Dermatology

Comprehensive Summary

In this study, the authors discuss whether the use of deep learning convolutional neural networks, or DL-CNNs, in coordination with standard dermatological practices increases accuracy when diagnosing cutaneous melanoma. The study was performed by comparing the diagnostic performance of 27 dermatologists to that of the DL-CNN when given 200 lesions. Some dermatologists were given access to the DL-CNN data to see if the information improved their diagnostic accuracy compared to those without it. Each group was then measured for specificity, sensitivity, and ROC-AUC. Vollmer found that the DL-CNN was comparable in sensitivity, but inferior in specificity and ROC-AUC to the dermatologists without access to the DL-CNN data. When given the DL-CNN data, the dermatologists’ sensitivity increased further, without decreasing their ROC-AUC or specificity. The DL-CNN was able to diagnose many types of cutaneous melanoma at a higher rate than the dermatologists, particularly lentigo maligna, nodular cutaneous melanoma, and OTH-M. When dermatologists were given DL-CNN data to assist diagnosis, their diagnostic sensitivity increased variably, with a notable 22.3% increase in identifying OTH-M.

Outcomes and Implications

Through this study, the possible impact of DL-CNN in diagnosing cutaneous melanoma was highlighted. The use of DL-CNN in standard dermatological practice could increase diagnostic accuracy and lead to earlier identification and diagnosis of cutaneous melanomas. Although the increased sensitivity of the software poses risk of overdiagnosis and unnecessary biopsy, the coordination between DL-CNN and traditional dermatological practices could be beneficial in diagnosis.

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© 2025 AIIM. Created by AIIM IT Team

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© 2025 AIIM. Created by AIIM IT Team