As Table 2 demonstrates, overall diagnostic accuracy by
the two board-certified radiologists was high. Nonetheless,
making the overall diagnosis was clearly more difficult on
smartphone capture, again as would be expected given the
greater degree of technical limitations. In particular, the diagnoses
that proved most challenging generally appear to involve
rare, more complex syndromes. These syndromes tend
to require identification of additional subtle findings that may
be especially hard to recognize with certainty on smartphone
captured images. It is therefore prudent to recognize that a
major disadvantage of smartphone capture is the decreased
ability to detect complex syndromes that depend upon higher
resolution and details that may not be recognizable on
smartphone-captured images.