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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"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_4859494",
"melanocytic": true,
"patient_id": "IP_9744773",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
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"diagnosis_1": "Benign",
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"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_8457446",
"melanocytic": true,
"patient_id": "IP_8804321",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
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"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_1288393",
"melanocytic": true,
"patient_id": "IP_8554596",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 50,
"anatom_site_general": "lower extremity",
"clin_size_long_diam_mm": "3.80",
"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Malignant",
"diagnosis_2": "Malignant adnexal epithelial proliferations - Follicular",
"diagnosis_3": "Basal cell carcinoma",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": false,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_8951295",
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"patient_id": "IP_0748604",
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"sex": "female"
}
{
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"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_7053045",
"melanocytic": true,
"patient_id": "IP_0748604",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 70,
"anatom_site_general": "head/neck",
"clin_size_long_diam_mm": "4.20",
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"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Flat melanotic pigmentations - not melanocytic nevus",
"diagnosis_3": "Lentigo NOS",
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"family_hx_mm": false,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_0386573",
"melanocytic": true,
"patient_id": "IP_5783656",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
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"clin_size_long_diam_mm": "4.00",
"concomitant_biopsy": true,
"diagnosis_1": "Benign",
"diagnosis_2": "Benign melanocytic proliferations",
"diagnosis_3": "Nevus",
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"fitzpatrick_skin_type": "III",
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"image_type": "dermoscopic",
"lesion_id": "IL_5469719",
"melanocytic": true,
"patient_id": "IP_6848590",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 20,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "6.00",
"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": false,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_3226437",
"melanocytic": true,
"patient_id": "IP_0484521",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
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"patient_id": "IP_7498505",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
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"image_type": "dermoscopic",
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"sex": "male"
}
{
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"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign soft tissue proliferations - Fibro-histiocytic",
"diagnosis_3": "Dermatofibroma",
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"image_type": "dermoscopic",
"lesion_id": "IL_7944142",
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"patient_id": "IP_4316317",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 70,
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"clin_size_long_diam_mm": "4.40",
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"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign soft tissue proliferations - Fibro-histiocytic",
"diagnosis_3": "Dermatofibroma",
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"fitzpatrick_skin_type": "II",
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"image_type": "dermoscopic",
"lesion_id": "IL_1028415",
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"patient_id": "IP_4316317",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 55,
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"diagnosis_2": "Benign melanocytic proliferations",
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"lesion_id": "IL_4943802",
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}
{
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"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_6436659",
"melanocytic": true,
"patient_id": "IP_9611346",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 60,
"anatom_site_general": "posterior torso",
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"dermoscopic_type": "non-contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign melanocytic proliferations",
"diagnosis_3": "Nevus",
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"diagnosis_5": "Nevus, Atypical",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": false,
"fitzpatrick_skin_type": "IV",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_8748908",
"melanocytic": true,
"patient_id": "IP_1472711",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 65,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "8.00",
"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": true,
"fitzpatrick_skin_type": "I",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_3529855",
"mel_thick_mm": "0.20",
"melanocytic": true,
"patient_id": "IP_6924850",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1100,
"age_approx": 65,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "3.50",
"concomitant_biopsy": true,
"dermoscopic_type": "contact non-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": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_2171415",
"melanocytic": true,
"patient_id": "IP_1645936",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 65,
"anatom_site_general": "upper extremity",
"clin_size_long_diam_mm": "15.10",
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"dermoscopic_type": "contact polarized",
"diagnosis_1": "Malignant",
"diagnosis_2": "Malignant melanocytic proliferations (Melanoma)",
"diagnosis_3": "Melanoma Invasive",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": true,
"fitzpatrick_skin_type": "I",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_2413085",
"mel_thick_mm": "0.30",
"melanocytic": true,
"patient_id": "IP_6924850",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 65,
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"diagnosis_1": "Malignant",
"diagnosis_2": "Malignant melanocytic proliferations (Melanoma)",
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"fitzpatrick_skin_type": "I",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_1276989",
"mel_thick_mm": "0.30",
"mel_ulcer": false,
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"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 40,
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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": false,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_8564680",
"melanocytic": true,
"patient_id": "IP_0260261",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 65,
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"clin_size_long_diam_mm": "6.10",
"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_0927947",
"melanocytic": true,
"patient_id": "IP_4732506",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 65,
"anatom_site_general": "lower extremity",
"clin_size_long_diam_mm": "10.60",
"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": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_1232146",
"melanocytic": true,
"patient_id": "IP_9274667",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 65,
"anatom_site_general": "lateral torso",
"clin_size_long_diam_mm": "7.30",
"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": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_9004463",
"melanocytic": false,
"patient_id": "IP_9274667",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 65,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "7.70",
"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": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_2602296",
"melanocytic": true,
"patient_id": "IP_9274667",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 65,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "8.40",
"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": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_4045479",
"melanocytic": true,
"patient_id": "IP_9274667",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 70,
"anatom_site_general": "posterior torso",
"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_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_2829983",
"melanocytic": true,
"patient_id": "IP_0801144",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 25,
"anatom_site_general": "lower extremity",
"clin_size_long_diam_mm": "5.40",
"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": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_1955791",
"melanocytic": true,
"patient_id": "IP_3158554",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 25,
"anatom_site_general": "upper 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": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_5479142",
"melanocytic": true,
"patient_id": "IP_3158554",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 25,
"anatom_site_general": "upper extremity",
"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": true,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_7158723",
"melanocytic": true,
"patient_id": "IP_3158554",
"personal_hx_mm": false,
"sex": "male"
}