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,
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"patient_id": "IP_8566965",
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"sex": "female"
}
{
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"image_type": "dermoscopic",
"lesion_id": "IL_1774294",
"melanocytic": true,
"patient_id": "IP_8209756",
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"sex": "female"
}
{
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"dermoscopic_type": "contact polarized",
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"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_0135315",
"melanocytic": false,
"patient_id": "IP_6970316",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 242,
"age_approx": 75,
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"dermoscopic_type": "contact polarized",
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"diagnosis_2": "Collision - Only benign proliferations",
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"sex": "female"
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{
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"diagnosis_4": "Nevus, Atypical, Dysplastic, or Clark",
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"family_hx_mm": true,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_5463461",
"melanocytic": true,
"patient_id": "IP_6098503",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 2068,
"age_approx": 30,
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"clin_size_long_diam_mm": "3.10",
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"dermoscopic_type": "contact polarized",
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"image_type": "dermoscopic",
"lesion_id": "IL_9685250",
"melanocytic": true,
"patient_id": "IP_6098503",
"personal_hx_mm": false,
"sex": "female"
}
{
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"diagnosis_2": "Benign melanocytic proliferations",
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"family_hx_mm": false,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_9198580",
"melanocytic": true,
"patient_id": "IP_1764181",
"personal_hx_mm": true,
"sex": "female"
}
{
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"age_approx": 75,
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"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign melanocytic proliferations",
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"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_9524520",
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"patient_id": "IP_1764181",
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"sex": "female"
}
{
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"family_hx_mm": false,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_0175063",
"melanocytic": false,
"patient_id": "IP_9624374",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
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"anatom_site_general": "upper extremity",
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"image_type": "dermoscopic",
"lesion_id": "IL_9853659",
"melanocytic": true,
"patient_id": "IP_1988953",
"personal_hx_mm": true,
"sex": "male"
}
{
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"dermoscopic_type": "contact non-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_7203080",
"melanocytic": true,
"patient_id": "IP_1988953",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
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"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": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_2233573",
"melanocytic": true,
"patient_id": "IP_8489106",
"personal_hx_mm": true,
"sex": "male"
}
{
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"image_type": "dermoscopic",
"lesion_id": "IL_5950317",
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"patient_id": "IP_8489106",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 2693,
"age_approx": 70,
"anatom_site_general": "head/neck",
"clin_size_long_diam_mm": "5.40",
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"diagnosis_1": "Malignant",
"diagnosis_2": "Malignant melanocytic proliferations (Melanoma)",
"diagnosis_3": "Melanoma in situ",
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"fitzpatrick_skin_type": "I",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_4758821",
"melanocytic": true,
"patient_id": "IP_5748247",
"personal_hx_mm": true,
"sex": "female"
}
{
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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": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_3665493",
"melanocytic": true,
"patient_id": "IP_5912408",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1233,
"age_approx": 80,
"anatom_site_general": "lower extremity",
"clin_size_long_diam_mm": "10.40",
"concomitant_biopsy": true,
"dermoscopic_type": "non-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_8558961",
"melanocytic": true,
"patient_id": "IP_1999627",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 40,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "4.60",
"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_5486717",
"melanocytic": true,
"patient_id": "IP_0770240",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 40,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "3.20",
"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": true,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_7333948",
"melanocytic": true,
"patient_id": "IP_0770240",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 6477,
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"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_5262136",
"melanocytic": true,
"patient_id": "IP_2248025",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1049,
"age_approx": 80,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "9.80",
"concomitant_biopsy": true,
"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_8742309",
"melanocytic": true,
"patient_id": "IP_0541183",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 40,
"anatom_site_general": "upper extremity",
"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_8608695",
"melanocytic": true,
"patient_id": "IP_0583992",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 40,
"anatom_site_general": "upper extremity",
"clin_size_long_diam_mm": "5.60",
"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_4982960",
"melanocytic": true,
"patient_id": "IP_0583992",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 75,
"anatom_site_general": "lateral torso",
"clin_size_long_diam_mm": "17.90",
"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": false,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_5513286",
"melanocytic": true,
"patient_id": "IP_4421863",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 65,
"anatom_site_general": "upper extremity",
"clin_size_long_diam_mm": "3.50",
"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": false,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_9608650",
"melanocytic": true,
"patient_id": "IP_2279622",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 50,
"anatom_site_general": "palms/soles",
"anatom_site_special": "acral palms or soles",
"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_confirm_type": "histopathology",
"family_hx_mm": true,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_3129676",
"melanocytic": true,
"patient_id": "IP_9131471",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 70,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "5.00",
"concomitant_biopsy": true,
"dermoscopic_type": "non-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": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_7612768",
"melanocytic": true,
"patient_id": "IP_3531969",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 60,
"anatom_site_general": "lower extremity",
"clin_size_long_diam_mm": "5.30",
"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_4432312",
"melanocytic": true,
"patient_id": "IP_0395589",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 50,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "5.70",
"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_0627663",
"melanocytic": true,
"patient_id": "IP_3128864",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 75,
"anatom_site_general": "lower extremity",
"clin_size_long_diam_mm": "6.00",
"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": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_9620902",
"melanocytic": true,
"patient_id": "IP_2711304",
"personal_hx_mm": false,
"sex": "female"
}