The IMAGE trial

Melanoma surveillance photography to improve early detection of melanoma

Melanoma surveillance photography is a comprehensive surveillance method. To date, there is insufficient evidence that Melanoma Surveillance Photography improves outcomes. Currently, melanoma surveillance photography is not used routinely during skin examinations as part of ‘standard care’.

Melanoma Surveillance Photography is not reimbursed by Medicare and is often costly.

This project will test whether people who are monitored with Melanoma Surveillance Photography, have fewer benign lesions removed or sampled, compared to those who do not have Melanoma Surveillance Photography.

The IMAGE clinical trial will help provide the information needed by the Medical Services Advisory Committee (the committee advising the Australian Government on the public funding of new medical services), to decide if Melanoma Surveillance Photography should be covered by Medicare.


Trial resources


Trials Journal BioMed Central, 29 March 2023,

Study protocol for a randomised controlled trial to evaluate the use of melanoma surveillance photography to the Improve early detection of MelanomA in ultra-hiGh and high-risk patiEnts (the IMAGE trial)

Instructional video

IMAGE trial team

  • Associate Professor Victoria Mar (Study Chair) 
  • Professor Rory Wolfe
  • Professor Rachel Morton
  • Professor Peter Soyer
  • Professor Anne Cust
  • Professor Pascale Guitera
  • Professor Monika Janda
  • Professor John Kelly 
  • Associate Professor Paul Fishburn
  • Associate Professor Robyn Saw
  • Dr Alan Herschtal
  • Professor Pablo Fernández-Peñas

Trial sites


Victorian Melanoma Service, Alfred Health, Melbourne

Skin Health Institute, Carlton

Wonthaggi Hospital, Bass Coast Health, Wonthaggi

Phillip Island Health Hub, Bass Coast Health, Cowes

Bendigo Cancer Centre Research Unit, Bendigo Health, Bendigo

New South Wales

Newcastle Skin Check, Newcastle

Dermatology Clinical Trials Unit, Westmead Hospital, Sydney

Royal Prince Alfred Hospital & Melanoma Institute Australia, Sydney


Diamantina Institute, University of Queensland, Brisbane 

FNQH Cairns Skin Cancer Centre, Cairns

Skin Repair Skin Cancer Clinic, Townsville

Contact and more information

IMAGE trial news and patient stories

To contact the IMAGE clinical trial email 

IMAGE clinical trial Registration ID: NCT04385732

For information on how to participate in a clinical trial, click here