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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}
{
"acquisition_day": 1,
"age_approx": 85,
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"dermoscopic_type": "contact polarized",
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"image_type": "dermoscopic",
"lesion_id": "IL_8709216",
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"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 70,
"anatom_site_general": "lower extremity",
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"concomitant_biopsy": true,
"dermoscopic_type": "contact non-polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign melanocytic proliferations",
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"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_7052159",
"melanocytic": true,
"patient_id": "IP_4633465",
"personal_hx_mm": true,
"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",
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"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_2556717",
"melanocytic": true,
"patient_id": "IP_6714260",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 65,
"anatom_site_general": "lower extremity",
"clin_size_long_diam_mm": "8.30",
"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Malignant",
"diagnosis_2": "Malignant adnexal epithelial proliferations - Follicular",
"diagnosis_3": "Basal cell carcinoma",
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"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_2039298",
"melanocytic": false,
"patient_id": "IP_8352314",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 70,
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"dermoscopic_type": "contact polarized",
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"diagnosis_2": "Benign epidermal proliferations",
"diagnosis_3": "Lichen planus like keratosis",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": true,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_6566358",
"melanocytic": false,
"patient_id": "IP_7717848",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 20,
"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",
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"image_type": "dermoscopic",
"lesion_id": "IL_9662855",
"melanocytic": true,
"patient_id": "IP_0488532",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 20,
"anatom_site_general": "lower extremity",
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"dermoscopic_type": "non-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": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_5151633",
"melanocytic": true,
"patient_id": "IP_0488532",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 75,
"anatom_site_general": "upper extremity",
"clin_size_long_diam_mm": "4.70",
"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_4166149",
"melanocytic": true,
"patient_id": "IP_1764181",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 45,
"anatom_site_general": "lower extremity",
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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_1571838",
"melanocytic": true,
"patient_id": "IP_9595111",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 65,
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"dermoscopic_type": "contact polarized",
"diagnosis_1": "Indeterminate",
"diagnosis_2": "Indeterminate melanocytic proliferations",
"diagnosis_3": "Atypical melanocytic neoplasm",
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"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_4774820",
"melanocytic": true,
"patient_id": "IP_3462372",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 65,
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"dermoscopic_type": "contact polarized",
"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": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_9041627",
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"patient_id": "IP_3462372",
"personal_hx_mm": false,
"sex": "female"
}
{
"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_2320005",
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"patient_id": "IP_3462372",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 25,
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"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_1962158",
"melanocytic": true,
"patient_id": "IP_1835920",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 75,
"anatom_site_general": "anterior torso",
"clin_size_long_diam_mm": "7.10",
"concomitant_biopsy": true,
"dermoscopic_type": "non-contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign epidermal proliferations",
"diagnosis_3": "Lichen planus like keratosis",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": false,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_4984330",
"melanocytic": true,
"patient_id": "IP_6993731",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 65,
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"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_6477979",
"melanocytic": true,
"patient_id": "IP_5138158",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 55,
"anatom_site_general": "upper extremity",
"clin_size_long_diam_mm": "7.60",
"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": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_4731563",
"melanocytic": true,
"patient_id": "IP_3289016",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 60,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "6.30",
"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": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_3505443",
"melanocytic": true,
"patient_id": "IP_9526638",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 75,
"anatom_site_general": "lower extremity",
"clin_size_long_diam_mm": "12.80",
"concomitant_biopsy": true,
"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_9791145",
"melanocytic": true,
"patient_id": "IP_6095625",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 65,
"anatom_site_general": "anterior torso",
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"dermoscopic_type": "contact polarized",
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"diagnosis_2": "Benign epidermal proliferations",
"diagnosis_3": "Lichen planus like keratosis",
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"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_2501302",
"melanocytic": false,
"patient_id": "IP_7380656",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 75,
"anatom_site_general": "lower extremity",
"clin_size_long_diam_mm": "2.40",
"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_1451307",
"melanocytic": true,
"patient_id": "IP_3355987",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 70,
"anatom_site_general": "anterior torso",
"clin_size_long_diam_mm": "7.40",
"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_3425101",
"melanocytic": true,
"patient_id": "IP_1580164",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 70,
"anatom_site_general": "upper extremity",
"clin_size_long_diam_mm": "4.10",
"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_1479537",
"melanocytic": true,
"patient_id": "IP_1580164",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 75,
"anatom_site_general": "upper extremity",
"clin_size_long_diam_mm": "8.30",
"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_8608598",
"melanocytic": true,
"patient_id": "IP_7459704",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 75,
"anatom_site_general": "anterior torso",
"clin_size_long_diam_mm": "7.40",
"concomitant_biopsy": true,
"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_7396684",
"melanocytic": false,
"patient_id": "IP_7459704",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 60,
"anatom_site_general": "head/neck",
"clin_size_long_diam_mm": "4.80",
"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_7770435",
"melanocytic": true,
"patient_id": "IP_9801595",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 40,
"anatom_site_general": "upper extremity",
"clin_size_long_diam_mm": "5.90",
"concomitant_biopsy": true,
"dermoscopic_type": "non-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_3974052",
"melanocytic": true,
"patient_id": "IP_9391134",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 65,
"anatom_site_general": "head/neck",
"clin_size_long_diam_mm": "10.20",
"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": "I",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_6620649",
"melanocytic": true,
"patient_id": "IP_5383366",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 55,
"anatom_site_general": "upper extremity",
"clin_size_long_diam_mm": "4.30",
"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_0361337",
"melanocytic": true,
"patient_id": "IP_1981263",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 50,
"anatom_site_general": "upper extremity",
"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": false,
"fitzpatrick_skin_type": "IV",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_1977362",
"melanocytic": true,
"patient_id": "IP_0131886",
"personal_hx_mm": false,
"sex": "male"
}