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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}
{
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"dermoscopic_type": "contact polarized",
"diagnosis_1": "Malignant",
"diagnosis_2": "Malignant melanocytic proliferations (Melanoma)",
"diagnosis_3": "Melanoma in situ",
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"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_5619757",
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"patient_id": "IP_5864933",
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}
{
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"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_9964669",
"melanocytic": true,
"patient_id": "IP_5737852",
"personal_hx_mm": false,
"sex": "male"
}
{
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"fitzpatrick_skin_type": "III",
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"image_type": "dermoscopic",
"lesion_id": "IL_8471027",
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"patient_id": "IP_5737852",
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"sex": "male"
}
{
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"diagnosis_2": "Indeterminate epidermal proliferations",
"diagnosis_3": "Solar or actinic keratosis",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": false,
"fitzpatrick_skin_type": "I",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_3695511",
"melanocytic": false,
"patient_id": "IP_6575300",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 124,
"age_approx": 70,
"anatom_site_general": "lower extremity",
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"diagnosis_1": "Indeterminate",
"diagnosis_2": "Indeterminate epidermal proliferations",
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"fitzpatrick_skin_type": "II",
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"image_type": "dermoscopic",
"lesion_id": "IL_0036242",
"melanocytic": true,
"patient_id": "IP_7717848",
"personal_hx_mm": true,
"sex": "female"
}
{
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"clin_size_long_diam_mm": "8.80",
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"dermoscopic_type": "contact polarized",
"diagnosis_1": "Malignant",
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"family_hx_mm": true,
"fitzpatrick_skin_type": "II",
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"image_type": "dermoscopic",
"lesion_id": "IL_2725316",
"melanocytic": true,
"patient_id": "IP_7717848",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 124,
"age_approx": 70,
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"concomitant_biopsy": true,
"diagnosis_1": "Malignant",
"diagnosis_2": "Malignant melanocytic proliferations (Melanoma)",
"diagnosis_3": "Melanoma in situ",
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"family_hx_mm": true,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_7286719",
"melanocytic": true,
"patient_id": "IP_7717848",
"personal_hx_mm": true,
"sex": "female"
}
{
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"image_type": "dermoscopic",
"lesion_id": "IL_3609360",
"melanocytic": true,
"patient_id": "IP_8193249",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 50,
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"image_type": "dermoscopic",
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"patient_id": "IP_8193249",
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"sex": "female"
}
{
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"diagnosis_1": "Benign",
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"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_2039794",
"melanocytic": true,
"patient_id": "IP_0699267",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 45,
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"clin_size_long_diam_mm": "5.90",
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"diagnosis_1": "Malignant",
"diagnosis_2": "Malignant melanocytic proliferations (Melanoma)",
"diagnosis_3": "Melanoma Invasive",
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"family_hx_mm": false,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_5645403",
"mel_thick_mm": "0.25",
"mel_ulcer": false,
"melanocytic": true,
"patient_id": "IP_1638966",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1121,
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"diagnosis_1": "Malignant",
"diagnosis_2": "Malignant melanocytic proliferations (Melanoma)",
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"fitzpatrick_skin_type": "II",
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"image_type": "dermoscopic",
"lesion_id": "IL_2070313",
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"patient_id": "IP_1999627",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
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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",
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"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_5255630",
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"patient_id": "IP_2963926",
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"sex": "male"
}
{
"acquisition_day": 1,
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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",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": true,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_6733891",
"melanocytic": true,
"patient_id": "IP_3778684",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 50,
"anatom_site_general": "upper extremity",
"clin_size_long_diam_mm": "4.10",
"concomitant_biopsy": true,
"dermoscopic_type": "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": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_3568556",
"mel_thick_mm": "0.30",
"mel_ulcer": false,
"melanocytic": true,
"patient_id": "IP_7915407",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 70,
"anatom_site_general": "upper extremity",
"clin_size_long_diam_mm": "8.00",
"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Collision - Only benign proliferations",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": false,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_7491775",
"melanocytic": true,
"patient_id": "IP_9227859",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 45,
"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 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_9511996",
"melanocytic": true,
"patient_id": "IP_3919700",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1736,
"age_approx": 30,
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"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",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": true,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_7567811",
"melanocytic": true,
"patient_id": "IP_4938382",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 45,
"anatom_site_general": "head/neck",
"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": false,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_4777158",
"melanocytic": true,
"patient_id": "IP_3235031",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 35,
"anatom_site_general": "head/neck",
"clin_size_long_diam_mm": "7.30",
"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_2907315",
"melanocytic": true,
"patient_id": "IP_1924080",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 65,
"anatom_site_general": "lateral torso",
"clin_size_long_diam_mm": "11.00",
"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": false,
"fitzpatrick_skin_type": "I",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_7912497",
"melanocytic": true,
"patient_id": "IP_5532748",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 70,
"anatom_site_general": "lower extremity",
"clin_size_long_diam_mm": "4.50",
"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_9322032",
"melanocytic": true,
"patient_id": "IP_8286761",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 30,
"anatom_site_general": "lower extremity",
"clin_size_long_diam_mm": "4.40",
"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_3135227",
"melanocytic": true,
"patient_id": "IP_7452604",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 30,
"anatom_site_general": "lower extremity",
"clin_size_long_diam_mm": "2.30",
"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_1057208",
"melanocytic": true,
"patient_id": "IP_7452604",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 20,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "9.10",
"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": true,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_7816327",
"melanocytic": true,
"patient_id": "IP_7919791",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 25,
"anatom_site_general": "anterior torso",
"clin_size_long_diam_mm": "4.80",
"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_4524875",
"melanocytic": true,
"patient_id": "IP_5102067",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 25,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "3.60",
"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": true,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_2480011",
"melanocytic": true,
"patient_id": "IP_5102067",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 25,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "4.80",
"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_8064701",
"melanocytic": true,
"patient_id": "IP_5102067",
"personal_hx_mm": false,
"sex": "female"
}