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Dermatologist-level classification of skin cancer with deep neural networks.

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Abstract
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Skin cancer, the most common human malignancy, is primarily diagnosed visually, beginning with an initial clinical screening and followed potentially by dermoscopic analysis, a biopsy and histopathological examination. Automated classification of skin lesions using images is a challenging task owing to the fine-grained variability in the appearance of skin lesions. Deep convolutional neural networks (CNNs) show potential for general and highly variable tasks across many fine-grained object categories. Here we demonstrate classification of skin lesions using a single CNN, trained end-to-end from images directly, using only pixels and disease labels as inputs. We train a CNN using a dataset of 129,450 clinical images-two orders of magnitude larger than previous datasets-consisting of 2,032 different diseases. We test its performance against 21 board-certified dermatologists on biopsy-proven clinical images with two critical binary classification use cases: keratinocyte carcinomas versus benign seborrheic keratoses; and malignant melanomas versus benign nevi. The first case represents the identification of the most common cancers, the second represents the identification of the deadliest skin cancer. The CNN achieves performance on par with all tested experts across both tasks, demonstrating an artificial intelligence capable of classifying skin cancer with a level of competence comparable to dermatologists. Outfitted with deep neural networks, mobile devices can potentially extend the reach of dermatologists outside of the clinic. It is projected that 6.3 billion smartphone subscriptions will exist by the year 2021 (ref. 13) and can therefore potentially provide low-cost universal access to vital diagnostic care.

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Detection of Melanoma Skin Cancer with Deep Neural Networks
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Detection of skin cancer involves several steps of examinations first being visual diagnosis that is followed by dermoscopic analysis, a biopsy, and histopathological examination. The classification of skin lesions in the first step is critical and challenging as classes vary by minute appearance in skin lesions. Deep convolutional neural networks (CNNs) have great potential in multicategory image-based classification by considering coarse-to-fine image features. This study aims to demonstrate how to classify skin lesions, in particular, melanoma, using CNN trained on data sets with disease labels. We developed and trained our own CNN model using a subset of the images from International Skin Imaging Collaboration (ISIC) Dermoscopic Archive. To test the performance of the proposed model, we used a different subset of images from the same archive as the test set. Our model is trained to classify images into two categories: malignant melanoma and nevus and is shown to achieve excellent classification results with high test accuracy (91.16%) and high performance as measured by various metrics. Our study demonstrated the potential of using deep neural networks to assist early detection of melanoma and thereby improve the patient survival rate from this aggressive skin cancer.

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Deep distributed convolutional neural networks: Universality
  • Nov 1, 2018
  • Analysis and Applications
  • Ding-Xuan Zhou

Deep learning based on structured deep neural networks has provided powerful applications in various fields. The structures imposed on the deep neural networks are crucial, which makes deep learning essentially different from classical schemes based on fully connected neural networks. One of the commonly used deep neural network structures is generated by convolutions. The produced deep learning algorithms form the family of deep convolutional neural networks. Despite of their power in some practical domains, little is known about the mathematical foundation of deep convolutional neural networks such as universality of approximation. In this paper, we propose a family of new structured deep neural networks: deep distributed convolutional neural networks. We show that these deep neural networks have the same order of computational complexity as the deep convolutional neural networks, and we prove their universality of approximation. Some ideas of our analysis are from ridge approximation, wavelets, and learning theory.

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CAD-Skin: A Hybrid Convolutional Neural Network-Autoencoder Framework for Precise Detection and Classification of Skin Lesions and Cancer.
  • Mar 21, 2025
  • Bioengineering (Basel, Switzerland)
  • Abdullah Khan + 4 more

Skin cancer is a class of disorder defined by the growth of abnormal cells on the body. Accurately identifying and diagnosing skin lesions is quite difficult because skin malignancies share many common characteristics and a wide range of morphologies. To face this challenge, deep learning algorithms have been proposed. Deep learning algorithms have shown diagnostic efficacy comparable to dermatologists in the discipline of images-based skin lesion diagnosis in recent research articles. This work proposes a novel deep learning algorithm to detect skin cancer. The proposed CAD-Skin system detects and classifies skin lesions using deep convolutional neural networks and autoencoders to improve the classification efficiency of skin cancer. The CAD-Skin system was designed and developed by the use of the modern preprocessing approach, which is a combination of multi-scale retinex, gamma correction, unsharp masking, and contrast-limited adaptive histogram equalization. In this work, we have implemented a data augmentation strategy to deal with unbalanced datasets. This step improves the model's resilience to different pigmented skin conditions and avoids overfitting. Additionally, a Quantum Support Vector Machine (QSVM) algorithm is integrated for final-stage classification. Our proposed CAD-Skin enhances category recognition for different skin disease severities, including actinic keratosis, malignant melanoma, and other skin cancers. The proposed system was tested using the PAD-UFES-20-Modified, ISIC-2018, and ISIC-2019 datasets. The system reached accuracy rates of 98%, 99%, and 99%, consecutively, which is higher than state-of-the-art work in the literature. The minimum accuracy achieved for certain skin disorder diseases reached 97.43%. Our research study demonstrates that the proposed CAD-Skin provides precise diagnosis and timely detection of skin abnormalities, diversifying options for doctors and enhancing patient satisfaction during medical practice.

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Skin Lesions Classification and Prediction with Deep CNN
  • Oct 18, 2022
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  • Ms Ritika Nambiar + 3 more

Given the success of Deep Convolutional Neural Network in Computer Vision tasks such as image classification, object detection, etc. ,DCNN has been applied to many other fields and lays the path for new research domains. Recently, by transfer learning, Esteva et al proposed in “Dermatologist – level classification of Skin Cancer with Deep Neural Networks” that “CNN achieves performance on par with all tested experts, demonstrating an artificial intelligence capable of classifying skin cancer with a level of competence comparable to dermatologists”. The results of experiments verify the intuition that features learned by pretrained models and the architectures of the DCNNs help learning features for a completely different domain dataset, here is the skin lesions dermatoscopic images dataset. Given the computational time and the test accuracy of fine-tuning the top layers and fine-tuning the whole model, for this particular dataset, I find that it’s better to fine-tune the whole pretrained model with fewer epochs and less computational time and achieve better accuracy.[1].

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A novel nonlinear automated multi-class skin lesion detection system using soft-attention based convolutional neural networks
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  • Adi Alhudhaif + 4 more

A novel nonlinear automated multi-class skin lesion detection system using soft-attention based convolutional neural networks

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  • Research Article
  • Cite Count Icon 53
  • 10.3390/cancers16010108
SkinLesNet: Classification of Skin Lesions and Detection of Melanoma Cancer Using a Novel Multi-Layer Deep Convolutional Neural Network
  • Dec 24, 2023
  • Cancers
  • Muhammad Azeem + 3 more

Simple SummaryWhile melanoma accounts for 4% of skin cancer cases, it causes 75% of skin-cancer-related deaths. The survival rate for melanoma is higher for early-identified cases, so improved access to diagnosis and screening programs is essential for addressing skin cancer deaths. Computer-aided diagnosis utilizing machine learning can be used to differentiate malignant and benign skin lesions. There is significant research into the use of convolutional neural networks to classify skin lesions from dermoscopic images. However, to provide cost-effective and accessible options for early detection of malignant melanoma, smartphone applications capable of accurately classifying skin lesions from images taken on a smartphone would be beneficial. This research investigates a previously underexplored dataset of smartphone images and develops a novel multi-layer deep convolutional neural network model, named SkinLesNet, to classify three types of skin lesions, including melanoma. Further studies to validate the model should be conducted as other image datasets become available.Skin cancer is a widespread disease that typically develops on the skin due to frequent exposure to sunlight. Although cancer can appear on any part of the human body, skin cancer accounts for a significant proportion of all new cancer diagnoses worldwide. There are substantial obstacles to the precise diagnosis and classification of skin lesions because of morphological variety and indistinguishable characteristics across skin malignancies. Recently, deep learning models have been used in the field of image-based skin-lesion diagnosis and have demonstrated diagnostic efficiency on par with that of dermatologists. To increase classification efficiency and accuracy for skin lesions, a cutting-edge multi-layer deep convolutional neural network termed SkinLesNet was built in this study. The dataset used in this study was extracted from the PAD-UFES-20 dataset and was augmented. The PAD-UFES-20-Modified dataset includes three common forms of skin lesions: seborrheic keratosis, nevus, and melanoma. To comprehensively assess SkinLesNet’s performance, its evaluation was expanded beyond the PAD-UFES-20-Modified dataset. Two additional datasets, HAM10000 and ISIC2017, were included, and SkinLesNet was compared to the widely used ResNet50 and VGG16 models. This broader evaluation confirmed SkinLesNet’s effectiveness, as it consistently outperformed both benchmarks across all datasets.

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  • Cite Count Icon 13
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Ophthalmologist-Level Classification of Fundus Disease With Deep Neural Networks
  • Jul 10, 2020
  • Translational Vision Science & Technology
  • Ping Jiang + 2 more

PurposeTo implement the classification of fundus diseases using deep convolutional neural networks (CNN), which is trained end-to-end from fundus images directly, the only input are pixels and disease labels, and the output is a probability distribution of a fundus image belonging to 18 fundus diseases.MethodsAutomated classification of fundus diseases using images is a challenging task owing to the fine-grained variability in the appearance of fundus lesions. Deep CNNs show potential for general and highly variable tasks across many fine-grained object categories. Deep CNNs need large amounts of labeled samples, yet the available fundus images, especially labeled samples, are limited, which cannot satisfy the training requirement. So image augmentations such as rotation, scaling, and noising are implemented to enlarge the training dataset. We fine-tune the ResNet CNN architecture with 120,100 fundus images consisting of 18 different diseases and use it to classify the fundus images into corresponding diseases.ResultsThe performance is tested against two board-certified ophthalmologists. The CNN achieves performance on par with the experts for the classification accuracy.ConclusionsDeep CNN is capable of predicting fundus diseases given fundus images as input, which can enhance the efficiency of diagnosis process and promote better visual outcomes. Outfitted with deep neural networks, mobile devices can potentially extend the reach of ophthalmologists outside of the clinic and provide low-cost universal access to vital diagnostic care.Translational RelevanceThis article implemented automatic prediction of fundus diseases that was done by ophthalmologists previously.

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Skin Cancer Classification with Deep Convolutional Neural Networks
  • Jul 1, 2020
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  • Mingang Chen + 4 more

Skin cancers are one of the most common cancers in the world. Early detections and treatments of skin cancers can greatly improve the survival rates of patients. In this paper, a skin lesions classification system is developed with deep convolutional neural networks of ResNet50, which may help dermatologists to recognize skin cancers earlier. We utilize the ResNet50 as a pre-trained model. Then, by transfer learning, it is trained on our skin lesions dataset. Image preprocessing and dataset balancing methods are used to increase the accuracy of the classification model. In classification of skin diseases, our model achieves an overall accuracy of 83.74% on nine-class skin lesions. The experimental results show an impressive effect of the ResNet50 model in finegrained skin lesions classification and skin cancers recognition.

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A Mutual Bootstrapping Model for Automated Skin Lesion Segmentation and Classification.
  • Feb 10, 2020
  • IEEE Transactions on Medical Imaging
  • Yutong Xie + 3 more

Automated skin lesion segmentation and classification are two most essential and related tasks in the computer-aided diagnosis of skin cancer. Despite their prevalence, deep learning models are usually designed for only one task, ignoring the potential benefits in jointly performing both tasks. In this paper, we propose the mutual bootstrapping deep convolutional neural networks (MB-DCNN) model for simultaneous skin lesion segmentation and classification. This model consists of a coarse segmentation network (coarse-SN), a mask-guided classification network (mask-CN), and an enhanced segmentation network (enhanced-SN). On one hand, the coarse-SN generates coarse lesion masks that provide a prior bootstrapping for mask-CN to help it locate and classify skin lesions accurately. On the other hand, the lesion localization maps produced by mask-CN are then fed into enhanced-SN, aiming to transfer the localization information learned by mask-CN to enhanced-SN for accurate lesion segmentation. In this way, both segmentation and classification networks mutually transfer knowledge between each other and facilitate each other in a bootstrapping way. Meanwhile, we also design a novel rank loss and jointly use it with the Dice loss in segmentation networks to address the issues caused by class imbalance and hard-easy pixel imbalance. We evaluate the proposed MB-DCNN model on the ISIC-2017 and PH2 datasets, and achieve a Jaccard index of 80.4% and 89.4% in skin lesion segmentation and an average AUC of 93.8% and 97.7% in skin lesion classification, which are superior to the performance of representative state-of-the-art skin lesion segmentation and classification methods. Our results suggest that it is possible to boost the performance of skin lesion segmentation and classification simultaneously via training a unified model to perform both tasks in a mutual bootstrapping way.

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Skin Lesion Classification Using Convolutional Neural Network With Novel Regularizer
  • Jan 1, 2019
  • IEEE Access
  • Marwan Ali Albahar

One of the most common types of human malignancies is skin cancer, which is chiefly diagnosed visually, initiating with a clinical screening followed by dermoscopic analysis, histopathological assessment, and a biopsy. Due to the fine-grained differences in the appearance of skin lesions, automated classification is quite challenging through images. To attain highly segregated and potentially general tasks against the finely grained object categorized, deep convolutional neural networks (CNNs) are used. In this paper, we propose a new prediction model that classifies skin lesions into benign or malignant lesions based on a novel regularizer technique. Hence, this is a binary classifier that discriminates between benign or malignant lesions. The proposed model achieved an average accuracy of 97.49%, which in turns showed its superiority over other state-of-the-art methods. The performance of CNN in terms of AUC-ROC with an embedded novel regularizer is tested on multiple use cases. The area under the curve (AUC) achieved for nevus against melanoma lesion, seborrheic keratosis versus basal cell carcinoma lesion, seborrheic keratosis versus melanoma lesion, solar lentigo versus melanoma lesion is 0.77, 0.93, 0.85, and 0.86, respectively. Our results showed that the proposed learning model outperformed the existing algorithm and can be used to assist medical practitioners in classifying various skin lesions.

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Seven Class Classification of Skin Lesions by using Incremental Convolutional Neural Network in Python
  • Jan 1, 2020
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Seven Class Classification of Skin Lesions by using Incremental Convolutional Neural Network in Python

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Skin lesion classification with ensembles of deep convolutional neural networks.
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  • Balazs Harangi

Skin lesion classification with ensembles of deep convolutional neural networks.

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  • Research Article
  • Cite Count Icon 12
  • 10.3390/rs11080906
D-ATR for SAR Images Based on Deep Neural Networks
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  • Remote Sensing
  • Zongyong Cui + 3 more

Automatic target recognition (ATR) can obtain important information for target surveillance from Synthetic Aperture Radar (SAR) images. Thus, a direct automatic target recognition (D-ATR) method, based on a deep neural network (DNN), is proposed in this paper. To recognize targets in large-scene SAR images, the traditional methods of SAR ATR are comprised of four major steps: detection, discrimination, feature extraction, and classification. However, the recognition performance is sensitive to each step, as the processing result from each step will affect the following step. Meanwhile, these processes are independent, which means that there is still room for processing speed improvement. The proposed D-ATR method can integrate these steps as a whole system and directly recognize targets in large-scene SAR images, by encapsulating all of the computation in a single deep convolutional neural network (DCNN). Before the DCNN, a fast sliding method is proposed to partition the large image into sub-images, to avoid information loss when resizing the input images, and to avoid the target being divided into several parts. After the DCNN, non-maximum suppression between sub-images (NMSS) is performed on the results of the sub-images, to obtain an accurate result of the large-scene SAR image. Experiments on the MSTAR dataset and large-scene SAR images (with resolution 1478 × 1784) show that the proposed method can obtain a high accuracy and fast processing speed, and out-performs other methods, such as CFAR+SVM, Region-based CNN, and YOLOv2.

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  • Research Article
  • Cite Count Icon 178
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Stress detection using deep neural networks
  • Dec 1, 2020
  • BMC Medical Informatics and Decision Making
  • Russell Li + 1 more

BackgroundOver 70% of Americans regularly experience stress. Chronic stress results in cancer, cardiovascular disease, depression, and diabetes, and thus is deeply detrimental to physiological health and psychological wellbeing. Developing robust methods for the rapid and accurate detection of human stress is of paramount importance.MethodsPrior research has shown that analyzing physiological signals is a reliable predictor of stress. Such signals are collected from sensors that are attached to the human body. Researchers have attempted to detect stress by using traditional machine learning methods to analyze physiological signals. Results, ranging between 50 and 90% accuracy, have been mixed. A limitation of traditional machine learning algorithms is the requirement for hand-crafted features. Accuracy decreases if features are misidentified. To address this deficiency, we developed two deep neural networks: a 1-dimensional (1D) convolutional neural network and a multilayer perceptron neural network. Deep neural networks do not require hand-crafted features but instead extract features from raw data through the layers of the neural networks. The deep neural networks analyzed physiological data collected from chest-worn and wrist-worn sensors to perform two tasks. We tailored each neural network to analyze data from either the chest-worn (1D convolutional neural network) or wrist-worn (multilayer perceptron neural network) sensors. The first task was binary classification for stress detection, in which the networks differentiated between stressed and non-stressed states. The second task was 3-class classification for emotion classification, in which the networks differentiated between baseline, stressed, and amused states. The networks were trained and tested on publicly available data collected in previous studies.ResultsThe deep convolutional neural network achieved 99.80% and 99.55% accuracy rates for binary and 3-class classification, respectively. The deep multilayer perceptron neural network achieved 99.65% and 98.38% accuracy rates for binary and 3-class classification, respectively. The networks’ performance exhibited a significant improvement over past methods that analyzed physiological signals for both binary stress detection and 3-class emotion classification.ConclusionsWe demonstrated the potential of deep neural networks for developing robust, continuous, and noninvasive methods for stress detection and emotion classification, with the end goal of improving the quality of life.

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  • 10.1016/j.compmedimag.2020.101843
Automated multi-class classification of skin lesions through deep convolutional neural network with dermoscopic images.
  • Dec 24, 2020
  • Computerized Medical Imaging and Graphics
  • Imran Iqbal + 4 more

Automated multi-class classification of skin lesions through deep convolutional neural network with dermoscopic images.

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