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Total-Body Mole Mapping

Skin Cancer Detection and Prevention

The ATBM by FotoFinder combines high-resolution digital photography, artificiaI intelligence, as well as handheld digital dermatoscope to provide detailed photographs of all skin lesions, helping to identify any changes, and allowing for early detection in melanoma and other skin cancers.

Total body mole mapping

ATBM by FotoFinder

Combination of high resolution camera, handheld digital dermatoscope (for magnified images) and display screen with AI-enhanced programming.

Total body mole mapping

Full-body scan

During this exam, photographs will be taken of all body surfaces mapping out each individual mole and other lesions on the body.

Total body mole mapping

Automated Digital Photography

The track design and auto-focusing high resolution camera takes standardized photographs to ensure consistency between exams.

Total body mole mapping

Handheld Dermatoscope

The built-in handheld dermatoscope allows for magnified high-resolution images to be taken of specific lesions of concern.

Total body mole mapping

Serial Exams

With annual (or semi-annual) exams, the images are stored and automatically compared to the prior images to flag any lesions that have changed.

Total body mole mapping

Skin cancer detection

With serial exams, and the ability to compare previous lesions, changes in any moles are identified early and can be acted on to catch skin cancer early, or prevent it entirely.

Frequently Asked Questions

What is the process for mole mapping?

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  • Prior to your assessment by the physician, a nurse will use the ATBM by FotoFinder to complete a full-body series of digital photographs, mapping each skin lesion. 

  • Following this, the physician will review the images and complete a full-body skin exam, evaluating any necessary lesions with the handheld dermatoscope for magnified images.

  • If any concerning lesions are identified, the physician will perform a biopsy or excision as required.

  • You will then be booked for a follow-up exam in 6-12 months for repeat images, so that we can use the AI-enhanced software to compare all lesions to the prior images to easily identify any spots that have changed or new spots that have developed since your last appointment.

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Who should have digital mole mapping?

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  • While almost anyone can benefit, mole mapping is especially helpful for people who:

    • Have a personal or family history of melanoma​

    • Have a history of "abnormal" or dysplastic moles

    • High number of moles on your body (especially if greater than 50 moles)

    • Big or odd appearing moles

    • Significant sun exposure history (bad sunburns, blistering sunburns, tanning bed use)

    • Fair skin or freckles

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How often should mole mapping be performed?

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  • In general, mole mapping should be performed every 12 months, but in certain high-risk patients, every 6 months may be beneficial

How long does the mole mapping appointment take?

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  • The process of obtaining the photographs takes about 15 minutes and will be completed by a nurse

  • Depending on how many moles need closer inspection by the physician, and/or if any moles need biopsy the total appointment length can vary from about 30 minutes to 60 minutes.

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Are there any contraindications to digital mole mapping?

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  • You should delay your mole mapping appointment if you have a significant sunburn, prominent tan lines or active rash

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What should I wear to the mole mapping appointment?

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  • The FotoFinder is only able to map exposed areas of skin. Patients may choose to be totally undressed during the photographs (to ensure all areas are mapped) or can wear undergarments if they choose to. 

  • If you plan to wear undergarments, wear neutral colour undergarments that can stand out against the skin to help with the quality of the photographs

  • Avoid wearing jewelry, makeup, self-tanner, or baggy/loose fitting undergarments that will obscure areas for photography

  • For men with thick/long body hair, it is important to trim/shave it prior to the appointment so that the camera can capture any skin lesions accurately

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What are the risks with melanoma?

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  • Early or "stage 1" melanoma has a survival rate of about 97%, but this drops to about 20% by stage 4.

  • This is why it is so important to monitor your skin and catch any concerning lesions early.

Does digital mole mapping work?

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  • Digital mole mapping is particularly helpful in detecting melanoma (the highest risk form of skin cancer), and has been shown to be effective in early detection.

  • Digital mole mapping is slightly less specific for non-melanoma skin cancers (i.e. basal, squamous cell)

  • This is why it is important that the comprehensive skin exam be performed by the physician alongside the digital photography so that any worrisome lesions can be identified

  • For more information about the benefits of mole mapping see the section below titled "Reference Material"

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How much does digital mole mapping cost?

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  • Digital mole mapping is not insured by OHIP

  • Cost for digital mole mapping is $450. During this appointment, the physician will also complete a comprehensive skin exam.

  • The cost of digital mole mapping is tax deductible as a medical expense.

  • Most private insurance providers do not cover the cost of digital mole mapping, though some plans that offer "flex" components may provide some coverage. Contact your insurance carrier to inquire.

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How do I book a digital mole mapping appointment?

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  • To book an appointment phone (226) 396-1030. 

  • For total body mole mapping, a physician referral is not required

Reference Material

There have been multiple studies supporting the benefits of digital total body mole mapping.


 

"Indications for Digital Monitoring of Patients with Multiple Nevi: Recommendations from the International Dermoscopy Society": Russo et al. (2022)

"The importance of total-body photography and sequential digital dermatoscopy for monitoring patients at increased melanoma risk": Deinlein et al. (2022)

"Usefulness of the 'two-step method' of digital follow-up for early-stage melanoma detection in high-risk French patients: a retrospective 4-year study": Gasparini et al. (2019)

"Benefits of total body photography and digital dermatoscopy (‘‘two-step method of digital follow-up’’) in the early diagnosis of melanoma in patients at high risk for melanoma": Salerni et al. (2012)

"Total body skin examination for skin cancer screening in patients with focused symptoms": Argenziano et al. (2012)

"Comparative analysis of total body vs. dermatoscopic photographic monitoring of nevi in similar patient populations at risk for cutaneous melanoma": Goodson et al. (2010)

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Fotofinder ATBM photos: © 2021 FotoFinder Systems GmbH

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