Huang Hung-Yi, Nguyen Hong-Thai, Lin Teng-Li, Saenprasarn Penchun, Liu Ping-Hung, Wang Hsiang-Chen
Department of Dermatology, Ditmanson Medical Foundation Chiayi Christian Hospital, Chia Yi City 60002, Taiwan.
Department of Mechanical Engineering, National Chung Cheng University, 168, University Rd., Min Hsiung, Chia Yi City 62102, Taiwan.
Cancers (Basel). 2024 Jan 2;16(1):217. doi: 10.3390/cancers16010217.
This study pioneers the application of artificial intelligence (AI) and hyperspectral imaging (HSI) in the diagnosis of skin cancer lesions, particularly focusing on Mycosis fungoides (MF) and its differentiation from psoriasis (PsO) and atopic dermatitis (AD). By utilizing a comprehensive dataset of 1659 skin images, including cases of MF, PsO, AD, and normal skin, a novel multi-frame AI algorithm was used for computer-aided diagnosis. The automatic segmentation and classification of skin lesions were further explored using advanced techniques, such as U-Net Attention models and XGBoost algorithms, transforming images from the color space to the spectral domain. The potential of AI and HSI in dermatological diagnostics was underscored, offering a noninvasive, efficient, and accurate alternative to traditional methods. The findings are particularly crucial for early-stage invasive lesion detection in MF, showcasing the model's robust performance in segmenting and classifying lesions and its superior predictive accuracy validated through k-fold cross-validation. The model attained its optimal performance with a k-fold cross-validation value of 7, achieving a sensitivity of 90.72%, a specificity of 96.76%, an F1-score of 90.08%, and an ROC-AUC of 0.9351. This study marks a substantial advancement in dermatological diagnostics, thereby contributing significantly to the early and precise identification of skin malignancies and inflammatory conditions.
本研究率先将人工智能(AI)和高光谱成像(HSI)应用于皮肤癌病变的诊断,尤其关注蕈样肉芽肿(MF)及其与银屑病(PsO)和特应性皮炎(AD)的鉴别诊断。通过利用包含MF、PsO、AD和正常皮肤病例的1659张皮肤图像的综合数据集,采用了一种新颖的多帧AI算法进行计算机辅助诊断。利用U-Net注意力模型和XGBoost算法等先进技术进一步探索皮肤病变的自动分割和分类,将图像从颜色空间转换到光谱域。强调了AI和HSI在皮肤病诊断中的潜力,为传统方法提供了一种无创、高效且准确的替代方案。这些发现对于MF早期侵袭性病变的检测尤为关键,展示了该模型在病变分割和分类方面的强大性能,以及通过k折交叉验证验证的卓越预测准确性。该模型在k折交叉验证值为7时达到最佳性能,灵敏度为90.72%,特异性为96.76%,F1分数为90.08%,ROC-AUC为0.9351。本研究标志着皮肤病诊断取得了重大进展,从而为皮肤恶性肿瘤和炎症性疾病的早期精确识别做出了重要贡献。