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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"image_type": "dermoscopic",
"lesion_id": "IL_2110270",
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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_3955120",
"melanocytic": true,
"patient_id": "IP_5852035",
"personal_hx_mm": true,
"sex": "male"
}
{
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"lesion_id": "IL_5560773",
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"patient_id": "IP_5852035",
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}
{
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"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": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_0075227",
"melanocytic": true,
"patient_id": "IP_5852035",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
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"image_type": "dermoscopic",
"lesion_id": "IL_8454359",
"melanocytic": false,
"patient_id": "IP_9090440",
"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",
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"family_hx_mm": false,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_8247857",
"melanocytic": true,
"patient_id": "IP_7965685",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 35,
"anatom_site_general": "lateral torso",
"clin_size_long_diam_mm": "4.40",
"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",
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"fitzpatrick_skin_type": "II",
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"image_type": "dermoscopic",
"lesion_id": "IL_8975103",
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"patient_id": "IP_5867372",
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"sex": "female"
}
{
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"fitzpatrick_skin_type": "II",
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"image_type": "dermoscopic",
"lesion_id": "IL_7470821",
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"patient_id": "IP_5867372",
"personal_hx_mm": true,
"sex": "female"
}
{
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"image_type": "dermoscopic",
"lesion_id": "IL_4907964",
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"patient_id": "IP_4900609",
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"sex": "female"
}
{
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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": true,
"fitzpatrick_skin_type": "II",
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"image_type": "dermoscopic",
"lesion_id": "IL_4238828",
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"sex": "female"
}
{
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}
{
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"fitzpatrick_skin_type": "III",
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"image_type": "dermoscopic",
"lesion_id": "IL_2188171",
"melanocytic": true,
"patient_id": "IP_1984395",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
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"image_type": "dermoscopic",
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"patient_id": "IP_1984395",
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"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 75,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "6.70",
"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_2159920",
"melanocytic": true,
"patient_id": "IP_5544519",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 75,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "4.20",
"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": false,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_3013082",
"melanocytic": true,
"patient_id": "IP_3204625",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 75,
"anatom_site_general": "anterior torso",
"clin_size_long_diam_mm": "9.70",
"concomitant_biopsy": true,
"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": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_3661719",
"melanocytic": true,
"patient_id": "IP_3204625",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 6295,
"age_approx": 75,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "5.80",
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"dermoscopic_type": "non-contact polarized",
"diagnosis_1": "Malignant",
"diagnosis_2": "Malignant melanocytic proliferations (Melanoma)",
"diagnosis_3": "Melanoma Invasive",
"diagnosis_confirm_type": "histopathology",
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"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_8037523",
"mel_thick_mm": "0.30",
"mel_ulcer": false,
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"patient_id": "IP_2248025",
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"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 70,
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"dermoscopic_type": "non-contact polarized",
"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_3001109",
"melanocytic": true,
"patient_id": "IP_3785831",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 85,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "4.70",
"concomitant_biopsy": true,
"dermoscopic_type": "contact non-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_4551160",
"melanocytic": false,
"patient_id": "IP_8083700",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 70,
"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",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": false,
"fitzpatrick_skin_type": "IV",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_0055520",
"melanocytic": true,
"patient_id": "IP_2700722",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 70,
"anatom_site_general": "anterior torso",
"clin_size_long_diam_mm": "8.20",
"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": "IV",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_2280670",
"melanocytic": false,
"patient_id": "IP_2700722",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 70,
"anatom_site_general": "head/neck",
"clin_size_long_diam_mm": "2.90",
"concomitant_biopsy": true,
"dermoscopic_type": "contact non-polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign soft tissue proliferations - Fibro-histiocytic",
"diagnosis_3": "Angiofibroma",
"diagnosis_4": "Angiofibroma, Facial",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": false,
"fitzpatrick_skin_type": "IV",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_6515578",
"melanocytic": false,
"patient_id": "IP_2700722",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 55,
"anatom_site_general": "lower extremity",
"clin_size_long_diam_mm": "5.00",
"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": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_7784719",
"melanocytic": true,
"patient_id": "IP_8039173",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 55,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "4.90",
"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_6470073",
"melanocytic": true,
"patient_id": "IP_8039173",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 50,
"anatom_site_general": "anterior torso",
"clin_size_long_diam_mm": "8.30",
"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign epidermal proliferations",
"diagnosis_3": "Lichen planus like keratosis",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": true,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_2359576",
"melanocytic": true,
"patient_id": "IP_5440286",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 50,
"anatom_site_general": "head/neck",
"clin_size_long_diam_mm": "5.40",
"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": true,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_6342582",
"melanocytic": true,
"patient_id": "IP_5440286",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 50,
"anatom_site_general": "head/neck",
"clin_size_long_diam_mm": "2.90",
"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": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_6456864",
"melanocytic": true,
"patient_id": "IP_5440286",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 65,
"anatom_site_general": "upper extremity",
"clin_size_long_diam_mm": "7.80",
"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": true,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_4946786",
"melanocytic": true,
"patient_id": "IP_2944777",
"personal_hx_mm": false,
"sex": "female"
}