Background: Skin cancer is one of the widely seen cancer worldwide and automatic classification of skin cancer can be benefited dermatology clinics for an accurate diagnosis. Hence, a machine learning-based automatic skin cancer detection model must be developed. Material and Method: This research interests to overcome automatic skin cancer detection problem. A colored skin cancer image dataset is used. This dataset contains 3297 images with two classes. An automatic multilevel textural and deep features-based model is presented. Multilevel fuse feature generation using discrete wavelet transform (DWT), local phase quantization (LPQ), local binary pattern (LBP), pre-trained DarkNet19, and DarkNet53 are utilized to generate features of the skin cancer images, top 1000 features are selected threshold value-based neighborhood component analysis (NCA). The chosen top 1000 features are classified using the 10-fold cross-validation technique. Results: To obtain results, ten-fold cross-validation is used and 91.54% classification accuracy results are obtained by using the recommended pyramidal hybrid feature generator and NCA selector-based model. Further, various training and testing separation ratios (90:10, 80:20, 70:30, 60:40, 50:50) are used and the maximum classification rate is calculated as 95.74% using the 90:10 separation ratio. Conclusions: The findings and accuracies calculated are denoted that this model can be used in dermatology and pathology clinics to simplify the skin cancer detection process and help physicians.
Medical data classification is typically a challenging task due to imbalance between classes. In this paper, we propose an approach to classify dermatoscopic images from HAM10000 (Human Against Machine with 10000 training images) dataset, consisting of seven imbalanced types of skin lesions, with good precision and low resources requirements. Classification is done by using a pretrained convolutional neural network. We evaluate the accuracy and performance of the proposal and illustrate possible extensions.
Skin cancer is one of the deadly types of cancer and is common in the world. Recently, there has been a huge jump in the rate of people getting skin cancer. For this reason, the number of studies on skin cancer classification with deep learning are increasing day by day. For the growth of work in this area, the International Skin Imaging Collaboration (ISIC) organization was established and they created an open dataset archive. In this study, images were taken from ISIC 2017 Challenge. The skin cancer images taken were preprocessed and data augmented. Later, these images were trained with transfer learning and fine-tuning approach and deep learning models were created in this way. 3 different mobile deep learning models and 3 different batch size values were determined for each, and a total of 9 models were created. Among these models, the NASNetMobile model with 16 batch size got the best result. The accuracy value of this model is 82.00%, the precision value is 81.77% and the F1 score value is 0.8038. Our method is to benchmark mobile deep learning models which have few parameters and compare the results of the models.
Convolutional Neural Networks have demonstrated dermatologist-level performance in the classification of melanoma from skin lesion images, but prediction irregularities due to biases seen within the training data are an issue that should be addressed before widespread deployment is possible. In this work, we robustly remove bias and spurious variation from an automated melanoma classification pipeline using two leading bias unlearning techniques. We show that the biases introduced by surgical markings and rulers presented in previous studies can be reasonably mitigated using these bias removal methods. We also demonstrate the generalisation benefits of unlearning spurious variation relating to the imaging instrument used to capture lesion images. Our experimental results provide evidence that the effects of each of the aforementioned biases are notably reduced, with different debiasing techniques excelling at different tasks.
In clinical applications, neural networks must focus on and highlight the most important parts of an input image. Soft-Attention mechanism enables a neural network toachieve this goal. This paper investigates the effectiveness of Soft-Attention in deep neural architectures. The central aim of Soft-Attention is to boost the value of important features and suppress the noise-inducing features. We compare the performance of VGG, ResNet, InceptionResNetv2 and DenseNet architectures with and without the Soft-Attention mechanism, while classifying skin lesions. The original network when coupled with Soft-Attention outperforms the baseline[16] by 4.7% while achieving a precision of 93.7% on HAM10000 dataset [25]. Additionally, Soft-Attention coupling improves the sensitivity score by 3.8% compared to baseline[31] and achieves 91.6% on ISIC-2017 dataset [2]. The code is publicly available at github.
Over the last decades, the incidence of skin cancer, melanoma and non-melanoma, has increased at a continuous rate. In particular for melanoma, the deadliest type of skin cancer, early detection is important to increase patient prognosis. Recently, deep neural networks (DNNs) have become viable to deal with skin cancer detection. In this work, we present a smartphone-based application to assist on skin cancer detection. This application is based on a Convolutional Neural Network(CNN) trained on clinical images and patients demographics, both collected from smartphones. Also, as skin cancer datasets are imbalanced, we present an approach, based on the mutation operator of Differential Evolution (DE) algorithm, to balance data. In this sense, beyond provides a flexible tool to assist doctors on skin cancer screening phase, the method obtains promising results with a balanced accuracy of 85% and a recall of 96%.
Data augmentation has proved extremely useful by increasing training data variance to alleviate overfitting and improve deep neural networks' generalization performance. In medical image analysis, a well-designed augmentation policy usually requires much expert knowledge and is difficult to generalize to multiple tasks due to the vast discrepancies among pixel intensities, image appearances, and object shapes in different medical tasks. To automate medical data augmentation, we propose a regularized adversarial training framework via two min-max objectives and three differentiable augmentation models covering affine transformation, deformation, and appearance changes. Our method is more automatic and efficient than previous automatic augmentation methods, which still rely on pre-defined operations with human-specified ranges and costly bi-level optimization. Extensive experiments demonstrated that our approach, with less training overhead, achieves superior performance over state-of-the-art auto-augmentation methods on both tasks of 2D skin cancer classification and 3D organs-at-risk segmentation.
Several machine learning techniques for accurate detection of skin cancer from medical images have been reported. Many of these techniques are based on pre-trained convolutional neural networks (CNNs), which enable training the models based on limited amounts of training data. However, the classification accuracy of these models still tends to be severely limited by the scarcity of representative images from malignant tumours. We propose a novel ensemble-based CNN architecture where multiple CNN models, some of which are pre-trained and some are trained only on the data at hand, along with auxiliary data in the form of metadata associated with the input images, are combined using a meta-learner. The proposed approach improves the model's ability to handle limited and imbalanced data. We demonstrate the benefits of the proposed technique using a dataset with 33126 dermoscopic images from 2056 patients. We evaluate the performance of the proposed technique in terms of the F1-measure, area under the ROC curve (AUC-ROC), and area under the PR-curve (AUC-PR), and compare it with that of seven different benchmark methods, including two recent CNN-based techniques. The proposed technique compares favourably in terms of all the evaluation metrics.
Globally, Skin carcinoma is among the most lethal diseases. Millions of people are diagnosed with this cancer every year. Sill, early detection can decrease the medication cost and mortality rate substantially. The recent improvement in automated cancer classification using deep learning methods has reached a human-level performance requiring a large amount of annotated data assembled in one location, yet, finding such conditions usually is not feasible. Recently, federated learning (FL) has been proposed to train decentralized models in a privacy-preserved fashion depending on labeled data at the client-side, which is usually not available and costly. To address this, we propose \verb!FedPerl!, a semi-supervised federated learning method. Our method is inspired by peer learning from educational psychology and ensemble averaging from committee machines. FedPerl builds communities based on clients' similarities. Then it encourages communities members to learn from each other to generate more accurate pseudo labels for the unlabeled data. We also proposed the peer anonymization (PA) technique to anonymize clients. As a core component of our method, PA is orthogonal to other methods without additional complexity and reduces the communication cost while enhancing performance. Finally, we propose a dynamic peer-learning policy that controls the learning stream to avoid any degradation in the performance, especially for individual clients. Our experimental setup consists of 71,000 skin lesion images collected from 5 publicly available datasets. We test our method in four different scenarios in SSFL. With few annotated data, FedPerl is on par with a state-of-the-art method in skin lesion classification in the standard setup while outperforming SSFLs and the baselines by 1.8% and 15.8%, respectively. Also, it generalizes better to unseen clients while being less sensitive to noisy ones.
Skin cancer is by far in top-3 of the world's most common cancer. Among different skin cancer types, melanoma is particularly dangerous because of its ability to metastasize. Early detection is the key to success in skin cancer treatment. However, skin cancer diagnosis is still a challenge, even for experienced dermatologists, due to strong resemblances between benign and malignant lesions. To aid dermatologists in skin cancer diagnosis, we developed a deep learning system that can effectively and automatically classify skin lesions into one of the seven classes: (1) Actinic Keratoses, (2) Basal Cell Carcinoma, (3) Benign Keratosis, (4) Dermatofibroma, (5) Melanocytic nevi, (6) Melanoma, (7) Vascular Skin Lesion. The HAM10000 dataset was used to train the system. An end-to-end deep learning process, transfer learning technique, utilizing multiple pre-trained models, combining with class-weighted and focal loss were applied for the classification process. The result was that our ensemble of modified ResNet50 models can classify skin lesions into one of the seven classes with top-1, top-2 and top-3 accuracy 93%, 97% and 99%, respectively. This deep learning system can potentially be integrated into computer-aided diagnosis systems that support dermatologists in skin cancer diagnosis.
Classifiers in machine learning are often brittle when deployed. Particularly concerning are models with inconsistent performance on specific subgroups of a class, e.g., exhibiting disparities in skin cancer classification in the presence or absence of a spurious bandage. To mitigate these performance differences, we introduce model patching, a two-stage framework for improving robustness that encourages the model to be invariant to subgroup differences, and focus on class information shared by subgroups. Model patching first models subgroup features within a class and learns semantic transformations between them, and then trains a classifier with data augmentations that deliberately manipulate subgroup features. We instantiate model patching with CAMEL, which (1) uses a CycleGAN to learn the intra-class, inter-subgroup augmentations, and (2) balances subgroup performance using a theoretically-motivated subgroup consistency regularizer, accompanied by a new robust objective. We demonstrate CAMEL's effectiveness on 3 benchmark datasets, with reductions in robust error of up to 33% relative to the best baseline. Lastly, CAMEL successfully patches a model that fails due to spurious features on a real-world skin cancer dataset.
Skin lesion datasets consist predominantly of normal samples with only a small percentage of abnormal ones, giving rise to the class imbalance problem. Also, skin lesion images are largely similar in overall appearance owing to the low inter-class variability. In this paper, we propose a two-stage framework for automatic classification of skin lesion images using adversarial training and transfer learning toward melanoma detection. In the first stage, we leverage the inter-class variation of the data distribution for the task of conditional image synthesis by learning the inter-class mapping and synthesizing under-represented class samples from the over-represented ones using unpaired image-to-image translation. In the second stage, we train a deep convolutional neural network for skin lesion classification using the original training set combined with the newly synthesized under-represented class samples. The training of this classifier is carried out by minimizing the focal loss function, which assists the model in learning from hard examples, while down-weighting the easy ones. Experiments conducted on a dermatology image benchmark demonstrate the superiority of our proposed approach over several standard baseline methods, achieving significant performance improvements. Interestingly, we show through feature visualization and analysis that our method leads to context based lesion assessment that can reach an expert dermatologist level.
Technology-assisted platforms provide reliable solutions in almost every field these days. One such important application in the medical field is the skin cancer classification in preliminary stages that need sensitive and precise data analysis. For the proposed study the Kaggle skin cancer dataset is utilized. The proposed study consists of two main phases. In the first phase, the images are preprocessed to remove the clutters thus producing a refined version of training images. To achieve that, a sharpening filter is applied followed by a hair removal algorithm. Different image quality measurement metrics including Peak Signal to Noise (PSNR), Mean Square Error (MSE), Maximum Absolute Squared Deviation (MXERR) and Energy Ratio/ Ratio of Squared Norms (L2RAT) are used to compare the overall image quality before and after applying preprocessing operations. The results from the aforementioned image quality metrics prove that image quality is not compromised however it is upgraded by applying the preprocessing operations. The second phase of the proposed research work incorporates deep learning methodologies that play an imperative role in accurate, precise and robust classification of the lesion mole. This has been reflected by using two state of the art deep learning models: Inception-v3 and MobileNet. The experimental results demonstrate notable improvement in train and validation accuracy by using the refined version of images of both the networks, however, the Inception-v3 network was able to achieve better validation accuracy thus it was finally selected to evaluate it on test data. The final test accuracy using state of art Inception-v3 network was 86%.
Technology aided platforms provide reliable tools in almost every field these days. These tools being supported by computational power are significant for applications that need sensitive and precise data analysis. One such important application in the medical field is Automatic Lesion Detection System (ALDS) for skin cancer classification. Computer aided diagnosis helps physicians and dermatologists to obtain a second opinion for proper analysis and treatment of skin cancer. Precise segmentation of the cancerous mole along with surrounding area is essential for proper analysis and diagnosis. This paper is focused towards the development of improved ALDS framework based on probabilistic approach that initially utilizes active contours and watershed merged mask for segmenting out the mole and later SVM and Neural Classifier are applied for the classification of the segmented mole. After lesion segmentation, the selected features are classified to ascertain that whether the case under consideration is melanoma or non-melanoma. The approach is tested for varying datasets and comparative analysis is performed that reflects the effectiveness of the proposed system.
Recent advances in computer vision and deep learning have led to breakthroughs in the development of automated skin image analysis. In particular, skin cancer classification models have achieved performance higher than trained expert dermatologists. However, no attempt has been made to evaluate the consistency in performance of machine learning models across populations with varying skin tones. In this paper, we present an approach to estimate skin tone in benchmark skin disease datasets, and investigate whether model performance is dependent on this measure. Specifically, we use individual typology angle (ITA) to approximate skin tone in dermatology datasets. We look at the distribution of ITA values to better understand skin color representation in two benchmark datasets: 1) the ISIC 2018 Challenge dataset, a collection of dermoscopic images of skin lesions for the detection of skin cancer, and 2) the SD-198 dataset, a collection of clinical images capturing a wide variety of skin diseases. To estimate ITA, we first develop segmentation models to isolate non-diseased areas of skin. We find that the majority of the data in the the two datasets have ITA values between 34.5{\deg} and 48{\deg}, which are associated with lighter skin, and is consistent with under-representation of darker skinned populations in these datasets. We also find no measurable correlation between performance of machine learning model and ITA values, though more comprehensive data is needed for further validation.
Deep Neural Networks (DNNs) show a significant impact on medical imaging. One significant problem with adopting DNNs for skin cancer classification is that the class frequencies in the existing datasets are imbalanced. This problem hinders the training of robust and well-generalizing models. Data Augmentation addresses this by using existing data more effectively. However, standard data augmentation implementations are manually designed and produce only limited reasonably alternative data. Instead, Generative Adversarial Networks (GANs) is utilized to generate a much broader set of augmentations. This paper proposes a novel enhancement for the progressive generative adversarial networks (PGAN) using self-attention mechanism. Self-attention mechanism is used to directly model the long-range dependencies in the feature maps. Accordingly, self-attention complements PGAN to generate fine-grained samples that comprise clinically-meaningful information. Moreover, the stabilization technique was applied to the enhanced generative model. To train the generative models, ISIC 2018 skin lesion challenge dataset was used to synthesize highly realistic skin lesion samples for boosting further the classification result. We achieve an accuracy of 70.1% which is 2.8% better than the non-augmented one of 67.3%.
We describe a software toolbox for the configuration of deep neural networks in the domain of skin cancer classification. The implemented software architecture allows developers to quickly set up new convolutional neural network (CNN) architectures and hyper-parameter configurations. At the same time, the user interface, manageable as a simple spreadsheet, allows non-technical users to explore different configuration settings that need to be explored when switching to different data sets. In future versions, meta leaning frameworks can be added, or AutoML systems that continuously improve over time. Preliminary results, conducted with two CNNs in the context melanoma detection on dermoscopic images, quantify the impact of image augmentation, image resolution, and rescaling filter on the overall detection performance and training time.
Deep learning techniques have proven high accuracy for identifying melanoma in digitised dermoscopic images. A strength is that these methods are not constrained by features that are pre-defined by human semantics. A down-side is that it is difficult to understand the rationale of the model predictions and to identify potential failure modes. This is a major barrier to adoption of deep learning in clinical practice. In this paper we ask if two existing local interpretability methods, Grad-CAM and Kernel SHAP, can shed light on convolutional neural networks trained in the context of melanoma detection. Our contributions are (i) we first explore the domain space via a reproducible, end-to-end learning framework that creates a suite of 30 models, all trained on a publicly available data set (HAM10000), (ii) we next explore the reliability of GradCAM and Kernel SHAP in this context via some basic sanity check experiments (iii) finally, we investigate a random selection of models from our suite using GradCAM and Kernel SHAP. We show that despite high accuracy, the models will occasionally assign importance to features that are not relevant to the diagnostic task. We also show that models of similar accuracy will produce different explanations as measured by these methods. This work represents first steps in bridging the gap between model accuracy and interpretability in the domain of skin cancer classification.
Skin cancer, a major form of cancer, is a critical public health problem with 123,000 newly diagnosed melanoma cases and between 2 and 3 million non-melanoma cases worldwide each year. The leading cause of skin cancer is high exposure of skin cells to UV radiation, which can damage the DNA inside skin cells leading to uncontrolled growth of skin cells. Skin cancer is primarily diagnosed visually employing clinical screening, a biopsy, dermoscopic analysis, and histopathological examination. It has been demonstrated that the dermoscopic analysis in the hands of inexperienced dermatologists may cause a reduction in diagnostic accuracy. Early detection and screening of skin cancer have the potential to reduce mortality and morbidity. Previous studies have shown Deep Learning ability to perform better than human experts in several visual recognition tasks. In this paper, we propose an efficient seven-way automated multi-class skin cancer classification system having performance comparable with expert dermatologists. We used a pretrained MobileNet model to train over HAM10000 dataset using transfer learning. The model classifies skin lesion image with a categorical accuracy of 83.1 percent, top2 accuracy of 91.36 percent and top3 accuracy of 95.34 percent. The weighted average of precision, recall, and f1-score were found to be 0.89, 0.83, and 0.83 respectively. The model has been deployed as a web application for public use at (https://saketchaturvedi.github.io). This fast, expansible method holds the potential for substantial clinical impact, including broadening the scope of primary care practice and augmenting clinical decision-making for dermatology specialists.
In the last few years, Deep Learning (DL) has been showing superior performance in different modalities of biomedical image analysis. Several DL architectures have been proposed for classification, segmentation, and detection tasks in medical imaging and computational pathology. In this paper, we propose a new DL architecture, the NABLA-N network, with better feature fusion techniques in decoding units for dermoscopic image segmentation tasks. The NABLA-N network has several advances for segmentation tasks. First, this model ensures better feature representation for semantic segmentation with a combination of low to high-level feature maps. Second, this network shows better quantitative and qualitative results with the same or fewer network parameters compared to other methods. In addition, the Inception Recurrent Residual Convolutional Neural Network (IRRCNN) model is used for skin cancer classification. The proposed NABLA-N network and IRRCNN models are evaluated for skin cancer segmentation and classification on the benchmark datasets from the International Skin Imaging Collaboration 2018 (ISIC-2018). The experimental results show superior performance on segmentation tasks compared to the Recurrent Residual U-Net (R2U-Net). The classification model shows around 87% testing accuracy for dermoscopic skin cancer classification on ISIC2018 dataset.