Development and Narrow Validation of Computer Vision Approach to Facilitate Assessment of Change in Pigmented Cutaneous Lesions.

CI, confidence interval

Journal

JID innovations : skin science from molecules to population health
ISSN: 2667-0267
Titre abrégé: JID Innov
Pays: Netherlands
ID NLM: 101776173

Informations de publication

Date de publication:
Mar 2023
Historique:
received: 22 04 2022
revised: 10 11 2022
accepted: 16 11 2022
entrez: 24 3 2023
pubmed: 25 3 2023
medline: 25 3 2023
Statut: epublish

Résumé

The documentation of the change in the number and appearance of pigmented cutaneous lesions over time is critical to the early detection of skin cancers and may provide preliminary signals of efficacy in early-phase therapeutic prevention trials for melanoma. Despite substantial progress in computer-aided diagnosis of melanoma, automated methods to assess the evolution of lesions are relatively undeveloped. This report describes the development and narrow validation of mathematical algorithms to register nevi between sequential digital photographs of large areas of skin and to align images for improved detection and quantification of changes. Serial posterior truncal photographs from a pre-existing database were processed and analyzed by the software, and the results were evaluated by a panel of clinicians using a separate Extensible Markup Language‒based application. The software had a high sensitivity for the detection of cutaneous lesions as small as 2 mm. The software registered lesions accurately, with occasional errors at the edges of the images. In one pilot study with 17 patients, the use of the software enabled clinicians to identify new and/or enlarged lesions in 3‒11 additional patients versus the unregistered images. Automated quantification of size change performed similarly to that of human raters. These results support the further development and broader validation of this technique.

Identifiants

pubmed: 36960318
doi: 10.1016/j.xjidi.2023.100181
pii: S2667-0267(23)00002-4
pmc: PMC10030255
doi:

Types de publication

Journal Article

Langues

eng

Pagination

100181

Informations de copyright

© 2023 The Authors.

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Auteurs

William F Maguire (WF)

Division of Hematology/Oncology, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania, USA.

Paul H Haley (PH)

Computer Vision Group, Veytel, Pittsburgh, Pennsylvania, USA.

Catherine M Dietz (CM)

Computer Vision Group, Veytel, Pittsburgh, Pennsylvania, USA.

Mike Hoffelder (M)

Computer Vision Group, Veytel, Pittsburgh, Pennsylvania, USA.

Clara S Brandt (CS)

Computer Vision Group, Veytel, Pittsburgh, Pennsylvania, USA.
Mount Holyoke College, South Hadley, Massachusetts, USA.

Robin Joyce (R)

Computer Vision Group, Veytel, Pittsburgh, Pennsylvania, USA.
Mount Holyoke College, South Hadley, Massachusetts, USA.

Georgia Fitzgerald (G)

Computer Vision Group, Veytel, Pittsburgh, Pennsylvania, USA.
Mount Holyoke College, South Hadley, Massachusetts, USA.

Christopher Minnier (C)

UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania, USA.

Cindy Sander (C)

UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania, USA.

Laura K Ferris (LK)

Department of Dermatology, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Gyorgy Paragh (G)

Department of Dermatology, Roswell Park Comprehensive Cancer Institute, Buffalo, New York, USA.

Joshua Arbesman (J)

Cleveland Clinic, Cleveland, Ohio, USA.

Hong Wang (H)

School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Kevin J Mitchell (KJ)

Computer Vision Group, Veytel, Pittsburgh, Pennsylvania, USA.

Ellen K Hughes (EK)

Computer Vision Group, Veytel, Pittsburgh, Pennsylvania, USA.

John M Kirkwood (JM)

Division of Hematology/Oncology, Department of Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania, USA.

Classifications MeSH