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_type": "dermoscopic",
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}
{
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"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
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"image_type": "dermoscopic",
"lesion_id": "IL_1628936",
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}
{
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"dermoscopic_type": "contact polarized",
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"diagnosis_2": "Benign melanocytic proliferations",
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"diagnosis_confirm_type": "histopathology",
"family_hx_mm": true,
"fitzpatrick_skin_type": "IV",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_0329525",
"melanocytic": true,
"patient_id": "IP_2865917",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 45,
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"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign melanocytic proliferations",
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"fitzpatrick_skin_type": "III",
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"image_type": "dermoscopic",
"lesion_id": "IL_1964601",
"melanocytic": true,
"patient_id": "IP_3645407",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
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"clin_size_long_diam_mm": "4.90",
"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": false,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_2556082",
"melanocytic": false,
"patient_id": "IP_0680784",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 65,
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"clin_size_long_diam_mm": "10.30",
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"dermoscopic_type": "contact polarized",
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"image_type": "dermoscopic",
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"melanocytic": false,
"patient_id": "IP_0680784",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
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"clin_size_long_diam_mm": "11.10",
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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_9852467",
"melanocytic": true,
"patient_id": "IP_1821795",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 55,
"anatom_site_general": "upper extremity",
"clin_size_long_diam_mm": "5.70",
"concomitant_biopsy": true,
"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_5562128",
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"patient_id": "IP_1821795",
"personal_hx_mm": false,
"sex": "female"
}
{
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"fitzpatrick_skin_type": "II",
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"image_type": "dermoscopic",
"lesion_id": "IL_9790417",
"melanocytic": true,
"patient_id": "IP_8184118",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 60,
"anatom_site_general": "upper extremity",
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"dermoscopic_type": "non-contact polarized",
"diagnosis_1": "Malignant",
"diagnosis_2": "Malignant melanocytic proliferations (Melanoma)",
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"image_type": "dermoscopic",
"lesion_id": "IL_9724781",
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"patient_id": "IP_3015474",
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"sex": "male"
}
{
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"diagnosis_2": "Malignant melanocytic proliferations (Melanoma)",
"diagnosis_3": "Melanoma in situ",
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"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_9193412",
"melanocytic": true,
"patient_id": "IP_4439138",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 70,
"anatom_site_general": "anterior torso",
"clin_size_long_diam_mm": "14.70",
"concomitant_biopsy": true,
"dermoscopic_type": "non-contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign soft tissue proliferations - Fibro-histiocytic",
"diagnosis_3": "Scar",
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"fitzpatrick_skin_type": "I",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_6492894",
"melanocytic": false,
"patient_id": "IP_3306760",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 55,
"anatom_site_general": "lower extremity",
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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_8213468",
"mel_thick_mm": "0.50",
"melanocytic": true,
"patient_id": "IP_0796643",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 70,
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"concomitant_biopsy": true,
"dermoscopic_type": "contact polarized",
"diagnosis_1": "Benign",
"diagnosis_2": "Benign epidermal proliferations",
"diagnosis_3": "Seborrheic keratosis",
"diagnosis_confirm_type": "histopathology",
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"fitzpatrick_skin_type": "III",
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"image_type": "dermoscopic",
"lesion_id": "IL_4187776",
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"patient_id": "IP_4504524",
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"sex": "male"
}
{
"acquisition_day": 1,
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"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_1770640",
"melanocytic": true,
"patient_id": "IP_4504524",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 25,
"anatom_site_general": "lateral torso",
"clin_size_long_diam_mm": "5.50",
"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_9614133",
"melanocytic": true,
"patient_id": "IP_6954173",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1548,
"age_approx": 40,
"anatom_site_general": "lower extremity",
"clin_size_long_diam_mm": "2.60",
"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_7392635",
"melanocytic": true,
"patient_id": "IP_1535132",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 75,
"anatom_site_general": "anterior torso",
"clin_size_long_diam_mm": "5.30",
"concomitant_biopsy": true,
"diagnosis_1": "Malignant",
"diagnosis_2": "Malignant melanocytic proliferations (Melanoma)",
"diagnosis_3": "Melanoma Invasive",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": false,
"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_9708613",
"mel_thick_mm": "0.40",
"melanocytic": true,
"patient_id": "IP_1253621",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
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"fitzpatrick_skin_type": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_5077151",
"melanocytic": true,
"patient_id": "IP_8112740",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 60,
"anatom_site_general": "head/neck",
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"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_5304995",
"melanocytic": false,
"patient_id": "IP_8112740",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 60,
"anatom_site_general": "posterior torso",
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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": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_9810973",
"melanocytic": true,
"patient_id": "IP_8112740",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 60,
"anatom_site_general": "anterior torso",
"clin_size_long_diam_mm": "8.70",
"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": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_1433969",
"mel_thick_mm": "0.40",
"mel_ulcer": false,
"melanocytic": true,
"patient_id": "IP_8112740",
"personal_hx_mm": true,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 70,
"anatom_site_general": "head/neck",
"clin_size_long_diam_mm": "5.20",
"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_6081274",
"melanocytic": true,
"patient_id": "IP_3875916",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 40,
"anatom_site_general": "lower extremity",
"clin_size_long_diam_mm": "3.20",
"concomitant_biopsy": true,
"diagnosis_1": "Benign",
"diagnosis_2": "Benign melanocytic proliferations",
"diagnosis_3": "Nevus",
"diagnosis_4": "Nevus, Spitz",
"diagnosis_confirm_type": "histopathology",
"family_hx_mm": true,
"fitzpatrick_skin_type": "I",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_0178950",
"melanocytic": true,
"patient_id": "IP_8895851",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 60,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "7.30",
"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": "II",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_2167118",
"melanocytic": true,
"patient_id": "IP_3003077",
"personal_hx_mm": false,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 65,
"anatom_site_general": "posterior torso",
"clin_size_long_diam_mm": "13.60",
"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_8867963",
"melanocytic": true,
"patient_id": "IP_3211976",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 20,
"anatom_site_general": "anterior torso",
"clin_size_long_diam_mm": "6.80",
"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": true,
"fitzpatrick_skin_type": "I",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_1354669",
"melanocytic": true,
"patient_id": "IP_4567115",
"personal_hx_mm": true,
"sex": "female"
}
{
"acquisition_day": 1,
"age_approx": 50,
"anatom_site_general": "lower 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": false,
"fitzpatrick_skin_type": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_8024964",
"melanocytic": true,
"patient_id": "IP_1867420",
"personal_hx_mm": false,
"sex": "male"
}
{
"acquisition_day": 1,
"age_approx": 50,
"anatom_site_general": "posterior torso",
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"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": "III",
"image_manipulation": "instrument only",
"image_type": "dermoscopic",
"lesion_id": "IL_8962605",
"melanocytic": true,
"patient_id": "IP_1867420",
"personal_hx_mm": false,
"sex": "male"
}