Huang Hsin-Wei, Hsu Benny Wei-Yun, Lee Chih-Hung, Tseng Vincent S
Department of Dermatology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung City, Taiwan.
Department of Computer Science, National Chiao Tung University, Hsinchu City, Taiwan.
J Dermatol. 2021 Mar;48(3):310-316. doi: 10.1111/1346-8138.15683. Epub 2020 Nov 19.
Skin cancer is among the 10 most common cancers. Recent research revealed the superiority of artificial intelligence (AI) over dermatologists to diagnose skin cancer from predesignated and cropped images. However, there remain several uncertainties for AI in diagnosing skin cancers, including lack of testing for consistency, lack of pathological proof or ambiguous comparisons. Hence, to develop a reliable, feasible and user-friendly platform to facilitate the automatic diagnostic algorithm is important. The aim of this study was to build a light-weight skin cancer classification model based on deep learning methods for aiding first-line medical care. The developed model can be deployed on cloud platforms as well as mobile devices for remote diagnostic applications. We reviewed the medical records and clinical images of patients who received a histological diagnosis of basal cell carcinoma, squamous cell carcinoma, melanoma, seborrheic keratosis and melanocytic nevus in 2006-2017 in the Department of Dermatology in Kaohsiung Chang Gung Memorial Hospital (KCGMH). We used the deep learning models to identify skin cancers and benign skin tumors in the manner of binary classification and multi-class classification in the KCGMH and HAM10000 datasets to construct a skin cancer classification model. The accuracy reached 89.5% for the binary classifications (benign vs malignant) in the KCGMH dataset; the accuracy was 85.8% in the HAM10000 dataset in seven-class classification and 72.1% in the KCGMH dataset in five-class classification. Our results demonstrate that our skin cancer classification model based on deep learning methods is a highly promising aid for the clinical diagnosis and early identification of skin cancers and benign tumors.
皮肤癌是最常见的10种癌症之一。最近的研究表明,在从预先指定和裁剪的图像中诊断皮肤癌方面,人工智能(AI)优于皮肤科医生。然而,AI在诊断皮肤癌方面仍存在一些不确定性,包括缺乏一致性测试、缺乏病理证据或比较不明确。因此,开发一个可靠、可行且用户友好的平台以促进自动诊断算法非常重要。本研究的目的是基于深度学习方法构建一个轻量级的皮肤癌分类模型,以辅助一线医疗护理。所开发的模型可以部署在云平台以及移动设备上,用于远程诊断应用。我们回顾了2006年至2017年在高雄长庚纪念医院皮肤科接受组织学诊断为基底细胞癌、鳞状细胞癌、黑色素瘤、脂溢性角化病和黑素细胞痣的患者的病历和临床图像。我们使用深度学习模型在高雄长庚纪念医院(KCGMH)和HAM10000数据集中以二元分类和多类分类的方式识别皮肤癌和良性皮肤肿瘤,以构建皮肤癌分类模型。在KCGMH数据集中二元分类(良性与恶性)的准确率达到89.5%;在HAM10000数据集中七类分类的准确率为85.8%,在KCGMH数据集中五类分类的准确率为72.1%。我们的结果表明,我们基于深度学习方法的皮肤癌分类模型对于皮肤癌和良性肿瘤的临床诊断和早期识别是一种非常有前景的辅助工具。