These same concepts were also used to label 656 skin disease images from the Diverse Dermatology Images dataset, providing an additional external dataset with diverse skin tone representations.

These same concepts were also used to label 656 skin disease images from the Diverse Dermatology Images dataset, providing an additional external dataset with diverse skin tone representations.

Pretraining on large-scale, in-domain datasets grants histopathology foundation models (FM) the ability to learn task-agnostic data representations, enhancing transfer learning on downstream tasks. In computational pathology, automated whole slide image analysis requires multiple instance learning (MIL) frameworks due to the gigapixel scale of the slides. The diversity among histopathology FMs has highlighted the need to design real-world challenges for evaluating their effectiveness. To bridge this gap, our work presents a novel benchmark for evaluating histopathology FMs as patch-level feature extractors within a MIL classification framework. For that purpose, we leverage the AI4SkIN dataset, a multi-center cohort encompassing slides with challenging cutaneous spindle cell neoplasm subtypes. We also define the Foundation Model - Silhouette Index (FM-SI), a novel metric to measure model consistency against distribution shifts. Our experimentation shows that extracting less biased features enhances classification performance, especially in similarity-based MIL classifiers.

The rapid advancement of deep learning in medical image analysis has greatly enhanced the accuracy of skin cancer classification. However, current state-of-the-art models, especially those based on transfer learning like ResNet50, come with significant computational overhead, rendering them impractical for deployment in resource-constrained environments. This study proposes a custom CNN model that achieves a 96.7\% reduction in parameters (from 23.9 million in ResNet50 to 692,000) while maintaining a classification accuracy deviation of less than 0.022\%. Our empirical analysis of the HAM10000 dataset reveals that although transfer learning models provide a marginal accuracy improvement of approximately 0.022\%, they result in a staggering 13,216.76\% increase in FLOPs, considerably raising computational costs and inference latency. In contrast, our lightweight CNN architecture, which encompasses only 30.04 million FLOPs compared to ResNet50's 4.00 billion, significantly reduces energy consumption, memory footprint, and inference time. These findings underscore the trade-off between the complexity of deep models and their real-world feasibility, positioning our optimized CNN as a practical solution for mobile and edge-based skin cancer diagnostics.

The rising incidence of skin cancer, coupled with limited public awareness and a shortfall in clinical expertise, underscores an urgent need for advanced diagnostic aids. Artificial Intelligence (AI) has emerged as a promising tool in this domain, particularly for distinguishing malignant from benign skin lesions. Leveraging publicly available datasets of skin lesions, researchers have been developing AI-based diagnostic solutions. However, the integration of such computer systems in clinical settings is still nascent. This study aims to bridge this gap by employing a fusion of image processing techniques and machine learning algorithms, specifically neuro-fuzzy and colonial competition approaches. Applied to dermoscopic images from the ISIC database, our method achieved a notable accuracy of 94% on a dataset of 560 images. These results underscore the potential of our approach in aiding clinicians in the early detection of melanoma, thereby contributing significantly to skin cancer diagnostics.

Patient-centered research is increasingly important in narrowing the gap between research and patient care, yet incorporating patient perspectives into health research has been inconsistent. We propose an automated framework leveraging innovative natural language processing (NLP) and artificial intelligence (AI) with patient portal messages to generate research ideas that prioritize important patient issues. We further quantified the quality of AI-generated research topics. To define patient clinical concerns, we analyzed 614,464 patient messages from 25,549 individuals with breast or skin cancer obtained from a large academic hospital (2013 to 2024), constructing a 2-staged unsupervised NLP topic model. Then, we generated research topics to resolve the defined issues using a widely used AI (ChatGPT-4o, OpenAI Inc, April 2024 version) with prompt-engineering strategies. We guided AI to perform multi-level tasks: 1) knowledge interpretation and summarization (e.g., interpreting and summarizing the NLP-defined topics), 2) knowledge generation (e.g., generating research ideas corresponding to patients issues), 3) self-reflection and correction (e.g., ensuring and revising the research ideas after searching for scientific articles), and 4) self-reassurance (e.g., confirming and finalizing the research ideas). Six highly experienced breast oncologists and dermatologists assessed the significance and novelty of AI-generated research topics using a 5-point Likert scale (1-exceptional, 5-poor). One-third of the AI-suggested research topics were highly significant and novel when both scores were lower than the average. Two-thirds of the AI-suggested topics were novel in both cancers. Our findings demonstrate that AI-generated research topics reflecting patient perspectives via a large volume of patient messages can meaningfully guide future directions in patient-centered health research.

Skin cancer is a serious and potentially fatal disease caused by DNA damage. Early detection significantly increases survival rates, making accurate diagnosis crucial. In this groundbreaking study, we present a hybrid framework based on Deep Learning (DL) that achieves precise classification of benign and malignant skin lesions. Our approach begins with dataset preprocessing to enhance classification accuracy, followed by training two separate pre-trained DL models, InceptionV3 and DenseNet121. By fusing the results of each model using the weighted sum rule, our system achieves exceptional accuracy rates. Specifically, we achieve a 92.27% detection accuracy rate, 92.33% sensitivity, 92.22% specificity, 90.81% precision, and 91.57% F1-score, outperforming existing models and demonstrating the robustness and trustworthiness of our hybrid approach. Our study represents a significant advance in skin cancer diagnosis and provides a promising foundation for further research in the field. With the potential to save countless lives through earlier detection, our hybrid deep-learning approach is a game-changer in the fight against skin cancer.

This study evaluates the reliability of two deep learning models for skin cancer detection, focusing on their explainability and fairness. Using the HAM10000 dataset of dermatoscopic images, the research assesses two convolutional neural network architectures: a MobileNet-based model and a custom CNN model. Both models are evaluated for their ability to classify skin lesions into seven categories and to distinguish between dangerous and benign lesions. Explainability is assessed using Saliency Maps and Integrated Gradients, with results interpreted by a dermatologist. The study finds that both models generally highlight relevant features for most lesion types, although they struggle with certain classes like seborrheic keratoses and vascular lesions. Fairness is evaluated using the Equalized Odds metric across sex and skin tone groups. While both models demonstrate fairness across sex groups, they show significant disparities in false positive and false negative rates between light and dark skin tones. A Calibrated Equalized Odds postprocessing strategy is applied to mitigate these disparities, resulting in improved fairness, particularly in reducing false negative rate differences. The study concludes that while the models show promise in explainability, further development is needed to ensure fairness across different skin tones. These findings underscore the importance of rigorous evaluation of AI models in medical applications, particularly in diverse population groups.

In the realm of dermatology, the complexity of diagnosing skin conditions manually necessitates the expertise of dermatologists. Accurate identification of various skin ailments, ranging from cancer to inflammatory diseases, is paramount. However, existing artificial intelligence (AI) models in dermatology face challenges, particularly in accurately diagnosing diseases across diverse skin tones, with a notable performance gap in darker skin. Additionally, the scarcity of publicly available, unbiased datasets hampers the development of inclusive AI diagnostic tools. To tackle the challenges in accurately predicting skin conditions across diverse skin tones, we employ a transfer-learning approach that capitalizes on the rich, transferable knowledge from various image domains. Our method integrates multiple pre-trained models from a wide range of sources, including general and specific medical images, to improve the robustness and inclusiveness of the skin condition predictions. We rigorously evaluated the effectiveness of these models using the Diverse Dermatology Images (DDI) dataset, which uniquely encompasses both underrepresented and common skin tones, making it an ideal benchmark for assessing our approach. Among all methods, Med-ViT emerged as the top performer due to its comprehensive feature representation learned from diverse image sources. To further enhance performance, we conducted domain adaptation using additional skin image datasets such as HAM10000. This adaptation significantly improved model performance across all models.

Dermoscopy requires a welltrained physician with experience and visual ability, while Skin cancer is a highly dangerous type of cancer that requires skin biopsy involves taking a sample of skin from the patient's an accurate diagnosis from experienced physicians. To help body, which can be a slow and painful process. These difficulties physicians diagnose skin cancer more efficiently, a computeraided have spurred researchers in the field of artificial intelligence diagnosis (CAD) system can be very helpful. In this (AI) to create Computer-Aided Diagnosis (CAD) systems paper, we propose a novel model, which uses a novel attention capable of precise skin cancer classification. However, mechanism to pinpoint the differences in features across due to the inter-class similarity and intra-class dissimilarity the spatial dimensions and symmetry of the lesion, thereby focusing among different types of skin cancer, classifying skin cancer on the dissimilarities of various classes based on symmetry, using medical image processing is a challenging issue.