a still very relaxing environment, knowing that “here I can rest and recharge”. I think it is something very positive to have a contrast to one’s work activity, something I’m experimenting with at the moment. For example, I started cooking jams – something very simple, down-to-earth, working with my hands. A pleasant change from IT and the digital world. FF Is there anything else you would like to tell the FotoFinder community? RM It's great that the FotoFinder community exists and I hope that it will continue to develop and that many will get involved, each in their own way. Something, that lives on. I'm sure everyone can contribute and thrive in their role. And I think that's not the worst thing. AM I would be happy if many others could also see it that way and realise: “Okay, the FotoFinder Family offers me a nice combination of positive professional, but also pleasant interpersonal aspects, something that maintains the fun of it.” That, I think, is the most important thing: that when you are successful, you can be passionate about your work and say: “That’s where I rest within myself, that’s what I like to do.”

FF What are your visions for the future of FotoFinder and what challenges do you expect in the coming years? AM Total Body Dermoscopy, which we initiated, still has a lot of potential. AI is also exciting, and we are only in the early stages. Scenarios can be devised in connection with what we have already worked out with telemedicine. This results in an overall structure that will of course reach many more dermatologists and also find its way into general medicine. Technically, there is definitely still a lot possible in this field. RM Yes, there is still a lot of potential. I think we will have a whole range of options in the near future. When you look at how AI already works today, then that’s very promising. Artificial intelligence will, I believe, become a very important part of our lives. INSIGHTS 2021 / 2022

FotoFinder Family //

The FotoFinder Feeling

30 years – and it feels like only yesterday that we moved into our first office as a two-man business in the back room of an Asian shop in Munich. Back then, no one would have guessed that we would one day become the world market leader for skin imaging systems in dermoscopy. Or that we would win the Bavarian Export Award and be honoured as Lower Bavaria's top company. Or even that, over the years, we would not only find business partners, but also wonderful friends and FotoFinder Family members all over the world, without whom we would not have been able to paint this “Big Picture”. That's how it went from the FotoFinder System to the FotoFinder Feeling, which can't be put into words. We would like to take this opportunity to thank our great staff, our wonderful customers and the strong global partners at our side. We look forward to the next 30 years full of unforgettable FotoFinder Family moments!

We are family. The FotoFinder Family during the anniversary year 2021.

INSIGHTS 2021 / 2022

// FotoFinder Family

INSIGHTS 2021 / 2022

Total Body Dermoscopy //

FotoFinder ATBM master The new method of early skin cancer detection

The ATBM master procedure for Automated Total Body Mapping supports you with the earliest possible detection of melanoma using “Total Body Dermoscopy”, a further development of the “two-step method of digital follow-up”– fully automated, time-saving and in brilliant quality.

Superfast workflow

Intelligent skin check

Supported by FotoFinder Artificial Intelligence (AI), the new Total Body Dermoscopy Workflow takes Total Body Mapping to a whole new level of quality. The ATBM master enables standardised and brilliant documentation of the entire skin surface with the fastest image acquisition process we have ever developed, helping you to visualise the skin status much faster and more accurately than ever before, with significantly reduced examination time.

Artificial Intelligence (AI) runs through the FotoFinder technology like arteries through a body: a sophisticated cycle that makes the ATBM master systems increasingly safe and powerful! FotoFinder AI is used in Total Body Dermoscopy as well as – with the Moleanalyzer pro – in dermoscopy. Arrow-alt-circle-right More on p. 28

thanks to Total Body Dermoscopy

Microstructures already visible in the clinical image

thanks to PolFlash XE and RAW processing

The ATBM master delivers high-resolution, polarised and RAW-processed photos. The computer-controlled xenon flash PolFlash XE enables crosspolarised, reflection-free clinical images. The image processing and storage technology has been specially optimised for images of the skin surface, allowing you to already assess microstructures in the clinical image!

A mosaic of moles with the Bodyscan master

The Bodyscan master filters a patient’s lesions from ALL total body images and organises them intelligently on ONE screen, sorted by new, changed and unchanged nevi. This “Mosaic View” helps to visualize suspicious lesions at first glance. 16

thanks to FotoFinder AI

Dr.

Ahmed Sadek Dermatologist, Venerologist,

quote-left

Cairo (Egypt)

ATBM master is a smooth machine fulfilling almost everything one needs regarding patients’ documentation, dermoscopy, and overall assessment in a professional, dependable, and trendy way. The well-constructed high quality imaging system is awesome. It has solved many problems of digital image acquisition and proper archiving. It helps creating customised reports for our patients in addition to highlighting specific symptoms leading to individualised treatment plans which helps in institutional marketing and better patients’ compliance due to increased trust level. My patients are very enthusiastic about the device. They think it a very advanced machine which helps doctors to do a better job improving the quality of health care delivery system, backed up by scoring systems and Artificial Intelligence which increases its dependability, sensitivity and trustability to an overall satisfaction level.

quote-right

INSIGHTS 2021 / 2022

// Total Body Dermoscopy

Total Body Dermoscopy The intelligent, multifunctional ATBM platform with sleek design is the new benchmark in terms of elegance and user ergonomics – and versatile in its use, with optional modules for hair consultation, aesthetics and psoriasis documentation with the unique PASIscan.

Truly mobile Ready-to-use installed and mobile ATBM tower. Suited for standalone and multiuser installations.

Super-fast workflow Thanks to our powerful processing unit, the procedure is extremely fast, intuitive and delegable.

PolFlash XE camera system High-resolution, polarised and RAW-processed clinical images, which already visualize microscopic structures.

CrystalView video dermoscopy Full HD video camera medicam 1000s with optical live zoom for a visual journey into the skin structures.

Mosaic View Visualizes new, changed and unchanged lesions and arranges them according to their relevance.

FotoFinder AI Moleanalyzer pro for analysis and preassessment of lesions as well as AI optimisation of the Bodyscan results.

INSIGHTS 2021 / 2022

Total Body Dermoscopy //

Total Body Dermoscopy in Naples An interview with Prof. Giuseppe Argenziano & Team Giuseppe “Geppi” Argenziano is Professor of Dermatology at the Second University of Naples, Coordinator of the Skin Cancer Unit at the Research Hospital “Arcispedale Santa Maria Nuova IRCCS” in Reggio Emilia and co-founder of the International Dermoscopy Society (IDS). He is globally known for his passionate work, research and teaching in the field of dermato-oncology and has published numerous scientific articles and books. Prof. Argenziano provides some insight into his work together with his team around Dr. Gabriella Brancaccio, Dr. Giulia Briatico and Data Engineer Dr. Marcello Di Benedetto.

FF Geppi, you have more than 20 years of experience in digital dermoscopy. How has Total Body Mapping (TBM) with highresolution images changed the follow-up of high-risk patients? Prof. Argenziano Total Body Mapping is a revolution in terms of the efficiency, accuracy and speed of our daily work. I am pretty convinced that Total Body Mapping will completely replace the digital documentation of individual lesions, which has been our standard procedure for more than 20 years. The future I foresee is just represented by a TBM machine that captures clinical and dermoscopic images of the entire skin in a few seconds allowing to immediately visualize new or changing lesions that require our attention.

FF Gabriella, Marcello and Giulia, how do you select patients for Body Mapping? Dottori When we started with Total Body Photography (TBP) and Sequential Digital Dermoscopy Imaging (SDDI) in 2016, we established some rules to appropriately select follow-up patients. The indications are: Caret-Right Patients with more than 100 common nevi Caret-Right Patients with more than 50 common nevi AND at least 5 atypical nevi AND at least one of the following melanoma risk factors: a) age over 50, (b) phototype I, (c) personal or family history of melanoma, (d) photodamage, or (e) history of more than one non-melanoma skin cancer Caret-Right History of multiple melanomas Caret-Right History of melanoma AND phototype I Caret-Right History of melanoma in a patient harbouring CDNK2 mutation Caret-Right Single suspicious lesion which should be monitored over time (SDDI only) FF What feedback do you get from your patients? Prof. Argenziano In our department we have a clinic for the follow-up of cancer patients as well as a clinic for video dermoscopy. Fortunately, access to the video dermoscopy clinic is inexpensive for patients because it is covered by the National Health Service. The feedback is extremely positive because we always work in a team of two during the examination and the patient perceives the detection and storage of whole body images as a greater protection of his or her health. Those who have to cancel their appointment for some reason (e.g., due to COVID) try to get an alternate date. Some even ask us if we can also book family members who actually do not need this type of screening. A few anecdotes: Some patients are somewhat anxious during the examination because they know they are prone to malignant lesions. Others follow the examination on the screen to discover new moles, or simply to see whether they have gained or lost weight over time. In short, you could say that, among Neapolitans, video dermoscopy is very popular; they call this examination method “mappatura dei nei” – mapping of the nevi.

Team Napoli: Prof. Giuseppe Argenziano (right) with Dr. Marcello Di Benedetto and Dr. Gabriella Brancaccio (from the left).

INSIGHTS 2021 / 2022

// Total Body Dermoscopy

FF One question to all of you: Time is limited and the number of patients is on the increase. How can software in general and Artificial Intelligence in particular help physicians become more efficient? Gabriella Brancaccio und Marcello di Benedetto Software tools or AI can help us by improving the detection of mole changes. By significant changes, we mean both increases but also decreases in the size of a lesion (regression). As for our way of performing TBP and SDDI, sometimes the software could be less sensitive. Too many yellow circles can be confusing because they imply that all nevi should be checked dermoscopically, which is what we actually do and what every clinician should do. An inconsistent patient position at follow-up examination may also result in too many yellow or red circles. Automatic determination of dermoscopic changes starting from time 0 would be very helpful. As for Artificial Intelligence, we advise not to rely on AI alone, as it cannot replace an examination by the clinician. On the contrary, AI should warn the clinician if there is a nevus that doesn’t show any suspicious features now but is only suspicious because of changes since the last visit. (You can find a paper published by our group on this topic below). A perfect scenario would of course be to distinguish slight physiological pattern changes from pathological ones, but since that point has so far not been reached, a less ambitious goal would probably be more practical. This is the reason why red circles work well, as they highlight each new spot on the body, regardless of its nature.

INSIGHTS 2021 / 2022

Editor's comment To optimise the detection of changes, the Bodyscan is set to ‘very sensitive’ by default. In patients with multiple lentigines, but also in case of weight changes, significant changes in skin colour after sunbathing or inconsistent positioning, the software shows too many changes rather than too few. We recommend using the ‘Magnifier’ function of the software to check the evolution. By the way, yellow or red circles do NOT indicate whether a lesion is benign or malignant. FF Finally, a question asked by everyone who has ever been to Naples: What makes a Pizza Napolitana taste so different from all pizzas prepared outside of Naples? Prof. Argenziano Well, the secret lies in the Neapolitan ingredients: The taste of water, tomatoes, mozzarella, yeast and of course the Neapolitan soul make this pizza very special!

Case Study //

Case Studies Total Body Dermoscopy Prof. Giuseppe Argenziano & Team

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Case I

quote-left 69-year-old high-risk patient who comes for regular check-ups and has a history of melanoma. Both images were created with the ATBM master. At baseline, this case is unclear due to the patient’s multiple nevi and lentigines. At follow-up, Total Body Dermoscopy using Bodyscan indicated the change of one nevus in particular. This was a malignant finding. The result: superficial melanoma. Breslow tumour thickness: 0.6 mm.

quote-right

Search January 2021

Search June 2021

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// Case Study

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Case II

quote-left In this case, three lesions are marked in yellow, which is an indication of evolution. However, only one of the three is relevant for a biopsy. The patient’s skin was very dry at the first visit (left picture in winter); in the right image, the skin surface looks different due to sun tanning and use of body lotion. It is important to note that such factors can influence the analysis of clinical images. Therefore first trust your eyes and then use analysis tools as a support option. Subsequently, the diagnosis can be based on the high-resolution RAWprocessed images provided by the ATBM master.

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Case III

quote-left This 45-year-old patient with multiple nevus syndrome came to Prof. Argenziano’s practice for follow-up. The patient history did not include any skin cancer findings to date. Both captures were taken six months apart with the ATBM master. The Bodyscan software visualized changes in the lesion on the sole of the foot during follow-up, which were clearly detectable by dermoscopy. The lesion was excised.

Histological finding: acral nevus – benign.

quote-right INSIGHTS 2021 / 2022

Interview //

Focus on: Total Body Dermoscopy, workflow & favourite foods An interview with Dr. n. med. Paweł Pietkiewicz Dr. Paweł Pietkiewicz is a board-certified dermatovenerologist and an enthusiast of dermoscopy. He obtained his medical degree and doctorate from the Poznan University of Medical Sciences in Poland. In 2018, he founded the “Polish Dermatoscopy Group” for further training of specialists in early skin cancer detection. In 2021, he became a Polish board member of the “International Dermoscopy Society” and has given numerous lectures in courses and congresses in Europe, Africa and Asia in recent years. His main areas of interest include dermoscopy, inflammoscopy and artificial intelligence in dermatology. He authored and co-authored over 140 publications in dermatology and oncology. We met Dr. Paweł Pietkiewicz and talked with him about his passion in the field of dermoscopy.

FF Dr. Pietkiewicz, where did your passion for dermoscopy start? Dr. Pietkiewicz It actually started with skin surgery. I needed dermoscopy to qualify lesions for excision and to check their exact borders. My love for dermoscopy was more of a side effect of my passion for surgery. Then I realised that there was a whole universe behind it, a plethora of lesions with unexpected structures invisible to the naked eye. Dermoscopy is the link between clinic and pathology, as each dermatoscopic structure reflects the architectural morphology of the lesion. FF Please describe your skin cancer screening workflow. Dr. Pietkiewicz I start with Total Body Mapping and then continue with the handheld dermatoscope to cover all skin areas, including the scalp, mucous membranes, the areas behind the ears, neck, armpits, groin, perianal and perigenital regions down to the soles of the feet, and any lesions that seem suspicious to me or the patient. Then, I mark the lesions in the body maps that were recorded with the ATBM master. FF What are your next steps? Dr. Pietkiewicz I mark the lesions of interest so that it is clear to the surgeon which ones to remove and what to expect. When I receive the histological report, I look at the micro and total body images again and check whether the findings match my diagnosis. If not, I have to check why. Who was wrong, was it me or the pathologist? The ATBM is particularly useful in the follow-up of multiple lesions: some melanomas are initially impossible to diagnose because there are no clues to malignancy. However, a

change can be observed if the patient later comes in for a followup. This technology enables the detection of morphological evolution or other features that do not match the age, skin type or location. FF In the following case, you already selected a specific lesion during the baseline. Tell us why and how you discovered changes in the follow-up. Dr. Pietkiewicz The 62-year-old high-risk patient required close monitoring; not only because of the three melanomas diagnosed in the past two years, but also because of an atypical nevus syndrome with multiple lesions that present disturbed architecture. The selected nevus was one of these: a solitary lesion on the medial edge of the foot (which is unusual), slightly larger than the other nevi. It was selected along with others for digital follow-up. Within four months there was a slight change, but I thought it was because I stretched the skin a bit. We agreed on a follow-up after three months. When the patient returned after five months, the change was striking! FF One last question we ask our FotoFinder friends around the world: What is your favourite Polish dish that you would recommend to everyone? Dr. Pietkiewicz Well, that’s a bit controversial, because this national dish is also claimed by Lithuanians [laughs], where my family has its roots. I recommend “babka ziemniaczana”: a potato pie with chopped onions and garlic, marjoram and bacon cracklings. It is served with sour cream and tastes delicious!

INSIGHTS 2021 / 2022

// Case Study

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Case Study

This lesion on the inside of the foot has been designated for digital follow-up.

Search September 2021

The Mosaic View of the ATBM master marks this lesion as “changed”. Within eight months, dermoscopy shows a highly dynamic lesion.

Search January 2021 The Artificial Intelligence of the Moleanalyzer pro also classifies the pigmented lesion as suspicious, as can be seen in the AI Score. Pathology report: melanoma, NOS.

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Breslow thickness: 0.4mm

INSIGHTS 2021 / 2022

Total Body Dermoscopy //

Best by far! Focus on hygienic work

Focus on a few atypical lesions

1,6 m

The invisible enemy in the air presented dermatology with new challenges last year: How can practice procedures be hygienically optimised with maximum safety for the practice team and the people being treated? More than 1.6 m or exactly 166 cm: This is the safety distance recommended in Total Body Mapping and provided by the ATBM master. Nobody could have imagined that this hygienic distance would one day become as essential as it was during the COVID-19-pandemic! Thanks to the spectacular visualization of microscopic structures in the clinical image, close contact during dermoscopy

is reduced to a few atypical or changed lesions – even in patients with numerous nevi. Maximum hygiene for video dermoscopy: The FotoFinder medicam 1000s offers the advantage of being able to keep a much greater distance during the

+ distance = Safety

examination than with the handheld dermatoscope. Simply work with your arm outstretched – especially when examining facial lesions! The D-Scope IV lens of the medicam has exchangeable front caps that can be changed for disinfection after each examination.

We recommend keeping an ample number of front caps in stock so that you always have a freshly disinfected tube to hand.

INSIGHTS 2021 / 2022

// Comment

2 years of the pandemic – what now?

Who hasn't heard the saying: “What do I care if a bag of rice falls over in China?” Nobody will hold to this sentiment since SARS-CoV-2 has had the world in a stranglehold for almost two years now. One bag of rice falls and causes the next one to topple over – a domino effect that continues until rows upon rows of rice bags toppled around the globe. The pandemic has shown us how small the world has become – in just a few weeks, the virus had moved from deepest China to even deeper Bavaria. Since then, contagions and lockdowns have been coursing across all continents like Mexican waves. The incidence rates were accompanied by new scarcities for us, be it masks, vaccines, toilet paper or microchips. FotoFinder also had a few toppled bags of rice: In a very short time, we restructured the entire operation – working from home, shift work in production, mandatory masks, online meetings instead of trade fairs. In addition, there were delivery delays – some not until 2021 – and blatant price increases for components and parts. Global supply and transport chains are still far from normal – or maybe this is the new normal? The line by the German poet Rolf Dieter Brinkmann is also frighteningly true: “And the closer they lived together, the further they grew apart.” Never have we been so near and yet so far away from one another, spatially as well as in our minds: Suddenly we could no longer cross the border into Austria, not to mention our beloved long-haul destinations. Suddenly, good friends had completely different views on vaccination. Suddenly, everyone knew someone they had misjudged completely. Some have reinvented themselves, while others have become even greater couch potatoes – the radius of many a contemporary has become as narrow as that of a garden gnome. Many skipped important check-ups because they were afraid. This is one reason why the detected melanomas are now often thicker than before COVID. And yet – the crisis has brought forth some good. The FotoFinder Online Academy was born during the first lockdown. The world’s best speakers have already been our guests, and perhaps you too have already enjoyed one or the other online training course from your home or practice. This has brought our dermoscopy community closer together despite social distancing. It's so nice that the Online Academy will continue to exist in the future. And now? Are we going to celebrate “Freedom Day” soon? Will that be the start of the Golden Twenties? Although the end of the pandemic seems visible on the horizon, we may be facing new ones. The fear of losing our social lives again remains. The fact is: We will have to be flexible, within ourselves and in the world, flexible even without being able to travel. And: Whatever we didn’t miss during the pandemic, we don’t need to lug around with us in the future. But one thing has not changed: our common goal of detecting skin cancer as early as possible. We will continue to be fully committed to this goal in the future. And otherwise? Keep a sense of humour, be considerate and face the issues. In other words, live. Leave the dusty bags of rice, harvest afresh and invent new bags! Kathrin Niemela

INSIGHTS 2021 / 2022

Service //

The new pillars of early skin cancer detection Hygienic screening from head to toe

Total Body Dermoscopy A distance of 1.6 m

Super-fast workflow

Spectacular RAW quality

Bodyscan with Mosaic View

Reduced dermoscopy

Hygienic dermoscopy

At over 1.6 m, the

The super-fast ATBM

The structure of

The Mosaic View

Thanks to the

The front caps of

examination is

master workflow saves

lesions can already

intelligently arranges

informative Mosaic

the medicam can

carried out from

considerable time

be assessed on the

and visualizes the

View, dermoscopy

be removed and

a safe distance.

during capture and

zoomed-in total body

lesions of a patient

focuses on a few

disinfected. Everyone

evaluation.

image.

from ALL clinical

atypical lesions.

can feel safe during the

images.

Total Body Mapping Artificial Intelligence

examination!

Dermoscopy FotoFinder AI

Work & Flow Interactive online demonstrations and workshops

Would you like to see our devices in use or are still deliberating which of our system solutions is the ideal choice for your practice? Why not take part in one of our interactive online demonstrations? We will give you a “hands on” demonstration of how you can optimise the workflow in your practice with FotoFinder technology and answer your questions live.

Graduation-cap Book now! 26

INSIGHTS 2021 / 2022

// OSHMD

A new vision with

Optical Super-high Magnification Dermoscopy Dermoscopy has become the daily diagnostic tool for many skin pathologies; however, sometimes the images at conventional magnifications lead us into a “gray area” where it is difficult to decide on the management of the lesion.

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At this point, we have the possibility of a 2nd dermoscopic step: the transition to super-high magnifications from 170× up to 400×, which allows to capture new aspects and new characteristics that can facilitate the diagnosis. This can be achieved with the FotoFinder medicam 1000s video dermatoscope together with the D-Scope III lens.

Arrow-alt-circle-right Find out more on p. 35

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400 ×

Visualisation of Demodex tails in rosacea with 400× magnification.

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Optical Super-high Magnification Dermoscopy (OSHMD) facilitates the interpretation of conventional dermoscopic images and visualizes new patterns. Thus, our visual capabilities are enriched by a new iconography that improves our diagnostic skills.

400 ×

The pattern appears not as a chain of lines but as many superimposed cells.

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20 ×

400 ×

In this melanoma in situ, the histologically confirmed evidence of irregular melanocytes down to the superficial layers of the skin is a pattern that directs the diagnosis toward melanoma.

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20 ×

400 ×

Another example is the Spitz nevus: we are surprised by this uniformly diffuse cellularity.

For Renato Rossi, dermoscopy is a fascinating field in which we can still discover new landscapes. For this reason he was the first to venture into the field of Optical Super-high Magnification Dermoscopy. With many years of experience at the University of Modena, he carries out his research at the “La Rocca Skin & Medical Center” in the Marche region.

INSIGHTS 2021 / 2022

Dr.

Renato Rossi Pioneer between research and patient care 27

FotoFinder AI //

FotoFinder AI Pioneer in Artificial Intelligence

The megatrend of Artificial Intelligence (AI) is also becoming increasingly important in medicine, whether in pneumology for the detection of COVID-19 using lung CTs or in cardiology for the evaluation of long-term ECGs. Nevertheless, many applications are still in the early stages of development. In dermato-oncology, on the other hand, applied Artificial Intelligence has been a reality for years and is closely linked to the name FotoFinder. FotoFinder AI has already been making everyday life easier in dermatological practices and clinics worldwide since 2017.

FotoFinder AI Challenge Are you an AI champion? Evaluate cases and compete with FotoFinder AI and colleagues from all over the world. Can you make it to the top of the global rankings? Be quick and accurate, but above all: Have fun competing!

Trophy Start the AI Challenge

Machine learning Machine learning

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// FotoFinder AI

Proven superior accuracy The history of FotoFinder AI began back in 1998, when we developed the first pattern recognition algorithms based on machine learning in cooperation with the University Skin Clinic in Tübingen (Germany). This gave rise to the birth of the ‘Tübinger Moleanalyzer’, ancestor of today’s Moleanalyzer pro. Unlike then, the current FotoFinder AI is based on state-of-the-art deep learning models, in which the human ability to learn from examples and experience is transferred to the computer. Artificial Neural Networks enable training the computer in complex facts, similar to biological learning processes. The result is the most powerful deep-learning algorithm for pre-assessment of skin lesions that has been assessed and validated in clinical trials to date. Unlike other algorithms, which often exhibit high sensitivity with low specificity, FotoFinder AI delivers high values for both parameters, something that has been proven several times in independent studies. This helps to avoid unnecessary surgeries.

95 % Sensitivity

82.5 %

Specificity* * ROC curve when considering the mean sensitivity of physicians of 86.6%

The guarantor for this performance is FotoFinder’s extensive data volume of histologically confirmed dermoscopic images including diagnosis. It is possible to continuously “feed” the algorithm thanks to numerous contributions from cooperating physicians across the entire globe!

Scientific studies on FotoFinder AI

Deep learning Deep learning

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FotoFinder AI //

Where does one encounter FotoFinder AI? Intelligent assistance systems for many areas of application

Areas of FotoFinder AI applications are now very complex and range from Total Body Dermoscopy to dermoscopy and trichoscopy.

Total Body Dermoscopy

Dermoscopy

Trichoscopy

Bodyscan master: The mosaic of moles

Moleanalyzer pro & handyscope pro app: AI scoring for the pre-assessment of skin lesions In dermoscopy, the FotoFinder AI is popular for two reasons: The expert system Moleanalyzer pro and the handyscope pro app offer support in the pre-assessment of dermoscopic images with the help of the AI Score. This significantly simplifies the assessment of melanocytic and non-melanocytic skin lesions. Whether melanoma in situ or basal cell carcinoma, the specificity and sensitivity are impressive, as proven by numerous studies.

Trichoscale AI: Quantifying hair growth and hair loss Artificial Intelligence will also enable unprecedented precision in hair consultation. The new special software Trichoscale AI supports the evaluation of scalp and hair diseases objectively and reliably, for both long and clipped hair. From patient preparation with Shave Assist to image capture with FotoWizzard to follow-up examination with Virtual Tattoo, from trichoscopy to trichogram. Trichoscale AI was developed exclusively for FotoFinder by TrichoLAB.

Arrow-alt-circle-right More on the Moleanalyzer pro, p. 31 Arrow-alt-circle-right More on the handyscope pro app, p. 42 f.

Arrow-alt-circle-right Find out more on p. 36 f.

One revolution is the Bodyscan master, which captures the lesions of a patient from all total body images and intelligently arranges them on one screen, sorted according to new, changed and unchanged nevi. This “Mosaic View” helps to quickly gain a total overview and visualize suspicious lesions at first glance. Thanks to the spectacular image quality, you can already see the structure of a lesion here.

Arrow-alt-circle-right Find out more on p. 16 f.

INSIGHTS 2021 / 2022

// FotoFinder AI

Moleanalyzer pro ®

Analysis. Comparison. Second Opinion. Artificial Intelligence.

Analysis & Segmentation

Image comparison

Assessment of lesions

A second opinion

Measuring structures Moleanalyzer pro is impressive in its visualization of the colours, edges, symmetry axes and pattern of a lesion. A greyscale view is also possible. The software also provides detailed information on all parameters and indicates the size, perimeter and diameter of the lesion. Automatic segmentation gives indications on all criteria.

using various checklists Lesions can be evaluated quickly according to either one or several proven procedures. Moleanalyzer pro helps the physician in making an assessment using the 3-point check-list, the 7-point check-list and the ABCD rule. A few clicks with the mouse create a result that can be visualized in conclusive reports.

and quantification of changes Certain lesions do not have criteria that allow a clear assessment by dermoscopic imaging ad hoc. This is where the integrated comparison feature helps, which cross-fades followup images and thus clearly visualizes any changes. Moleanalyzer pro quantifies the development of surface area, perimeter and diameter in percentages.

from renowned experts By accessing the FotoFinder Hub online platform, the Moleanalyzer pro software can also be used to obtain a second opinion with diagnosis and differential diagnosis from renowned experts. The associated reports can be output as PDF or paper printouts.

A new dimension in the pre-assessment of skin lesions.

INSIGHTS 2021 / 2022

Dermsthetics //

FotoFinder studio The all-in-one-system for skin, hair and nails

Excellence in Dermsthetics Modern dermatology services range from classic medical dermatology to aesthetic procedures and hair consultations. FotoFinder studio bridges the imaging gap between dermatology and aesthetics, combining tools for mole mapping, trichoscopy and aesthetics all in one single device. The modular design makes it possible to tailor the configuration to your needs.

1 E arly skin-cancer detection Video dermoscopy and documentation of skin & nails Use the dermoscope platform with the medicam camera for dermoscopy and video documentation of skin lesions. With the optional Moleanalyzer pro, you can analyse and visualize mole changes and benefit from the high sensitivity and specificity of the FotoFinder AI – validated in several clinical studies!

Hair consultation

Trichoscopy and hair aesthetics Use the extensive options for examination and assessment of hair growth and hair loss, from trichoscopy to a trichogram – optionally supported by the TrichoLAB Service and the unique tool Trichoscale AI. Use the scalp photography feature of the Portrait Stand to take impressive polarised pictures that visualize the areas affected by hair loss.

Aesthetics

Standardised photography and consultation FotoFinder aesthetics is the platform for consistent before-and-after photography and consultation, which can be configured to your products and services with the customisable Proposer Tool. Develop personalised treatment plans and show your patients the progress and success of your procedures with brilliant images!

+ S pecial feature:

TrichoLAB Transplanner

Planning and documentation of hair transplants Attention all hair surgeons: With the TrichoLAB Transplanner, you can design hair transplants quickly and easily. The expert tool provides reliable figures, and the software helps you to determine – without clipping the patient – how many grafts need to be extracted and inserted to obtain an optimal result.

Video: Find out more about the TrichoLAB Transplanner software 32

INSIGHTS 2021 / 2022

// Dermsthetics

Design and performance for your practice

FotoFinder studio combines convenience, performance and flexibility and is ideally suited for a multi-user network installation thanks to state-of-the-art hardware and the powerful FotoFinder Universe database. Your ideal choice for your practice or clinic!

Camera system with PolFlash For impressive, perfectly illuminated images with both cross- and parallel polarisation or nonpolarised photography.

Stand for face and scalp photography The camera can be easily positioned to 180° at five viewing angles – for standardised images of face, neck and scalp.

Flexible workstation The individual electrical height adjustment allows flexible working while sitting or standing.

medicam 1000s Full HD video camera medicam 1000s with optical live zoom, for a visual journey into the skin and scalp structures.

A powerful platform The Silent Medical Server is not only an eye-catcher, but also offers high data security and state-of-the-art encryption technology on the FotoFinder Universe platform.

FotoFinder AI Moleanalyzer pro for analysis and pre-assessment of melanocytic and nonmelanocytic lesions.

Trichoscale AI Digital quantification of hair growth and hair loss based on Artificial Intelligence.

INSIGHTS 2021 / 2022

Dermoscopy //

FotoFinder medicam 1000s The all-rounder for skin, hair and nails.

The Full HD video camera medicam 1000s amazes dermoscopists worldwide. An extra-large chip with Full HD CrystalView technology provides more details per pixel and maximum image sharpness. Absolutely reliable in your daily work, the medicam 1000s makes it possible to capture perfect microscopic photos as well as excellent macroscopic and clinical images. FotoFinder displays the dermoscopy as a Full HD live image with variable optical live zoom and autofocus in the software: There is no need to save the image first, it can already be seen during live screening in full resolution!

The benchmark. Ahead by far. The medicam 1000s offers spectacular sharpness in video dermoscopy and related areas such as trichoscopy, onychoscopy, inflammoscopy, capillaroscopy and entomodermoscopy.

Easy to connect

Precision optics

Together with the

Variable optical

elegant Docking Station,

magnifications. Live

the medicam is suitable

zoom with autofocus.

for all common USB

Powerful LEDs for brilliant

ports.

macro and clinical images.

Polarised & non-polarised TwinLight for easy switching between polarised and non-polarised light, with or without skin contact.

Intuitive control Intuitive software control via the medicam rear panel ensures a fast workflow.

Standardised

Spectacularly sharp

Magnetic spacers

Extra-large chip with Full HD

as a guarantee for

CrystalView technology for

standardised macro

more details per pixel.

images of skin and nail diseases.

INSIGHTS 2021 / 2022

// Kat

D-Scope IV

D-Scope III

The D-Scope IV precision lens combines the sharpest image quality in video dermoscopy with even more convenience and is unique: Several lenses with an extremely high light intensity provide crystal clear dermoscopic images with variable optical zoom from 20× to 140×.

Optical Super-high Magnification Dermoscopy (OSHMD) can be performed with the unique FotoFinder D-Scope III optics in combination with the medicam 1000s.

1 Closed front cap for contact dermoscopy 2 Open front cap for non-contact dermoscopy 3 Conical front cap for hard-to-reach lesions

FotoFinder D-Scope III is a precision lens for extremely high magnifications up to 400×. Use it for spectacular colour images of skin lesions, microvessels, capillary loops, cell structures and patterns. The images achieved with D-Scope III are a perfect supplement for classic dermoscopy, Optical Coherence Tomography (OCT) and Confocal Laser Scanning Microscopy.

Application example

Entomodermoscopy

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Video dermoscopy for in-vivo examination of skin areas affected by parasites. Thanks to the optical live zoom, typical dermoscopic patterns of scabies, demodex mites or other parasites (e.g. ticks, fleas, lice) can be visualized at first glance.

270 ×

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400 ×

HEAD-SIDE-VIRUS

Hygienic advantage: Front caps for D-Scope IV Also available in a set of ten for quick, hygienic changing

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Click here for further examples of use and information about the heart of our system solutions.

and disinfecting after every examination.

INSIGHTS 2021 / 2022

Hair Consultation //

Trichoscale AI

Artificial Intelligence in hair consultation: non-invasive, standardised, accurate

Hair patients usually suffer a lot, which is why hair consultation often also encompasses a psychological component. As this makes it all the more important to objectively determine the actual extent of hair loss and scalp diseases and to show some perspectives to those affected, you will be supported by the new Trichoscale AI analysis tool. The software developed by the expert laboratory TrichoLAB enables you to quantify scalp and hair diseases quickly, painlessly and fully automatically as a basis for sound and objective advice. Thanks to highly developed algorithms based on Artificial Intelligence (AI), hair growth and hair loss can be analysed more precisely than ever before. Whether trichoscopy or trichogram – for both long and clipped hair, the expert software impresses with detailed results which can be compiled into clear reports. This lets you optimally illustrate and explain your diagnosis to your patients, which in turn lifts their confidence and ensures treatment compliance.

1 Instant Count Mode Hair analysis using AI makes real-time scalp analysis possible with the instant determination of several parameters without clipping.

2 Smart Count Mode This mode for manual analysis was designed to give experienced users the possibility to assess each hair parameter individually.

FILE-PDF

Immediate results at a glance with the Trichoscopy Report (right) & the Trichogram Report (left).

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// Hair Consultation

Step by step to video trichograms with the help of the latest AI algorithms Based on sophisticated AI algorithms, the software supports you in every step of the analysis, from patient preparation with ShaveAssist to image acquisition with FotoWizzard and follow-up with Virtual Tattoo. It provides all relevant parameters such as hair count, density, thickness, length, growth, anagen-telogen rate, vellus-terminal rate, follicular units density and cumulative hair thickness. At baseline, only a small area of the scalp is clipped, painful epilation is not necessary. Based on the assumption that anagen hair grows by approx. 0.3 mm per day, Trichoscale AI determines the anagen-telogen rate after 48 hours. 3

3 Preparation – ShaveAssist indicates the perfect follicle length needed for shaving in colour: blue = ideal, yellow = okay, red = hair too long, shave again. 4 Image capture – FotoWizzard guides you through the capturing process and evaluates the quality of your shot using the following colour code: blue = ideal, yellow = okay, red = too poor. 5 Standardisation – Virtual Tattoo scans the follicle pattern and allows to find the same spot on the scalp in follow-ups as in the baseline taken 48h before.

5 INSIGHTS 2021 / 2022

Dermoscopy //

FotoFinder vexia

The all-rounder for video dermoscopy in a new design The all-rounder among imaging systems FotoFinder vexia is the worldwide benchmark for working comfort in video dermoscopy of skin, hair and nails. For the new generation, the FotoFinder developers have combined purist design with proven functionality and stability. The result: aesthetics in every detail, and perfectly matched components!

Dermatologists across the globe appreciate the modular design and versatility of FotoFinder vexia. This system is perfectly suited for various areas of application. Whether you want to document skin, hair or nails – the device is a 100% reliable partner in the service of the patient. Optional add-ons for skin and hair analysis complement FotoFinder vexia – for even more comfort and functionality!

The full FotoFinder system for outstanding working comfort in dermoscopy. This equipment makes video documentation even more compact, durable and convenient:

FotoFinder AI

medicam 1000s

Moleanalyzer pro

Full HD video camera

for analysis and

medicam 1000s with

pre-assessment of

optical live zoom for a

melanocytic and non-

visual journey into the

melanocytic lesions.

Reliable and secure

Chess-rook

The Silent Medical

skin structures.

User-Friends

Server Dynamic and flexible Multiuser management,

Server is not only an

compatible with HL7/

eye-catcher, but also

DICOM and wireless

offers high data security and

media.

state-of-the-art encryption technology.

Mobile and agile

Angle-left Angle-left Angle-left Angle-left Genderless Angle-right Angle-right Angle-right Angle-right

Trichoscale AI

The FotoFinder

Digital quantification of

vexia workstation

hair growth and hair

is extremely mobile

loss based on Artificial

thanks to stable castors

Intelligence.

and wire cover for improved cable routing.

INSIGHTS 2021 / 2022

// Dermoscopy

Video dermoscopy

Video trichoscopy

Video documentation & Artificial Intelligence Dermoscopy and video documentation for early skin cancer detection by mole mapping and comparison – powered by FotoFinder AI. Also perfectly suited for trichoscopy, inflammoscopy, onychoscopy, capillaroscopy and entomodermoscopy.

Hair consultation made easy! Extensive trichoscopy functions for measuring and examining hair growth and hair loss will strengthen the patient relationship to your practice – optionally supported by the TrichoLAB service and the new Trichoscale AI software tool.

Hygienic advantage Front caps for D-Scope IV The D-Scope IV lens of the medicam has exchangeable front caps that can be changed for disinfection after each examination. We recommend keeping an ample number of front caps in stock so that you always have a freshly disinfected tube to hand.

Shopping-Cart Visit the Shop INSIGHTS 2021 / 2022

Networking //

FotoFinder Universe wireless For a smart and cross-linked dermatology practice

Imagine capturing images without a computer or viewing dermoscopic findings on an iPad while keeping all data securely on your practice server! FotoFinder Universe wireless opens up completely new, flexible options for the contemporary dermatology practice. As a user of this mobile solution, you benefit from a fast, simplified FotoFinder workflow and the greatest possible freedom in combining cordless devices with FotoFinder system solutions!

Application example:

Combining the ATBM master with mobile devices

The heart of the Universe wireless solution is the FotoFinder Universe software in combination with the Universe Pro app for iPhone or iPad (not to be confused with the handyscope pro app). The software represents the central storage location for all images and data in the practice network. The Universe Pro app, on the other hand, ensures that data from mobile devices and FotoFinder system solutions are synchronised (e.g. ATBM master, FotoFinder vexia). This means that all patient data are centrally consolidated in just a few moments.

You want to capture an image, but the ATBM examination room is currently occupied? The wireless solution lets you take the image within the Universe wireless app on your iPad or iPhone. If you want to capture dermoscopic images, simply use the microscope attachment of the DermLite FotoFinder handyscope. Thanks to FotoFinder Universe wireless, the images from the mobile device are automatically transferred to your FotoFinder Universe network and therefore also to the ATBM master.

The prerequisite is a stable WLAN connection for all your mobile and stationary FotoFinder devices to log in to. Benefit from the security of your own practice network and at the same time from computer-independent work within your practice premises.

Additional features:

Caret-Right Search, add and edit patient information Caret-Right Create overview and micro images Caret-Right Set markers Caret-Right Compare overview and micro images Caret-Right Jump to the next micro image comparison

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// Networking

Laptop-Medical INSIGHTS 2021 / 2022

The FotoFinder support team will be happy to help you install your FotoFinder network!

eDermoscopy //

Smart. And flexible.

Discover the world of eDermoscopy! Pocket-sized dermoscopy. The DermLite handyscope, the result of collaboration between FotoFinder and 3Gen, is compatible with virtually any iOS or Android smartphone or tablet. It covers the entire stunningly brilliant spectrum from contact dermoscopy with immersion fluid to contactless imaging of vascular structures.

The handyscope is designed to allow hundreds of examinations without the need for recharging. The most comfortable and most flexible solution for eDermoscopy!

quote-right The DermLite handyscope is super lightweight and fits into the pocket of your lab coat. My team and I are very impressed by the image quality and flexibility. At last – a universal attachment that fits onto all our phones and will also be compatible with future smartphone generations. Dr. Christine Zollmann, Dermatologist and Venereologist, Jena (Germany)

quote-left

Dermoscopy with or without skin contact Removable glass contact plate with snap-on system for dermoscopy with or without skin contact: robust and easy to clean.

Illumination mode The right type of examination for every lesion thanks to rapid switching between polarised, non-polarised and clinical illumination. Up to 20× magnification.

Endurance for your practice routine Long battery life with four-level battery indicator. The built-in lithium-ion battery can be charged at any USB port via the supplied USB-C cable.

Easy to connect Innovative adapter technology for use with any smartphone or tablet: Simply attach the MCC™ adapter, MagnetiConnect ring or DermLite connection kit to the device, dock the handyscope, and you’re done! INSIGHTS 2021 / 2022

// eDermoscopy

handyscope pro App The eDermoscopy platform Versatile, intuitive and individual – these terms best describe the handyscope pro app. It supports your everyday practice routine with intelligent patient and image management and introduces Artificial Intelligence for the pre-assessment of lesions to the wireless practice. You can also benefit from the app's integrated second opinion service for particularly difficult cases – giving you access to the experience of worldwide renowned dermoscopists.

PRO

Use the potential of the new world of eDermoscopy The Cloud Solution with added value

Synchronise your patient data and images between the FotoFinder Hub and handyscope pro app, and securely store images and data in your private cloud space, independently of your smartphone.

Take advantage of the advanced features such as image comparison, personalised printouts, AI scoring or the second opinion service by worldrenowned dermoscopy experts!

Cloud-Service The intelligent eDermoscopy platform Patient management Stores data & images in the cloud Creation of reports Clear and convenient Image comparison Visualizes differences Teledermoscopy Create your own network

INSIGHTS 2021 / 2022

Training from practice for practice

The FotoFinder Online Academy is definitely one of the good things brought forth during the time of the pandemic. That is why the popular online “edutainment” format will also continue in the future. But honestly – what could be better than meeting face to face? We are therefore all the more pleased to announce the next live event of our Academy International for 2022!

FotoFinder Online Academy The entertaining online format brings national and international specialists to your home or practice and unites the global dermoscopy community, even in times of social distancing.

Caret-Right To the Online Academy Missed an Academy? Visit our media library and select the desired episode as video-on-demand.

Caret-Right View media library 44

FotoFinder Live Academy We look forward to welcoming you to Bad Birnbach in 2022 as part of a FotoFinder Academy on site workshop! 23 – 26 June 2022 / FotoFinder Academy International (english) with Aimilios Lallas, Zoe Apalla and Raimonds Karls

Caret-Right Get all the information here INSIGHTS 2021 / 2022

Three experts Triple the power in dermoscopy LIVE in Bad Birnbach! Save the date! Thu., 23 June 2022 Arrival to Bad Birnbach Fri., 24 June 2022 09 am – 05 pm: Workshops 07 pm: Get-together Sat., 25 June 2022 09 am – 05 pm: Workshops 07 pm: Surprise event Sun., 26 June 2022 Departure from Bad Birnbach You can look forward to a certified advanced level classroom event and informative live lectures by Aimilios Lallas, Zoe Apalla and Raimonds Karls. Information and pre-registration at envelope-square academy@fotofinder.de or on phone-square-alt +49 (0) 8563 97720-0

Prof. Dr. Aimilios Lallas

Residents Online Academy With this new format, we offer residents exciting training courses in dermoscopy, together with young international speakers.

Caret-Right Get all the information here INSIGHTS 2021 / 2022

Dr. Raimonds Karls

Assoc. Prof. Zoe Apalla

ON HAIR Attention all trichologists! The TrichoLAB ON HAIR events bring together specialists from all over the world and strengthen the exchange of know-how within the community. You can look forward to varied lectures and address your questions to internationally experienced speakers.

Caret-Right Get all the information here 45

Interview //

Dermoscopy makes us wiser and happier! An interview with Prof. Dr. Aimilios Lallas For almost every dermoscopist worldwide, he is one of the central top experts in the field of dermoscopy: Prof. Dr. Aimilios Lallas, Professor at the First Department of Dermatology at Aristotle University of Thessaloniki (Greece) and newly elected President of the International Dermoscopy Society (IDS) with more than 20.000 members worldwide. Aimilios Lallas has specialised in and deals mainly with the early diagnosis of skin cancer using non-invasive techniques and the management of skin cancer patients. He is the author of more than 340 scientific papers, several book chapters and editor of nine textbooks on dermoscopy. The passionate dermoscopist has received several scientific awards and teaches dermoscopy all over the world. Over the last years, he has established scientific collaboration with colleagues around the globe and trained numerous young dermatologists and fellows worldwide. In our interview, he provides insights into the evolution of dermoscopy and diagnosis as well as the future of the IDS to enhance and strengthen the daily routine of every dermatologist.

FF Prof. Lallas, you are the newly elected President of the IDS. Tell us about your vision for the IDS?

FF The pandemic also had a firm grip on the IDS' activities. How did you manage it?

Prof. Lallas We have quite an optimistic plan and we have a great vision for the society! We are planning to enrich our educational activities a lot, to provide much more educational material to our members. But also, to support exchange and fellowships; to organise several scientific meetings; to practice more teledermoscopy; to continue with AI projects; to initiate projects on skin of colour and on imaging in aesthetic medicine.

Prof. Lallas It was really tough because our spirit depended a lot on the interaction. To adjust, we organised our first Virtual World Congress in June this year, which was a great success with more than 2,800 participants from 90 different countries around the world. We also provided a series of educational podcasts and empowered the function of our social media channels. We will continue with this concept and are already planning the next virtual meeting for 2022. But I cannot hide that what we are looking very much forward to is our 6th World Congress of Dermoscopy in Buenos Aires, Argentina in 2024.

FF Which exciting developments have already taken place? Prof. Lallas For example, we have created a committee for the non-English-speaking community; it is chaired by Raimonds Karls and Gabriel Salerni, who will help translate important educational material and society information for those members who would prefer to learn about dermoscopy in their native languages. There will also be a new scientific programme committee chaired by Zoe Apalla for creating exciting content and inviting fantastic speakers to our international meetings and congresses. We created a new logo for the IDS and modified the membership status as follows: being a member in the IDS will remain free but will require periodic validation. We are also preparing a modern free online e-book, microlearning modules, online discussion panels and a lot of gaming!

quote-left

Dermoscopy changed dermatology drastically.

quote-right

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// Interview

FF Let’s have a look at your main field of activity. Please explain how dermoscopy changed the paradigm of melanoma screening.

Prof. Lallas I invite you to travel back with me to the 1980s, the years before dermoscopy. Try to imagine our colleagues at that time: they had – to base their decision – to look on the clinical image, on the clinical morphology only. In that era, this was an unrecognisable melanoma ( 1 ); in contrast, this was a melanoma not recognizable ( 2 ). It was just a guessing game. We cannot imagine today, how they were able to do it without dermoscopy. Dermoscopy changed it all drastically. And not only in the field of melanoma and skin cancer, but also in the field of general dermatology.

Dermoscopy also had an impact on questioning predominant theories and changing mindsets, ways of thinking and attitudes. In that era, the predominant theory was that melanoma is mainly the result of a malignant transformation of a benign lesion. Today we know how early melanoma looks like and easily accept that melanoma is usually not a result of a malignant transformation, but it mainly develops de novo and is malignant from the beginning. This is an example of a radical change in the concept of melanoma genesis. 3

FF What about the evolution of dermoscopy in the years that followed? Prof. Lallas Let’s go back to the year 2000, when dermoscopy started and the proportion of melanomas that we cannot recognise became smaller.

The most important change is the following: Look at the pictures; both lesions are melanomas. But of course, 4 is a melanoma that you can recognise, while 3 is a melanoma that we cannot recognise. In the past, we would force ourselves to doubt if the melanoma we cannot recognise is in fact a melanoma. We would prefer to say that this is a precursor. Today, we have no problem in accepting our diagnostic limitations because we have our previous experience. We know that sensitivity with dermoscopy is not 100 % and we have no problem to accept it.

Continued on next page

INSIGHTS 2021 / 2022 2021

Interview //

quote-left

We are able to accept our limits.

Prof. Lallas (2nd from left) at WCD Milano 2019 with Univ.-Prof. Kittler (left) and

quote-right

Prof. Giuseppe Argenzaino (centre).

FF Which impact did the development of dermoscopy have on today’s practice? Prof. Lallas What makes us better clinicians today is not only our improved diagnostic capability but also the fact that we are able to accept our limits. By questioning traditional theories, dermoscopy helped a lot to change the concept. Accepting our limits allows us to adopt and apply strategies in order to improve diagnostic accuracy and to minimise the problem of featureless melanomas, such as total body photography, digital monitoring and sequential follow-up or the comparative approach among different lesions to detect the one that deviates from the signature pattern.

quote-left

Dermoscopy is a game-changer.

quote-right

FF Can you explain the step from diagnosis to overdiagnosis? Prof. Lallas After the ABCD rule, dermoscopy was the second revolution in dermatological diagnosis and it made us able to recognise melanomas much earlier. In this case, dermoscopy is a game-changer. Especially in lesions with less than six millimeters but with clear-cut dermoscopic characteristics. Clinically, they even could not be seen – in fact. But dermatoscopically they were quite evident. Of course, the diagnosis of small melanomas raises the issue of overdiagnosis, because many of these melanomas would not eventually harm the patients. The problem is that, for the moment, we have no way to reliably predict the biological behaviour of an early melanoma. In my opinion, overdiagnosis is a problem, but this is a reasonble cost to pay to diagnose really threatening tumours earlier. A much bigger problem is the overuse of unnecessary aggressive and/or costly treatments for tumours with low malignant potential, such as lentigo maligna or basal cell carcinoma. This is what we should address in the years to come. Knowing the truth is never a problem. The way we react to the truth might be.

FF What about the management of these patients? Did dermoscopy change it at all over the years? Prof. Lallas Dermoscopy dramatically changed the reality in dermatology by reducing the number of unnecessary excisions of benign moles. This is something easy to understand. How many benign lesions that clinically might look a little bit ugly become

easy to diagnose with our dermatoscope. There is practically no acceptable alternative way to manage patients with multiple atypical nevi than using digital dermoscopy and sequential monitoring. I don’t even want to imagine or to remember which was the fate of these patients in the era before dermoscopy. An alternative strategy would be only to remove all the nevi of a patient to “prevent” melanoma development, which was a misconception anyway.

FF So, do you think there will be a future with no more excisions of benign lesions? Prof. Lallas In my point of view, excisions and biopsies performed for diagnostic purposes are not a real problem. They are less with dermoscopy and become even less with experience. But, even with dermoscopy, some benign lesions will still be biopsied because of diagnostic uncertainty. The problematic excisions are the ones done not because of diagnostic uncertainty, but because of wrong concepts. In the past, a problematic concept was the one of prophylactically excising nevi to prevent the possibility to have one of them transformed into melanoma. This was another radical conceptual change that occurred in the last decades and dermoscopy contributed to this change: the risk of melanoma does not depend on whether we are going to excise the nevi of a patient or not. The risk of melanoma is in the patient’s genes, not inside the nevi.

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// Interview

quote-left

The dermatoscope is the dermatologist’s stethoscope.

FF Is there any reason to apply dermoscopy in easy to diagnose lesions?

quote-right

FF What about other dermatological diseases? Prof. Lallas By enhancing diagnosis, dermoscopy also facilitated the management of melanoma and non-melanoma skin cancer. This is true for basal cell carcinomas, actinic keratosis and squamous cell carcinomas. But it is also true for several inflammatory and infectious diseases such as scabies or lichen planus. I would say that the dermatoscope is the dermatologist’s stethoscope and we use it for any kind of skin eruption.

FF So, with dermoscopy, a clinical image is no longer needed to diagnose correctly? Prof. Lallas Of course it is needed! Dermoscopy is only one piece of the puzzle of clinical diagnosis! Especially in inflammatory disorders, dermoscopy makes no sense if not interpreted within the clinical differential diagnosis. But if you put it in the clinical context – which is always the case in clinical practice – then dermoscopic criteria become highly informative and enhance the clinical assessment.

Prof. Lallas (2nd from left) at WCD Thessaloniki 2018 with the FotoFinder team Moha Daryarie, Kathrin Niemela and Andreas Mayer (from left).

INSIGHTS 2021 / 2022

Prof. Lallas Of course. Even when the diagnosis is straight forward, looking with the dermatoscope will train our eye. That’s not only for inflammatory diseases, that’s also true for skin tumors. We don’t learn by looking at extraordinary things, we learn by looking at ordinary things and this will help us recognise extraordinary things! I think that dermoscopy makes us wiser and for sure dermoscopy makes us happier!

quote-left

AI will be a precious tool in the hands of clinicians.

quote-right

FF What are your visions for the future of skin cancer screening? Will AI play a role? Prof. Lallas The impact of Artificial Intelligence in our practice will be huge in several aspects, but not by replacing the role of clinicians in diagnosis. The impact will be huge from a different perspective, mainly in fulfilling unmet needs. For instance, it might help addressing problems such as the impaired access to health services in countries with a shortage of clinicians, or reducing the time required for diagnostic procedures. An example: I am looking forward to an AI algorithm saving our time by accurately detecting changing lesions. It would be great if, during a follow-up visit, we could focus our attention on five lesions instead of 100 lesions. I also forsee other kinds of AI application such as precision medicine, predicting personalised treatments or prognostic biomarkers. I'm not speaking only about melanoma, but also about inflammatory diseases. Definitely, AI will be there in the future, and this will be a precious tool in the hands of clinicians.

Service //

Our Passion is FotoFinder

The international Sales Team Moha Daryaie

Our Director of Sales and Business Development with Persian roots has two great passions: On the one hand, he loves dermoscopy and “fotofinderizes” the whole team and dermatologists worldwide. On the other hand, he is the man with the guitar and his heart beats Latin American. Whether in an Online Academy, at a company party or after a long congress day, with flamenco rhythm in his veins he makes everyone shake their hips! envelope-square m_daryaie@fotofinder-systems.de

Jessica Ortíz Huerta As a native Mexican and Director of Ibero America, Jessica takes care of all sales and training matters in the Spanish, Latin and Ibero American market. Thanks to her experience as a qualified physician, she can help you in the areas of teledermatology, clinical evidence and workflows in your medical practice. But that’s not all: With her fiery temperament, she not only provides us with excellent spicy Mexican food, but also brings passionate energy to the office during her salsa dance lessons. envelope-square j_ortiz_huerta@fotofinder-systems.de

Christina Walcher She has been our sunshine in the office for more than six years: Always in a good mood and hands on, Christina manages our clients and partners in Southeast Europe, Middle east and parts of Asia and Africa. With extensive training and dancing sessions, good food, intensive cuddling hours with her cats and quality time with her friends, she recharges her power reserves every day anew.

envelope-square c_walcher@fotofinder-systems.de

Gabriela Tack “Passionate, positive & powerful” is Gabriela's motto. She is our expert for the Italian market and supports our Italian subsidiary in all aspects – from consulting to after sales. And she knows it best, because besides her Romanian roots, her heart belongs to "La dolce vita". The mother of three lovely children recharges her batteries at least once a year on the Italian coast, because life is too short to live without the sea and the sun. envelope-square g_tack@fotofinder-systems.de

Aman Faizbakhsh …is our sales expert for the Middle East, Eastern Europe, Ukraine and parts of Asia. Born in Tehran, he always enjoys working and exchanging ideas with our partners around the world – not only about dermoscopy and trichoscopy, but also about great musicians like Frank Sinatra or the Beatles. Surprisingly, Aman will give you a fabulous new haircut – if his vocation weren't sales at FotoFinder, he would made a great hairdresser. envelope-square a_faizbakhsh@fotofinder-systems.de

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FotoFinder Headquarters phone-square-alt +49 (0) 8563 97720-0 Zhitao “Tao” Liu …is our man for the Chinese and Asian market and he knows it best! With passion for our life-saving technology, a cup of hot water or green tea and an Atlas of Dermoscopy at hand, he supports and manages our partners in the Far East according to the motto “Nothing is impossible!” When he is not at work, he loves to spend time with his son and to shoot some hoops on the basketball court. envelope-square z_liu@fotofinder-systems.de

Celine Frammersberger “Bonjour à tous” – in her second mother tongue and with Belgian roots, Celine takes care of our French speaking clients and partners all over the world, as well as Northern Europe, Great Britain, Russia, and parts of Asia and Africa. That is a perfect match, because Celine loves to see the world and to get to know foreign cultures. Maybe you will find her backpacking in Chile, climbing the Andes and watching penguins, sailing in Thailand or dancing the whole night at a festival to the rocking guitar riffs of Queen and Metallica. envelope-square c_frammersberger@fotofinder-systems.de

Katharina Lorenz She is our newest member of the international FotoFinder sales team: Since March 2021, Katharina has been looking after our customers in the United States, Canada and South Africa. Likewise, as a qualified event manager, she ensures glittering company parties which all colleagues remember with pleasure. With her relaxed and hands-on manner, she always knows how to give her best and keeps a cool head even in tricky situations. Not on duty, you can find Katharina on the back of her horse, walking with Labrador Carlo or sailing around Greek islands. envelope-square k_lorenz@fotofinder-systems.de

Philipp Wagmann Philipp always cycles to work, come rain or shine. Our trainee has been supporting the entire sales team since September 2019. He especially enjoys joining our field service team, because he is very interested in contact with our “power users” and their needs. His hobbyhorse is definitely eDermoscopy with the new handyscope device. envelope-square p_wagmann@fotofinder-systems.de

Sabrina Steiner Currently, the new mom is lovingly taking care of her baby girl and you can meet the two ladies at mama yoga or on tour with the racy baby stroller. Sabrina has been passing on her passion for making home-made jam to her offspring, because she is always creating new jam variations that make your mouth water. Soon, she will be back from her baby break and will be happy to support our sales team, our international partners and customers. Baby ON MATERNITY LEAVE

INSIGHTS 2021 / 2022

From around the world //

Around the world with FotoFinder Cutting-edge technology from Bavaria – at home all over the world. The FotoFinder community can be found in over 100 countries. What is it like there? Have a look and see for yourself how our family members live the motto “I love dermoscopy”.

Dance partner sought ... and found! Dr. Svitlana Diachuk from Kiev (Ukraine) does a happy dance with her new FotoFinder ATBM master. All in the spirit of “I love dermoscopy”!

A real declaration of love ... wrote Dr. Ružica Jurakić-Tončić from Zagreb (Croatia) about her new FotoFinder system. These are the moments that make our hearts beat faster and drive us. We are thrilled!

INSIGHTS 2021 / 2022

// From around the world

20 years ago ... … IDS Dermoscopy World Champion Dr. Raimonds Karls from Riga (Latvia) attended his first dermoscopy congress. And today, he and his team at the Derma Clinic Riga continue to be infectiously passionate about dermoscopy and trichoscopy.

Caribbean ambience ... … surrounds Dr. Alison Duncan and her team’s ATBM master at Integra Healthcare in the Cayman Islands. Its arrival was celebrated on a large scale. This is true passion for early detection of skin cancer!

It's finally here: the FotoFi nder ATBM master in the Cayma n Isla

nds

INSIGHTS 2021 / 2022

Outlooks //

News -Ticker FotoFinder Practice marketing for you! Intensify your practice marketing with FotoFinder's exclusive materials! Choose from posters, patient brochures, waiting room videos or application images to suit your advertising requirements. Inform your patients about the latest examination methods such as Total Body Mapping, video dermoscopy or hair consultation. Our flyers are available from our webshop at shop.fotofinder.de. Contact us if you are interested in the brand-new waiting room video on Total Body Mapping: envelope-square praxismarketing@fotofinder.de

A new look for our website! Our website has been completely redesigned! Visit us at www.fotofinder.de/en and discover the newly designed FotoFinder product worlds, the FotoFinder Academy programme and our online Academy media library. We are virtually even closer to you with our brand-new Work & Flow section.

Follow us on Social Media! Here at FotoFinder Systems we love getting social. Which is why you'll find us on all of the main social media channels, including Facebook, Instagram, Twitter and LinkedIn. Join the community and check out the latest news about products, online events and specials.

www.facebook.com/ fotofindersystems.de

www.twitter.com/ fotofinderEU

www.linkedin.com/company/ fotofinder-systems-gmbh

www.instagram.com/ fotofindersystems

INSIGHTS 2021 / 2022

// Outlooks

Congresses and shows

Due to the current situation, the dates may be postponed or cancelled.

calendar-alt 2022/01/24

calendar-alt 2022/02/27 – 03/01

calendar-alt 2022/03/31 – 04/02

SGML

Dubai Derma

AMWC

MAP-MARKER Zurich, Switzerland

MAP-MARKER Dubai, UAE

MAP-MARKER Monaco

calendar-alt 2022/06/23 – 26

calendar-alt 2022/06/03 – 05

calendar-alt 2022/06/29 – 07/02

LIVE FotoFinder Academy International

IMCAS

CILAD

MAP-MARKER Bad Birnbach, Germany

MAP-MARKER Paris, France

MAP-MARKER Madrid, Spain

calendar-alt 2022/07/12 – 16

calendar-alt 2022/09/01 – 03

calendar-alt 2022/09/07 – 11

ISCD

Dermoscopy Excellence International Masterclass

EADV

MAP-MARKER Graz, Austria

MAP-MARKER Rome, Italy

MAP-MARKER Milano, Italy

calendar-alt 2022/09/29 – 10/01

calendar-alt 2022/11/18 – 21

First Barcelona Hair Meeting

World Congress of Hair Research

MAP-MARKER Barcelona, Spain

MAP-MARKER Melbourne, Australia

INSIGHTS 2021 / 2022

[medicam 1000s / D-Scope III / Zoom 400×]

Fascination Skin and Hair Expand

Passion in focus

Expand

Skin is the most fascinating organ of our human body. We carry it for a lifetime, feel through it, perceive with it and look good in it. It embraces and protects us every day anew. This fascination motivates us to visualize skin. With innovation and continuous development, we support your passion to heal and care for skin. This passion unites.