Long tail problems frequently arise in the medical field, particularly due to the scarcity of medical data for rare conditions. This scarcity often leads to models overfitting on such limited samples. Consequently, when training models on datasets with heavily skewed classes, where the number of samples varies significantly-- a problem emerges. Training on such imbalanced datasets can result in selective detection, where a model accurately identifies images belonging to the majority classes but disregards those from minority classes. This causes the model to lack generalizability, preventing its use on newer data. This poses a significant challenge in developing image detection and diagnosis models for medical image datasets. To address this challenge, the One Shot GANs model was employed to augment the tail class of HAM10000 dataset by generating additional samples. Furthermore, to enhance accuracy, a novel metric tailored to suit One Shot GANs was utilized.

Background: Margin assessment of basal cell carcinoma using the frozen section is a common task of pathology intraoperative consultation. Although frequently straight-forward, the determination of the presence or absence of basal cell carcinoma on the tissue sections can sometimes be challenging. We explore if a deep learning model trained on mobile phone-acquired frozen section images can have adequate performance for future deployment. Materials and Methods: One thousand two hundred and forty-one (1241) images of frozen sections performed for basal cell carcinoma margin status were acquired using mobile phones. The photos were taken at 100x magnification (10x objective). The images were downscaled from a 4032 x 3024 pixel resolution to 576 x 432 pixel resolution. Semantic segmentation algorithm Deeplab V3 with Xception backbone was used for model training. Results: The model uses an image as input and produces a 2-dimensional black and white output of prediction of the same dimension; the areas determined to be basal cell carcinoma were displayed with white color, in a black background. Any output with the number of white pixels exceeding 0.5% of the total number of pixels is deemed positive for basal cell carcinoma. On the test set, the model achieves area under curve of 0.99 for receiver operator curve and 0.97 for precision-recall curve at the pixel level. The accuracy of classification at the slide level is 96%. Conclusions: The deep learning model trained with mobile phone images shows satisfactory performance characteristics, and thus demonstrates the potential for deploying as a mobile phone app to assist in frozen section interpretation in real time.

Diagnosing basal cell carcinomas (BCC), one of the most common cutaneous malignancies in humans, is a task regularly performed by pathologists and dermato-pathologists. Improving histological diagnosis by providing diagnosis suggestions, i.e. computer-assisted diagnoses is actively researched to improve safety, quality and efficiency. Increasingly, machine learning methods are applied due to their superior performance. However, typical images obtained by scanning histological sections often have a resolution that is prohibitive for processing with current state-of-the-art neural networks. Furthermore, the data pose a problem of weak labels, since only a tiny fraction of the image is indicative of the disease class, whereas a large fraction of the image is highly similar to the non-disease class. The aim of this study is to evaluate whether it is possible to detect basal cell carcinomas in histological sections using attention-based deep learning models and to overcome the ultra-high resolution and the weak labels of whole slide images. We demonstrate that attention-based models can indeed yield almost perfect classification performance with an AUC of 0.95.

In this paper, the effectiveness and capability of convolutional neural networks have been studied in the classification of 8 skin diseases. Different pre-trained state-of-the-art architectures (DenseNet 201, ResNet 152, Inception v3, InceptionResNet v2) were used and applied on 10135 dermoscopy skin images in total (HAM10000: 10015, PH2: 120). The utilized dataset includes 8 diagnostic categories - melanoma, melanocytic nevi, basal cell carcinoma, benign keratosis, actinic keratosis and intraepithelial carcinoma, dermatofibroma, vascular lesions, and atypical nevi. The aim is to compare the ability of deep learning with the performance of highly trained dermatologists. Overall, the mean results show that all deep learning models outperformed dermatologists (at least 11%). The best ROC AUC values for melanoma and basal cell carcinoma are 94.40% (ResNet 152) and 99.30% (DenseNet 201) versus 82.26% and 88.82% of dermatologists, respectively. Also, DenseNet 201 had the highest macro and micro averaged AUC values for overall classification (98.16%, 98.79%, respectively).