CNRS, PACEA UMR 5199, Université de Bordeaux, Bât B2, Allée Geoffroy Saint Hilaire, CS50023, Pessac, 33600, France.
Department of Cartographic and Terrain Engineering, Higher Polytechnic School of Ávila, Universidad de Salamanca, Calle Hornos Caleros 50, 05003 Ávila, Spain.
Photodiagnosis Photodyn Ther. 2024 Oct;49:104269. doi: 10.1016/j.pdpdt.2024.104269. Epub 2024 Jul 11.
The early detection of Non-Melanoma Skin Cancer (NMSC) is essential to ensure patients receive the most effective treatment. Diagnostic screening tools for NMSC are crucial due to high confusion rates with other types of skin lesions, such as Actinic Keratosis. Nevertheless, current means of diagnosing and screening patients rely on either visual criteria, that are often conditioned by subjectivity and experience, or highly invasive, slow, and costly methods, such as histological diagnoses. From this, the objectives of the present study are to test if classification accuracies improve in the Near-Infrared region of the electromagnetic spectrum, as opposed to previous research in shorter wavelengths.
This study utilizes near-infrared hyperspectral imaging, within the range of 900.6 and 1454.8 nm. Images were captured for a total of 125 patients, including 66 patients with Basal Cell Carcinoma, 42 with cutaneous Squamous Cell Carcinoma, and 17 with Actinic Keratosis, to differentiate between healthy and unhealthy skin lesions. A combination of hybrid convolutional neural networks (for feature extraction) and support vector machine algorithms (as a final activation layer) was employed for analysis. In addition, we test whether transfer learning is feasible from networks trained on shorter wavelengths of the electromagnetic spectrum.
The implemented method achieved a general accuracy of over 80 %, with some tasks reaching over 90 %. F1 scores were also found to generally be over the optimal threshold of 0.8. The best results were obtained when detecting Actinic Keratosis, however differentiation between the two types of malignant lesions was often noted to be more difficult. These results demonstrate the potential of near-infrared hyperspectral imaging combined with advanced machine learning techniques in distinguishing NMSC from other skin lesions. Transfer learning was unsuccessful in improving the training of these algorithms.
We have shown that the Near-Infrared region of the electromagnetic spectrum is highly useful for the identification and study of non-melanoma type skin lesions. While the results are promising, further research is required to develop more robust algorithms that can minimize the impact of noise in these datasets before clinical application is feasible.
非黑素瘤皮肤癌(NMSC)的早期检测对于确保患者接受最有效的治疗至关重要。由于与其他类型的皮肤病变(如光化性角化病)混淆率较高,因此 NMSC 的诊断筛查工具至关重要。然而,目前诊断和筛查患者的方法要么依赖于视觉标准,这些标准往往受到主观性和经验的影响,要么依赖于高度侵入性、缓慢且昂贵的方法,如组织学诊断。基于此,本研究旨在测试在电磁光谱的近红外区域,而非以前在较短波长的研究中,分类准确性是否会提高。
本研究利用近红外高光谱成像技术,波长范围为 900.6nm 至 1454.8nm。共对 125 名患者进行了图像采集,包括 66 名基底细胞癌患者、42 名皮肤鳞状细胞癌患者和 17 名光化性角化病患者,以区分健康和不健康的皮肤病变。分析采用混合卷积神经网络(用于特征提取)和支持向量机算法(作为最终激活层)的组合。此外,我们还测试了从电磁光谱较短波长训练的网络进行迁移学习是否可行。
所实施的方法总体准确率超过 80%,某些任务的准确率超过 90%。F1 分数也普遍高于 0.8 的最佳阈值。在检测光化性角化病时,获得了最佳结果,但通常发现区分两种恶性病变较为困难。这些结果表明,近红外高光谱成像与先进的机器学习技术相结合,在区分 NMSC 与其他皮肤病变方面具有潜力。迁移学习未能改善这些算法的训练。
我们已经表明,电磁光谱的近红外区域对于识别和研究非黑素瘤类型的皮肤病变非常有用。虽然结果很有希望,但需要进一步研究,以开发更强大的算法,在临床应用可行之前,最小化这些数据集噪声的影响。