We conducted a prospective, observational clinical validation study to assess the diagnostic accuracy of the AI algorithm (ADAE) in predicting melanoma from dermoscopy skin lesion images. Patients who had consented for a skin biopsy to exclude melanoma were eligible. All lesions underwent biopsy.
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{
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"dermoscopic_type": "contact polarized",
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"lesion_id": "IL_9323476",
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"patient_id": "IP_0743466",
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}
{
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"image_type": "dermoscopic",
"lesion_id": "IL_7034368",
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"patient_id": "IP_1299649",
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{
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"family_hx_mm": true,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_3160951",
"melanocytic": true,
"patient_id": "IP_4993809",
"personal_hx_mm": true,
"sex": "male"
}
{
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"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_8061363",
"melanocytic": true,
"patient_id": "IP_5641461",
"personal_hx_mm": false,
"sex": "female"
}
{
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"anatom_site_general": "upper extremity",
"clin_size_long_diam_mm": "8.00",
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"dermoscopic_type": "non-contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Flat melanotic pigmentations - not melanocytic nevus",
"diagnosis_3": "Lentigo NOS",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": false,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_2251633",
"melanocytic": true,
"patient_id": "IP_3798501",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
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"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_7116677",
"melanocytic": true,
"patient_id": "IP_9826325",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 75,
"anatom_site_general": "lower extremity",
"clin_size_long_diam_mm": "4.00",
"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign melanocytic proliferations",
"diagnosis_3": "Nevus",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": false,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_6838007",
"melanocytic": true,
"patient_id": "IP_7602686",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 75,
"anatom_site_general": "anterior torso",
"clin_size_long_diam_mm": "7.10",
"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign melanocytic proliferations",
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"image_type": "dermoscopic",
"lesion_id": "IL_1320051",
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"patient_id": "IP_7602686",
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}
{
"acquisition_day": 1,
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"diagnosis_2": "Malignant melanocytic proliferations (Melanoma)",
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"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_5285383",
"mel_thick_mm": "0.70",
"mel_ulcer": false,
"melanocytic": true,
"patient_id": "IP_3719928",
"personal_hx_mm": true,
"sex": "male"
}
{
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"diagnosis_1": "Malignant",
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"fitzpatrick_skin_type": "I",
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"image_type": "dermoscopic",
"lesion_id": "IL_5395392",
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"patient_id": "IP_8042714",
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"sex": "male"
}
{
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"diagnosis_1": "Benign",
"diagnosis_2": "Benign melanocytic proliferations",
"diagnosis_3": "Nevus",
"diagnosis_4": "Nevus, Atypical, Dysplastic, or Clark",
"diagnosis_5": "Nevus, Atypical",
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"family_hx_mm": false,
"fitzpatrick_skin_type": "IV",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_3149459",
"melanocytic": true,
"patient_id": "IP_7207550",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
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"dermoscopic_type": "contact polarized",
"diagnosis_1": "Malignant",
"diagnosis_2": "Malignant melanocytic proliferations (Melanoma)",
"diagnosis_3": "Melanoma Invasive",
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"family_hx_mm": true,
"fitzpatrick_skin_type": "IV",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_8206011",
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"patient_id": "IP_5683980",
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"sex": "male"
}
{
"acquisition_day": 1,
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"diagnosis_1": "Indeterminate",
"diagnosis_2": "Indeterminate melanocytic proliferations",
"diagnosis_3": "Atypical melanocytic neoplasm",
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"fitzpatrick_skin_type": "I",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_0501474",
"melanocytic": true,
"patient_id": "IP_0572296",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 2549,
"age_approx": 75,
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"clin_size_long_diam_mm": "17.20",
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"diagnosis_1": "Indeterminate",
"diagnosis_2": "Indeterminate epidermal proliferations",
"diagnosis_3": "Solar or actinic keratosis",
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"image_type": "dermoscopic",
"lesion_id": "IL_6067157",
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"patient_id": "IP_7382179",
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"sex": "female"
}
{
"acquisition_day": 1,
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"diagnosis_3": "Solar or actinic keratosis",
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"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_2417174",
"melanocytic": false,
"patient_id": "IP_6118671",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 50,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "6.80",
"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign melanocytic proliferations",
"diagnosis_3": "Nevus",
"diagnosis_4": "Nevus, Atypical, Dysplastic, or Clark",
"diagnosis_5": "Nevus, Atypical",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": true,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_3928921",
"melanocytic": true,
"patient_id": "IP_6118671",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 50,
"anatom_site_general": "anterior torso",
"clin_size_long_diam_mm": "7.80",
"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Indeterminate",
"diagnosis_2": "Indeterminate melanocytic proliferations",
"diagnosis_3": "Atypical melanocytic neoplasm",
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"family_hx_mm": false,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_9529301",
"melanocytic": true,
"patient_id": "IP_2267663",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 65,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "2.80",
"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign melanocytic proliferations",
"diagnosis_3": "Nevus",
"diagnosis_4": "Nevus, Atypical, Dysplastic, or Clark",
"diagnosis_5": "Nevus, Atypical",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": false,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_6144394",
"melanocytic": true,
"patient_id": "IP_5866533",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 65,
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"image_type": "dermoscopic",
"lesion_id": "IL_6348434",
"melanocytic": true,
"patient_id": "IP_5866533",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 85,
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"clin_size_long_diam_mm": "8.80",
"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Flat melanotic pigmentations - not melanocytic nevus",
"diagnosis_3": "Lentigo NOS",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": false,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_0130273",
"melanocytic": true,
"patient_id": "IP_0387028",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 40,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "11.00",
"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign melanocytic proliferations",
"diagnosis_3": "Nevus",
"diagnosis_4": "Nevus, Atypical, Dysplastic, or Clark",
"diagnosis_5": "Nevus, Atypical",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": true,
"fitzpatrick_skin_type": "I",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_1158451",
"melanocytic": true,
"patient_id": "IP_4077309",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 45,
"anatom_site_general": "palms/soles",
"anatom_site_special": "acral palms or soles",
"clin_size_long_diam_mm": "3.80",
"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign melanocytic proliferations",
"diagnosis_3": "Nevus",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": false,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_1336195",
"melanocytic": true,
"patient_id": "IP_6255843",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 75,
"anatom_site_general": "lateral torso",
"clin_size_long_diam_mm": "3.90",
"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign melanocytic proliferations",
"diagnosis_3": "Nevus",
"diagnosis_4": "Nevus, Atypical, Dysplastic, or Clark",
"diagnosis_5": "Nevus, Atypical",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": true,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_5452564",
"melanocytic": true,
"patient_id": "IP_5565239",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 75,
"anatom_site_general": "anterior torso",
"clin_size_long_diam_mm": "3.40",
"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign melanocytic proliferations",
"diagnosis_3": "Nevus",
"diagnosis_4": "Nevus, Atypical, Dysplastic, or Clark",
"diagnosis_5": "Nevus, Atypical",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": true,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_1602571",
"melanocytic": true,
"patient_id": "IP_5565239",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 80,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "3.80",
"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign epidermal proliferations",
"diagnosis_3": "Seborrheic keratosis",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": false,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_1272093",
"melanocytic": false,
"patient_id": "IP_9712745",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 80,
"anatom_site_general": "upper extremity",
"clin_size_long_diam_mm": "7.50",
"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Indeterminate",
"diagnosis_2": "Indeterminate epidermal proliferations",
"diagnosis_3": "Solar or actinic keratosis",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": false,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_5301196",
"melanocytic": false,
"patient_id": "IP_9712745",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 55,
"anatom_site_general": "lower extremity",
"clin_size_long_diam_mm": "2.30",
"concomitant_biopsy": true,
"dermoscopic_type": "contact non-polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign melanocytic proliferations",
"diagnosis_3": "Nevus",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": true,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_9558953",
"melanocytic": true,
"patient_id": "IP_5984385",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 75,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "8.60",
"concomitant_biopsy": true,
"diagnosis_1": "Malignant",
"diagnosis_2": "Malignant melanocytic proliferations (Melanoma)",
"diagnosis_3": "Melanoma Invasive",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": true,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_4895963",
"mel_thick_mm": "0.30",
"mel_ulcer": false,
"melanocytic": true,
"patient_id": "IP_4171206",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 25,
"anatom_site_general": "anterior torso",
"clin_size_long_diam_mm": "15.10",
"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign melanocytic proliferations",
"diagnosis_3": "Nevus",
"diagnosis_4": "Nevus, Atypical, Dysplastic, or Clark",
"diagnosis_5": "Nevus, Atypical",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": false,
"fitzpatrick_skin_type": "I",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_7701473",
"melanocytic": true,
"patient_id": "IP_5357927",
"personal_hx_mm": true,
"sex": "female"
}