Abstract

With the increasing adoption of teledermatology, there is a need to improve the automatic organization of medical records, being dermatological image modality a key filter in this process. Although there has been considerable effort in the classification of medical imaging modalities, this has not been in the field of dermatology. Moreover, as various devices are used in teledermatological consultations, image acquisition conditions may differ. In this work, two models (VGG-16 and MobileNetV2) were used to classify dermatological images from the Portuguese National Health System according to their modality. Afterwards, four incremental learning strategies were applied to these models, namely naive, elastic weight consolidation, averaged gradient episodic memory, and experience replay, enabling their adaptation to new conditions while preserving previously acquired knowledge. The evaluation considered catastrophic forgetting, accuracy, and computational cost. The MobileNetV2 trained with the experience replay strategy, with 500 images in memory, achieved a global accuracy of 86.04% with only 0.0344 of forgetting, which is 6.98% less than the second-best strategy. Regarding efficiency, this strategy took 56 s per epoch longer than the baseline and required, on average, 4554 megabytes of RAM during training. Promising results were achieved, proving the effectiveness of the proposed approach.

Highlights

  • Skin cancer is one of the most frequent malignancies in fair-skinned populations, with a worldwide increasing incidence [1]

  • In 2020, nearly 300,000 new diagnoses of malignant melanoma were reported worldwide, and more than one million new cases of non-melanoma skin cancers were diagnosed, compromising the capacity of the healthcare services to respond to all patients [2]

  • The increasing use of teledermatology has contributed to the annual growth of medical records, with it being estimated that every year these records grow from 20% to 40% in terms of medical images [5]

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Summary

Introduction

Skin cancer is one of the most frequent malignancies in fair-skinned populations, with a worldwide increasing incidence [1]. In 2020, nearly 300,000 new diagnoses of malignant melanoma were reported worldwide, and more than one million new cases of non-melanoma skin cancers were diagnosed, compromising the capacity of the healthcare services to respond to all patients [2] For this reason, and thanks to the advances in medical imaging equipment, teledermatology has been essential to ensure an improved quality of medical care. The increasing use of teledermatology has contributed to the annual growth of medical records, with it being estimated that every year these records grow from 20% to 40% in terms of medical images [5] Since their categorization is mainly done manually, which is time-consuming and prone to errors, the search for specific clinical information among these records may be demanding [6]. To allow models to adapt to conditions different from the ones they encountered initially while preserving the knowledge already acquired, the use of incremental learning strategies may be essential

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