Results of the 2016 International Skin Imaging Collaboration International Symposium on Biomedical Imaging challenge: Comparison of the accuracy of computer algorithms to dermatologists for the diagnosis of melanoma from dermoscopic images.

Background: Computer vision may aid in melanoma detection.Objective: We sought to compare melanoma diagnostic accuracy of computer algorithms to dermatologists using dermoscopic images.Methods: We conducted a cross-sectional study using 100 randomly selected dermoscopic images (50 melanomas, 44 nevi...

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Publicado en:Journal of the American Academy of Dermatology Vol. 78; no. 2; pp. 270 - 271
Autores principales: Marchetti, Michael A., Codella, Noel C.F., Dusza, Stephen W., Gutman, David A., Helba, Brian, Kalloo, Aadi, Mishra, Nabin, Carrera, Cristina, Celebi, M. Emre, DeFazio, Jennifer L., Jaimes, Natalia, Marghoob, Ashfaq A., Quigley, Elizabeth, Scope, Alon, Yélamos, Oriol, Halpern, Allan C.
Formato: research Journal Article
Publicado: Elsevier B.V. Feb2018
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Results of the 2016 International Skin Imaging Collaboration International Symposium on Biomedical Imaging challenge: Comparison of the accuracy of computer algorithms to dermatologists for the diagnosis of melanoma from dermoscopic images.
      aug:
        au:
          Marchetti, Michael A.
          Codella, Noel C.F.
          Dusza, Stephen W.
          Gutman, David A.
          Helba, Brian
          Kalloo, Aadi
          Mishra, Nabin
          Carrera, Cristina
          Celebi, M. Emre
          DeFazio, Jennifer L.
          Jaimes, Natalia
          Marghoob, Ashfaq A.
          Quigley, Elizabeth
          Scope, Alon
          Yélamos, Oriol
          Halpern, Allan C.
        affil: Dermatology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York
      sug:
        subj:
          Skin Neoplasms
          Microscopy
          Melanoma Diagnosis
          Algorithms
          Nevus
          Lentigo
          Skin Neoplasms Pathology
          Human
          Diagnosis, Computer Assisted
          Congresses and Conferences
          Melanoma Pathology
          Cross Sectional Studies
          ROC Curve
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Funding Source
      ab: Background: Computer vision may aid in melanoma detection.Objective: We sought to compare melanoma diagnostic accuracy of computer algorithms to dermatologists using dermoscopic images.Methods: We conducted a cross-sectional study using 100 randomly selected dermoscopic images (50 melanomas, 44 nevi, and 6 lentigines) from an international computer vision melanoma challenge dataset (n = 379), along with individual algorithm results from 25 teams. We used 5 methods (nonlearned and machine learning) to combine individual automated predictions into "fusion" algorithms. In a companion study, 8 dermatologists classified the lesions in the 100 images as either benign or malignant.Results: The average sensitivity and specificity of dermatologists in classification was 82% and 59%. At 82% sensitivity, dermatologist specificity was similar to the top challenge algorithm (59% vs. 62%, P = .68) but lower than the best-performing fusion algorithm (59% vs. 76%, P = .02). Receiver operating characteristic area of the top fusion algorithm was greater than the mean receiver operating characteristic area of dermatologists (0.86 vs. 0.71, P = .001).Limitations: The dataset lacked the full spectrum of skin lesions encountered in clinical practice, particularly banal lesions. Readers and algorithms were not provided clinical data (eg, age or lesion history/symptoms). Results obtained using our study design cannot be extrapolated to clinical practice.Conclusion: Deep learning computer vision systems classified melanoma dermoscopy images with accuracy that exceeded some but not all dermatologists.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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