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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"diagnosis_2": "Benign melanocytic proliferations",
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"image_type": "dermoscopic",
"lesion_id": "IL_3308221",
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"patient_id": "IP_8182508",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 55,
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"fitzpatrick_skin_type": "III",
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"image_type": "dermoscopic",
"lesion_id": "IL_4232045",
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"patient_id": "IP_8182508",
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}
{
"acquisition_day": 1,
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"dermoscopic_type": "contact polarized",
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"diagnosis_2": "Benign melanocytic proliferations",
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"family_hx_mm": false,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_2536774",
"melanocytic": true,
"patient_id": "IP_8182508",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 40,
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"diagnosis_5": "Nevus, Atypical",
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"family_hx_mm": false,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_2833600",
"melanocytic": true,
"patient_id": "IP_1268919",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 70,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "9.30",
"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_0733293",
"melanocytic": true,
"patient_id": "IP_3633451",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 55,
"anatom_site_general": "anterior torso",
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"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign melanocytic proliferations",
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"diagnosis_4": "Nevus, Atypical, Dysplastic, or Clark",
"diagnosis_5": "Nevus, Atypical",
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"family_hx_mm": true,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_0862141",
"melanocytic": true,
"patient_id": "IP_0251730",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 60,
"anatom_site_general": "upper extremity",
"clin_size_long_diam_mm": "3.50",
"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": true,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_0814520",
"melanocytic": true,
"patient_id": "IP_6213063",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 55,
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"clin_size_long_diam_mm": "3.70",
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"dermoscopic_type": "contact polarized",
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"diagnosis_2": "Collision - Only benign proliferations",
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"family_hx_mm": true,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_1715841",
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"patient_id": "IP_6306618",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 60,
"anatom_site_general": "lower extremity",
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"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",
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"family_hx_mm": false,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_7003382",
"melanocytic": true,
"patient_id": "IP_3124248",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 50,
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"family_hx_mm": false,
"fitzpatrick_skin_type": "IV",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_6128796",
"melanocytic": true,
"patient_id": "IP_0456231",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 30,
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"clin_size_long_diam_mm": "6.20",
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"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_2664791",
"melanocytic": true,
"patient_id": "IP_5117877",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 65,
"anatom_site_general": "lower extremity",
"clin_size_long_diam_mm": "4.80",
"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": true,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_5779701",
"melanocytic": true,
"patient_id": "IP_0341102",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 65,
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"clin_size_long_diam_mm": "19.70",
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"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Collision - Only benign proliferations",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": true,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_5923307",
"melanocytic": true,
"patient_id": "IP_0341102",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 65,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "5.80",
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"dermoscopic_type": "contact polarized",
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"diagnosis_2": "Collision - Only benign proliferations",
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"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_9799837",
"melanocytic": true,
"patient_id": "IP_3003160",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 65,
"anatom_site_general": "lateral torso",
"clin_size_long_diam_mm": "4.20",
"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_5374153",
"melanocytic": true,
"patient_id": "IP_3003160",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 45,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "12.50",
"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Indeterminate",
"diagnosis_2": "Indeterminate melanocytic proliferations",
"diagnosis_3": "Atypical melanocytic neoplasm",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": true,
"fitzpatrick_skin_type": "I",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_6910976",
"melanocytic": true,
"patient_id": "IP_4889048",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 40,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "14.60",
"concomitant_biopsy": true,
"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_5981967",
"melanocytic": true,
"patient_id": "IP_1590637",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 60,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "3.90",
"concomitant_biopsy": true,
"dermoscopic_type": "non-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_3720070",
"melanocytic": true,
"patient_id": "IP_3670868",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 50,
"anatom_site_general": "upper extremity",
"clin_size_long_diam_mm": "4.80",
"concomitant_biopsy": true,
"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": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_6455061",
"melanocytic": true,
"patient_id": "IP_4330259",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 65,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "2.60",
"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_4130348",
"melanocytic": true,
"patient_id": "IP_8607082",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 65,
"anatom_site_general": "anterior torso",
"clin_size_long_diam_mm": "9.80",
"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_2566173",
"melanocytic": true,
"patient_id": "IP_8607082",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 30,
"anatom_site_general": "lower extremity",
"clin_size_long_diam_mm": "4.50",
"concomitant_biopsy": true,
"dermoscopic_type": "non-contact polarized",
"diagnosis_1": "Malignant",
"diagnosis_2": "Malignant melanocytic proliferations (Melanoma)",
"diagnosis_3": "Melanoma Invasive",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": false,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_4781357",
"mel_thick_mm": "0.20",
"mel_ulcer": false,
"melanocytic": true,
"patient_id": "IP_2560383",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 40,
"anatom_site_general": "anterior 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_confirm_type": "histopathology",
"family_hx_mm": true,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_9451871",
"melanocytic": true,
"patient_id": "IP_0814408",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 40,
"anatom_site_general": "upper extremity",
"clin_size_long_diam_mm": "6.70",
"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign melanocytic proliferations",
"diagnosis_3": "Nevus",
"diagnosis_4": "Nevus, Combined",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": true,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_8854666",
"melanocytic": true,
"patient_id": "IP_0814408",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 40,
"anatom_site_general": "lower extremity",
"clin_size_long_diam_mm": "5.20",
"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": true,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_1318025",
"melanocytic": true,
"patient_id": "IP_0814408",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 40,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "5.90",
"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": true,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_7193005",
"melanocytic": true,
"patient_id": "IP_0814408",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 70,
"anatom_site_general": "upper extremity",
"clin_size_long_diam_mm": "6.00",
"concomitant_biopsy": true,
"diagnosis_1": "Benign",
"diagnosis_2": "Benign soft tissue proliferations - Fibro-histiocytic",
"diagnosis_3": "Dermatofibroma",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": false,
"fitzpatrick_skin_type": "I",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_7865798",
"melanocytic": false,
"patient_id": "IP_2768316",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 70,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "15.50",
"concomitant_biopsy": true,
"dermoscopic_type": "non-contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Collision - Only benign proliferations",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": false,
"fitzpatrick_skin_type": "I",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_7694612",
"melanocytic": true,
"patient_id": "IP_2768316",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 85,
"anatom_site_general": "head/neck",
"clin_size_long_diam_mm": "13.20",
"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Malignant",
"diagnosis_2": "Malignant melanocytic proliferations (Melanoma)",
"diagnosis_3": "Melanoma in situ",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": false,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_4362949",
"melanocytic": true,
"patient_id": "IP_5621209",
"personal_hx_mm": true,
"sex": "male"
}