Abstract
The early detection of melanoma is the most efficient way to reduce its mortality rate. Dermatologists achieve this task with the help of dermoscopy, a non-invasive tool allowing the visualization of patterns of skin lesions. Computer-aided diagnosis (CAD) systems developed on dermoscopic images are needed to assist dermatologists. These systems rely mainly on multiclass classification approaches. However, the multiclass classification of skin lesions by an automated system remains a challenging task. Decomposing a multiclass problem into a binary problem can reduce the complexity of the initial problem and increase the overall performance. This paper proposes a CAD system to classify dermoscopic images into three diagnosis classes: melanoma, nevi, and seborrheic keratosis. We introduce a novel ensemble scheme of convolutional neural networks (CNNs), inspired by decomposition and ensemble methods, to improve the performance of the CAD system. Unlike conventional ensemble methods, we use a directed acyclic graph to aggregate binary CNNs for the melanoma detection task. On the ISIC 2018 public dataset, our method achieves the best balanced accuracy (76.6%) among multiclass CNNs, an ensemble of multiclass CNNs with classical aggregation methods, and other related works. Our results reveal that the directed acyclic graph is a meaningful approach to develop a reliable and robust automated diagnosis system for the multiclass classification of dermoscopic images.
Highlights
Skin cancers are the most common types of cancer in the Caucasian population [1]
We evaluated our novel approach based on the combination of directed acyclic graph (DDAG) and binary convolutional neural networks (CNNs)
We refer to melanoma, nevi, and seborrheic keratosis as MEL, NEV, and SEK, respectively
Summary
Skin cancers are the most common types of cancer in the Caucasian population [1]. Melanoma is the most lethal skin cancer due to its possible evolution into metastasis [1]. It is difficult to differentiate in melanoma between nevi and seborrheic keratosis [2,3,4]. Nevi, and seborrheic keratosis can be distinguished . Atypical nevi or seborrheic keratosis can be confused with melanoma. Faced with atypical pigmented lesions, dermatologists require excision with histological analysis to confirm or reject a diagnosis of melanoma
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