Actinic Keratosis Area Severity Index (AKASI): reproducibility study and comparison with total lesion count (original) (raw)

This article investigates the Actinic Keratosis Area Severity Index (AKASI) as a scoring system for assessing actinic keratosis severity, comparing its reproducibility and accuracy with the total lesion count (TLC), the current standard. A pilot study involving 30 patients showed that AKASI produced a higher intra-observer correlation and benefited from a more nuanced grading system for lesion thickness compared to TLC. The findings suggest that AKASI can be a reliable alternative to TLC in clinical practice, with a need for further validation in larger, multicenter studies.