A comparative study of algorithms for automatic segmentation of dermoscopic images

Melanoma is the most common as well as the most dangerous type of skin cancer. Nevertheless, it can be effectively treated if detected early. Dermoscopy is one of the major non-invasive imaging techniques for the diagnosis of skin lesions. The computer-aided diagnosis based on the processing of dermoscopic images aims to reduce the subjectivity and time-consuming analysis related to traditional diagnosis. The first step of automatic diagnosis is image segmentation. In this project, the implementation and evaluation of several methods were proposed for the automatic segmentation of lesion regions in dermoscopic images, along with the corresponding implemented phases for image preprocessing and postprocessing. The developed algorithms include methods based on different state of the art techniques. The main groups of techniques which have been selected to be studied and implemented are thresholding-based methods, region-based methods, segmentation based on deformable models, as well as a new proposed approach based on the bag-of-words model. The implemented methods incorporate modifications for a better adaptation to features associated with dermoscopic images. Each implemented method was applied to a database constituted by 724 dermoscopic images. The output of the automatic segmentation procedure for each image was compared with the corresponding manual segmentation in order to evaluate the performance. The comparison between algorithms was carried out regarding the obtained evaluation metrics. The best results were achieved by the combination of region-based segmentation based on the multi-region adaptation of the k-means algorithm and the subIngeniería de Sistemas Audiovisuale

Application of Machine Learning in Melanoma Detection and the Identification of 'Ugly Duckling' and Suspicious Naevi: A Review

Skin lesions known as naevi exhibit diverse characteristics such as size, shape, and colouration. The concept of an "Ugly Duckling Naevus" comes into play when monitoring for melanoma, referring to a lesion with distinctive features that sets it apart from other lesions in the vicinity. As lesions within the same individual typically share similarities and follow a predictable pattern, an ugly duckling naevus stands out as unusual and may indicate the presence of a cancerous melanoma. Computer-aided diagnosis (CAD) has become a significant player in the research and development field, as it combines machine learning techniques with a variety of patient analysis methods. Its aim is to increase accuracy and simplify decision-making, all while responding to the shortage of specialized professionals. These automated systems are especially important in skin cancer diagnosis where specialist availability is limited. As a result, their use could lead to life-saving benefits and cost reductions within healthcare. Given the drastic change in survival when comparing early stage to late-stage melanoma, early detection is vital for effective treatment and patient outcomes. Machine learning (ML) and deep learning (DL) techniques have gained popularity in skin cancer classification, effectively addressing challenges, and providing results equivalent to that of specialists. This article extensively covers modern Machine Learning and Deep Learning algorithms for detecting melanoma and suspicious naevi. It begins with general information on skin cancer and different types of naevi, then introduces AI, ML, DL, and CAD. The article then discusses the successful applications of various ML techniques like convolutional neural networks (CNN) for melanoma detection compared to dermatologists' performance. Lastly, it examines ML methods for UD naevus detection and identifying suspicious naevi

Computer Aided Diagnostic Support System for Skin cancer: Review of techniques and algorithms

Image-based computer aided diagnosis systems have significant potential for screening and early detection of malignant melanoma. We review the state of the art in these systems and examine current practices, problems, and prospects of image acquisition, pre-processing, segmentation, feature extraction and selection, and classification of dermoscopic images. This paper reports statistics and results from the most important implementations reported to date. We compared the performance of several classifiers specifically developed for skin lesion diagnosis and discussed the corresponding findings. Whenever available, indication of various conditions that affect the technique’s performance is reported. We suggest a framework for comparative assessment of skin cancer diagnostic models and review the results based on these models. The deficiencies in some of the existing studies are highlighted and suggestions for future research are provided

Computer aided diagnostic support system for skin cancer: A review of techniques and algorithms

Image-based computer aided diagnosis systems have significant potential for screening and early detection of malignant melanoma. We review the state of the art in these systems and examine current practices, problems, and prospects of image acquisition, pre-processing, segmentation, feature extraction and selection, and classification of dermoscopic images. This paper reports statistics and results from the most important implementations reported to date. We compared the performance of several classifiers specifically developed for skin lesion diagnosis and discussed the corresponding findings. Whenever available, indication of various conditions that affect the technique's performance is reported. We suggest a framework for comparative assessment of skin cancer diagnostic models and review the results based on these models. The deficiencies in some of the existing studies are highlighted and suggestions for future research are provided. © 2013 Ammara Masood and Adel Ali Al-Jumaily

Automatic image characterization of psoriasis lesions

Psoriasis is a chronic skin disease that affects 125 million people worldwide and, particularly, 2% of the Spanish population, characterized by the appearance of skin lesions due to a growth of the epidermis that is seven times larger than usual. Its diagnosis and monitoring are based on the use of methodologies for measuring the severity and extent of these spots, and this includes a large subjective component. For this reason, this paper presents an automatic method for characterizing psoriasis images that is divided into four parts: image preparation or pre-processing, feature extraction, classification of the lesions, and the obtaining of parameters. The methodology proposed in this work covers different digital-image processing techniques, namely, marker-based image delimitation, hair removal, nipple detection, lesion contour detection, areal-measurement-based lesion classification, as well as lesion characterization by means of red and white intensity. The results obtained were also endorsed by a professional dermatologist. This methodology provides professionals with a common software tool for monitoring the different existing typologies, which proved satisfactory in the cases analyzed for a set of 20 images corresponding to different types of lesions.Ministerio de Economía, Industria y Competitividad | Ref. TIN2016-76770-

Color detection in dermoscopic images of pigmented skin lesions through computer vision techniques

This thesis offers an insight into skin cancer detection, focusing on the extraction of distinct features (color, namely) from potential melanoma lesions. The following document provides an outlook of melanoma analysis, as well as experimental results based on Matlab implementations. The relevance of the work carried out throughout this project resides in the specificity of the study: color is a key characteristic in melanoma inspection. It is usually linked to pattern analysis but seldom the sole object of research. Most lines of work in the field of skin cancer diagnosis associate color with other features such as texture, shape, asymmetry or pattern of the lesion. Studies cement this belief regarding the vital significance of color, as the number of colors in a lesion happens to be the most significant biomarker for determining malignancy. Different image processing techniques will be applied to build statistical models that shape the outcome of the prospective diagnosis. The purpose of the project is the development of an assisting tool able to detect the most prevalent colors in skin pigmented lesions, in order to give a probabilistic result. The strength of this idea lies in the resemblance to actual medical procedures; dermatologists examine color to diagnose melanoma. Simulating medical proceedings is a burgeoning trend in CAD systems because it renders the advancements in this field more likely to be accepted by the medical community. An additional motivation comes from real-life statistics: skin cancer is, by far, the most frequent type of cancer. Moreover, although melanoma is the least common form of skin cancer at only around 1% of all cases, the majority of deaths related to skin cancer are due to melanoma. Furthermore, the rate of melanoma occurrence is particularly high in Spain and has significantly increased in the last decade, hence the importance of reliable diagnosis that is not exclusively contingent on the specialist’s subjective judgment.Ingeniería de Sistemas Audiovisuale

A survey, review, and future trends of skin lesion segmentation and classification

The Computer-aided Diagnosis or Detection (CAD) approach for skin lesion analysis is an emerging field of research that has the potential to alleviate the burden and cost of skin cancer screening. Researchers have recently indicated increasing interest in developing such CAD systems, with the intention of providing a user-friendly tool to dermatologists to reduce the challenges encountered or associated with manual inspection. This article aims to provide a comprehensive literature survey and review of a total of 594 publications (356 for skin lesion segmentation and 238 for skin lesion classification) published between 2011 and 2022. These articles are analyzed and summarized in a number of different ways to contribute vital information regarding the methods for the development of CAD systems. These ways include: relevant and essential definitions and theories, input data (dataset utilization, preprocessing, augmentations, and fixing imbalance problems), method configuration (techniques, architectures, module frameworks, and losses), training tactics (hyperparameter settings), and evaluation criteria. We intend to investigate a variety of performance-enhancing approaches, including ensemble and post-processing. We also discuss these dimensions to reveal their current trends based on utilization frequencies. In addition, we highlight the primary difficulties associated with evaluating skin lesion segmentation and classification systems using minimal datasets, as well as the potential solutions to these difficulties. Findings, recommendations, and trends are disclosed to inform future research on developing an automated and robust CAD system for skin lesion analysis

U-Net and its variants for medical image segmentation: theory and applications

U-net is an image segmentation technique developed primarily for medical image analysis that can precisely segment images using a scarce amount of training data. These traits provide U-net with a very high utility within the medical imaging community and have resulted in extensive adoption of U-net as the primary tool for segmentation tasks in medical imaging. The success of U-net is evident in its widespread use in all major image modalities from CT scans and MRI to X-rays and microscopy. Furthermore, while U-net is largely a segmentation tool, there have been instances of the use of U-net in other applications. As the potential of U-net is still increasing, in this review we look at the various developments that have been made in the U-net architecture and provide observations on recent trends. We examine the various innovations that have been made in deep learning and discuss how these tools facilitate U-net. Furthermore, we look at image modalities and application areas where U-net has been applied.Comment: 42 pages, in IEEE Acces