Skin cancer detection: Applying a deep learning based model driven architecture in the cloud for classifying dermal cell images

Systematic review of approaches to detection and classification of skin cancer using artificial intelligence: Development and prospects

In recent years, there has been a significant improvement in the accuracy of the classification of pigmented skin lesions using artificial intelligence algorithms. Intelligent analysis and classification systems are significantly superior to visual diagnostic methods used by dermatologists and oncologists. However, the application of such systems in clinical practice is severely limited due to a lack of generalizability and risks of potential misclassification. Successful implementation of artificial intelligence-based tools into clinicopathological practice requires a comprehensive study of the effectiveness and performance of existing models, as well as further promising areas for potential research development. The purpose of this systematic review is to investigate and evaluate the accuracy of artificial intelligence technologies for detecting malignant forms of pigmented skin lesions. For the study, 10,589 scientific research and review articles were selected from electronic scientific publishers, of which 171 articles were included in the presented systematic review. All selected scientific articles are distributed according to the proposed neural network algorithms from machine learning to multimodal intelligent architectures and are described in the corresponding sections of the manuscript. This research aims to explore automated skin cancer recognition systems, from simple machine learning algorithms to multimodal ensemble systems based on advanced encoder-decoder models, visual transformers (ViT), and generative and spiking neural networks. In addition, as a result of the analysis, future directions of research, prospects, and potential for further development of automated neural network systems for classifying pigmented skin lesions are discussed.

A systematic literature analysis of multi-organ cancer diagnosis using deep learning techniques

Cancer is becoming the most toxic ailment identified among individuals worldwide. The mortality rate has been increasing rapidly every year, which causes progression in the various diagnostic technologies to handle this illness. The manual procedure for segmentation and classification with a large set of data modalities can be a challenging task. Therefore, a crucial requirement is to significantly develop the computer-assisted diagnostic system intended for the initial cancer identification. This article offers a systematic review of Deep Learning approaches using various image modalities to detect multi-organ cancers from 2012 to 2023. It emphasizes the detection of five supreme predominant tumors, i.e., breast, brain, lung, skin, and liver. Extensive review has been carried out by collecting research and conference articles and book chapters from reputed international databases, i.e., Springer Link, IEEE Xplore, Science Direct, PubMed, and Wiley that fulfill the criteria for quality evaluation. This systematic review summarizes the overview of convolutional neural network model architectures and datasets used for identifying and classifying the diverse categories of cancer. This study accomplishes an inclusive idea of ensemble deep learning models that have achieved better evaluation results for classifying the different images into cancer or healthy cases. This paper will provide a broad understanding to the research scientists within the domain of medical imaging procedures of which deep learning technique perform best over which type of dataset, extraction of features, different confrontations, and their anticipated solutions for the complex problems. Lastly, some challenges and issues which control the health emergency have been discussed.

Trained neural networking framework based skin cancer diagnosis and categorization using grey wolf optimization

Skin Cancer is caused due to the mutational differences in epidermis hormones and patch appearances. Many studies are focused on the design and development of effective approaches in diagnosis and categorization of skin cancer. The decisions are made on independent training dataset under limited editions and scenarios. In this research, the kaggle based datasets are optimized and categorized into a labeled data array towards indexing using Federated learning (FL). The technique is developed on grey wolf optimization algorithm to assure the dataset attribute dependencies are extracted and dimensional mapping is processed. The threshold value validation of the dimensional mapping datasets is effectively optimized and trained under the neural networking framework further expanded via federated learning standards. The technique has demonstrated 95.82% accuracy under GWO technique and 94.9% on inter-combination of Trained Neural Networking (TNN) framework and Recessive Learning (RL) in accuracy.

Skin Cancer Detection and Classification Using Neural Network Algorithms: A Systematic Review

In recent years, there has been growing interest in the use of computer-assisted technology for early detection of skin cancer through the analysis of dermatoscopic images. However, the accuracy illustrated behind the state-of-the-art approaches depends on several factors, such as the quality of the images and the interpretation of the results by medical experts. This systematic review aims to critically assess the efficacy and challenges of this research field in order to explain the usability and limitations and highlight potential future lines of work for the scientific and clinical community. In this study, the analysis was carried out over 45 contemporary studies extracted from databases such as Web of Science and Scopus. Several computer vision techniques related to image and video processing for early skin cancer diagnosis were identified. In this context, the focus behind the process included the algorithms employed, result accuracy, and validation metrics. Thus, the results yielded significant advancements in cancer detection using deep learning and machine learning algorithms. Lastly, this review establishes a foundation for future research, highlighting potential contributions and opportunities to improve the effectiveness of skin cancer detection through machine learning.

A survey on cancer detection via convolutional neural networks: Current challenges and future directions

Cancer is a condition in which abnormal cells uncontrollably split and damage the body tissues. Hence, detecting cancer at an early stage is highly essential. Currently, medical images play an indispensable role in detecting various cancers; however, manual interpretation of these images by radiologists is observer-dependent, time-consuming, and tedious. An automatic decision-making process is thus an essential need for cancer detection and diagnosis. This paper presents a comprehensive survey on automated cancer detection in various human body organs, namely, the breast, lung, liver, prostate, brain, skin, and colon, using convolutional neural networks (CNN) and medical imaging techniques. It also includes a brief discussion about deep learning based on state-of-the-art cancer detection methods, their outcomes, and the possible medical imaging data used. Eventually, the description of the dataset used for cancer detection, the limitations of the existing solutions, future trends, and challenges in this domain are discussed. The utmost goal of this paper is to provide a piece of comprehensive and insightful information to researchers who have a keen interest in developing CNN-based models for cancer detection.

FP-CNN: Fuzzy pooling-based convolutional neural network for lung ultrasound image classification with explainable AI

The COVID-19 pandemic wreaks havoc on healthcare systems all across the world. In pandemic scenarios like COVID-19, the applicability of diagnostic modalities is crucial in medical diagnosis, where non-invasive ultrasound imaging has the potential to be a useful biomarker. This research develops a computer-assisted intelligent methodology for ultrasound lung image classification by utilizing a fuzzy pooling-based convolutional neural network FP-CNN with underlying evidence of particular decisions. The fuzzy-pooling method finds better representative features for ultrasound image classification. The FPCNN model categorizes ultrasound images into one of three classes: covid, disease-free (normal), and pneumonia. Explanations of diagnostic decisions are crucial to ensure the fairness of an intelligent system. This research has used Shapley Additive Explanation (SHAP) to explain the prediction of the FP-CNN models. The prediction of the black-box model is illustrated using the SHAP explanation of the intermediate layers of the black-box model. To determine the most effective model, we have tested different state-of-the-art convolutional neural network architectures with various training strategies, including fine-tuned models, single-layer fuzzy pooling models, and fuzzy pooling at all pooling layers. Among different architectures, the Xception model with all pooling layers having fuzzy pooling achieves the best classification results of 97.2% accuracy. We hope our proposed method will be helpful for the clinical diagnosis of covid-19 from lung ultrasound (LUS) images.

Deep Learning-Based Skin Lesion Multi-class Classification with Global Average Pooling Improvement

Cancerous skin lesions are one of the deadliest diseases that have the ability in spreading across other body parts and organs. Conventionally, visual inspection and biopsy methods are widely used to detect skin cancers. However, these methods have some drawbacks, and the prediction is not highly accurate. This is where a dependable automatic recognition system for skin cancers comes into play. With the extensive usage of deep learning in various aspects of medical health, a novel computer-aided dermatologist tool has been suggested for the accurate identification and classification of skin lesions by deploying a novel deep convolutional neural network (DCNN) model that incorporates global average pooling along with preprocessing to discern the skin lesions. The proposed model is trained and tested on the HAM10000 dataset, which contains seven different classes of skin lesions as target classes. The black hat filtering technique has been applied to remove artifacts in the preprocessing stage along with the resampling techniques to balance the data. The performance of the proposed model is evaluated by comparing it with some of the transfer learning models such as ResNet50, VGG-16, MobileNetV2, and DenseNet121. The proposed model provides an accuracy of 97.20%, which is the highest among the previous state-of-art models for multi-class skin lesion classification. The efficacy of the proposed model is also validated by visualizing the results obtained using a graphical user interface (GUI).

Assist-Dermo: A Lightweight Separable Vision Transformer Model for Multiclass Skin Lesion Classification

A dermatologist-like automatic classification system is developed in this paper to recognize nine different classes of pigmented skin lesions (PSLs), using a separable vision transformer (SVT) technique to assist clinical experts in early skin cancer detection. In the past, researchers have developed a few systems to recognize nine classes of PSLs. However, they often require enormous computations to achieve high performance, which is burdensome to deploy on resource-constrained devices. In this paper, a new approach to designing SVT architecture is developed based on SqueezeNet and depthwise separable CNN models. The primary goal is to find a deep learning architecture with few parameters that has comparable accuracy to state-of-the-art (SOTA) architectures. This paper modifies the SqueezeNet design for improved runtime performance by utilizing depthwise separable convolutions rather than simple conventional units. To develop this Assist-Dermo system, a data augmentation technique is applied to control the PSL imbalance problem. Next, a pre-processing step is integrated to select the most dominant region and then enhance the lesion patterns in a perceptual-oriented color space. Afterwards, the Assist-Dermo system is designed to improve efficacy and performance with several layers and multiple filter sizes but fewer filters and parameters. For the training and evaluation of Assist-Dermo models, a set of PSL images is collected from different online data sources such as Ph2, ISBI-2017, HAM10000, and ISIC to recognize nine classes of PSLs. On the chosen dataset, it achieves an accuracy (ACC) of 95.6%, a sensitivity (SE) of 96.7%, a specificity (SP) of 95%, and an area under the curve (AUC) of 0.95. The experimental results show that the suggested Assist-Dermo technique outperformed SOTA algorithms when recognizing nine classes of PSLs. The Assist-Dermo system performed better than other competitive systems and can support dermatologists in the diagnosis of a wide variety of PSLs through dermoscopy. The Assist-Dermo model code is freely available on GitHub for the scientific community.

ACO-KELM: Anti Coronavirus Optimized Kernel-based Softplus Extreme Learning Machine for Classification of Skin Cancer

Due to the presence of redundant and irrelevant features in large-dimensional biomedical datasets, the prediction accuracy of disease diagnosis can often be decreased. Therefore, it is important to adopt feature extraction methodologies that can deal with problem structures and identify underlying data patterns. In this paper, we propose a novel approach called the Anti Coronavirus Optimized Kernel-based Softplus Extreme Learning Machine (ACO-KSELM) to accurately predict different types of skin cancer by analyzing high-dimensional datasets. To evaluate the proposed ACO-KSELM method, we used four different skin cancer image datasets: ISIC 2016, ACS, HAM10000, and PAD-UFES-20. These dermoscopic image datasets were preprocessed using Gaussian filters to remove noise and artifacts, and relevant features based on color, texture, and shape were extracted using color histogram, Haralick texture, and Hu moment extraction approaches, respectively. Finally, the proposed ACO-KSELM method accurately predicted and classified the extracted features into Basal Cell Carcinoma (BCC), Squamous Cell Carcinoma (SCC), Actinic Keratosis (ACK), Seborrheic Keratosis (SEK), Bowen's disease (BOD), Melanoma (MEL), and Nevus (NEV) categories. The analytical results showed that the proposed method achieved a higher rate of prediction accuracy of about 98.9%, 98.7%, 98.6%, and 97.9% for the ISIC 2016, ACS, HAM10000, and PAD-UFES-20 datasets, respectively.

Salama A, Mustafa Hilal A, Alsaid MI, Osman AE, Alneil AA. Henry Gas Solubility Optimization Algorithm based Feature Extraction in Dermoscopic Images Analysis of Skin Cancer

Artificial Intelligence (AI) techniques have changed the general perceptions about medical diagnostics, especially after the introduction and development of Convolutional Neural Networks (CNN) and advanced Deep Learning (DL) and Machine Learning (ML) approaches. In general, dermatologists visually inspect the images and assess the morphological variables such as borders, colors, and shapes to diagnose the disease. In this background, AI techniques make use of algorithms and computer systems to mimic the cognitive functions of the human brain and assist clinicians and researchers. In recent years, AI has been applied extensively in the domain of dermatology, especially for the detection and classification of skin cancer and other general skin diseases. In this research article, the authors propose an Optimal Multi-Attention Fusion Convolutional Neural Network-based Skin Cancer Diagnosis (MAFCNN-SCD) technique for the detection of skin cancer in dermoscopic images. The primary aim of the proposed MAFCNN-SCD technique is to classify skin cancer on dermoscopic images. In the presented MAFCNN-SCD technique, the data pre-processing is performed at the initial stage. Next, the MAFNet method is applied as a feature extractor with Henry Gas Solubility Optimization (HGSO) algorithm as a hyperparameter optimizer. Finally, the Deep Belief Network (DBN) method is exploited for the detection and classification of skin cancer. A sequence of simulations was conducted to establish the superior performance of the proposed MAFCNN-SCD approach. The comprehensive comparative analysis outcomes confirmed the supreme performance of the proposed MAFCNN-SCD technique over other methodologies.

Multi-Models of Analyzing Dermoscopy Images for Early Detection of Multi-Class Skin Lesions Based on Fused Features

Melanoma is a cancer that threatens life and leads to death. Effective detection of skin lesion types by images is a challenging task. Dermoscopy is an effective technique for detecting skin lesions. Early diagnosis of skin cancer is essential for proper treatment. Skin lesions are similar in their early stages, so manual diagnosis is difficult. Thus, artificial intelligence techniques can analyze images of skin lesions and discover hidden features not seen by the naked eye. This study developed hybrid techniques based on hybrid features to effectively analyse dermoscopic images to classify two datasets, HAM10000 and PH2, of skin lesions. The images have been optimized for all techniques, and the problem of imbalance between the two datasets has been resolved. The HAM10000 and PH2 datasets were classified by pre-trained MobileNet and ResNet101 models. For effective detection of the early stages skin lesions, hybrid techniques SVM-MobileNet, SVM-ResNet101 and SVM-MobileNet-ResNet101 were applied, which showed better performance than pre-trained CNN models due to the effectiveness of the handcrafted features that extract the features of color, texture and shape. Then, handcrafted features were combined with the features of the MobileNet and ResNet101 models to form a high accuracy feature. Finally, features of MobileNet-handcrafted and ResNet101-handcrafted were sent to ANN for classification with high accuracy. For the HAM10000 dataset, the ANN with MobileNet and handcrafted features achieved an AUC of 97.53%, accuracy of 98.4%, sensitivity of 94.46%, precision of 93.44% and specificity of 99.43%. Using the same technique, the PH2 data set achieved 100% for all metrics.

AI-Powered Diagnosis of Skin Cancer: A Contemporary Review, Open Challenges and Future Research Directions

Skin cancer continues to remain one of the major healthcare issues across the globe. If diagnosed early, skin cancer can be treated successfully. While early diagnosis is paramount for an effective cure for cancer, the current process requires the involvement of skin cancer specialists, which makes it an expensive procedure and not easily available and affordable in developing countries. This dearth of skin cancer specialists has given rise to the need to develop automated diagnosis systems. In this context, Artificial Intelligence (AI)-based methods have been proposed. These systems can assist in the early detection of skin cancer and can consequently lower its morbidity, and, in turn, alleviate the mortality rate associated with it. Machine learning and deep learning are branches of AI that deal with statistical modeling and inference, which progressively learn from data fed into them to predict desired objectives and characteristics. This survey focuses on Machine Learning and Deep Learning techniques deployed in the field of skin cancer diagnosis, while maintaining a balance between both techniques. A comparison is made to widely used datasets and prevalent review papers, discussing automated skin cancer diagnosis. The study also discusses the insights and lessons yielded by the prior works. The survey culminates with future direction and scope, which will subsequently help in addressing the challenges faced within automated skin cancer diagnosis.

FACES: A Deep-Learning-Based Parametric Model to Improve Rosacea Diagnoses

Rosacea is a chronic inflammatory skin disorder that causes visible blood vessels and redness on the nose, chin, cheeks, and forehead. However, visual assessment, the current standard method used to identify rosacea, is often subjective among clinicians and results in high variation. Recent advances in artificial intelligence have allowed for the effective detection of various skin diseases with high accuracy and consistency. In this study, we develop a new methodology, coined "five accurate CNNs-based evaluation system (FACES)", to identify and classify rosacea more efficiently. First, 19 CNN-based models that have been widely used for image classification were trained and tested via training and validation data sets. Next, the five best performing models were selected based on accuracy, which served as a weight value for FACES. At the same time, we also applied a majority rule to five selected models to detect rosacea. The results exhibited that the performance of FACES was superior to that of the five individual CNN-based models and the majority rule in terms of accuracy, sensitivity, specificity, and precision. In particular, the accuracy and sensitivity of FACES were the highest, and the specificity and precision were higher than most of the individual models. To improve the performance of our system, future studies must consider patient details, such as age, gender, and race, and perform comparison tests between our model system and clinicians.

Melanoma Detection Using Deep Learning-Based Classifications

One of the most prevalent cancers worldwide is skin cancer, and it is becoming more common as the population ages. As a general rule, the earlier skin cancer can be diagnosed, the better. As a result of the success of deep learning (DL) algorithms in other industries, there has been a substantial increase in automated diagnosis systems in healthcare. This work proposes DL as a method for extracting a lesion zone with precision. First, the image is enhanced using Enhanced Super-Resolution Generative Adversarial Networks (ESRGAN) to improve the image's quality. Then, segmentation is used to segment Regions of Interest (ROI) from the full image. We employed data augmentation to rectify the data disparity. The image is then analyzed with a convolutional neural network (CNN) and a modified version of Resnet-50 to classify skin lesions. This analysis utilized an unequal sample of seven kinds of skin cancer from the HAM10000 dataset. With an accuracy of 0.86, a precision of 0.84, a recall of 0.86, and an F-score of 0.86, the proposed CNN-based Model outperformed the earlier study's results by a significant margin. The study culminates with an improved automated method for diagnosing skin cancer that benefits medical professionals and patients.

An Enhanced Transfer Learning Based Classification for Diagnosis of Skin Cancer

Skin cancer is the most commonly diagnosed and reported malignancy worldwide. To reduce the death rate from cancer, it is essential to diagnose skin cancer at a benign stage as soon as possible. To save lives, an automated system that can detect skin cancer in its earliest stages is necessary. For the diagnosis of skin cancer, various researchers have performed tasks using deep learning and transfer learning models. However, the existing literature is limited in terms of its accuracy and its troublesome and time-consuming process. As a result, it is critical to design an automatic system that can deliver a fast judgment and considerably reduce mistakes in diagnosis. In this work, a deep learning-based model has been designed for the identification of skin cancer at benign and malignant stages using the concept of transfer learning approach. For this, a pre-trained VGG16 model is improved by adding one flatten layer, two dense layers with activation function (LeakyReLU) and another dense layer with activation function (sigmoid) to enhance the accuracy of this model. This proposed model is evaluated on a dataset obtained from Kaggle. The techniques of data augmentation are applied in order to enhance the random-ness among the input dataset for model stability. The proposed model has been validated by considering several useful hyper parameters such as different batch sizes of 8, 16, 32, 64, and 128; different epochs and optimizers. The proposed model is working best with an overall accuracy of 89.09% on 128 batch size with the Adam optimizer and 10 epochs and outperforms state-of-the-art techniques. This model will help dermatologists in the early diagnosis of skin cancers.

Role of Artificial Intelligence and Deep Learning in Easier Skin Cancer Detection through Antioxidants Present in Food

Skin cancer is one of the most common types of cancer that has a high mortality rate. Majorly, two types of skin cancer are the most common, which are melanoma and nonmelanoma skin cancer. Each year, approximately 55% of individuals die due to skin cancer. Early detection of skin cancer enhances the survival rate of individuals. There are various antioxidants like vitamins C, E, and A, zinc, and selenium present in various foods that can be helpful in preventing skin cancer. “Deep Learning” (DL) is an effective method to detect cancerous lesions. The study’s purpose is to comprehend the vital function performed by DL methods in supporting healthcare professionals in easier skin cancer detection using big data networks. The present research analyzes the accuracy, sensitivity, and specificity of “Convolutional Neural Network” (CNN) for DL in the early detection of skin cancer. A statistical analysis has been done with IBM SPSS software to understand how the accuracy, sensitivity, and specificity of CNN change with the change in image number, augmentation number, epochs, and resolution of images. These factors have been considered independent variables, and accuracy, sensitivity, and specificity have been considered the dependent variables. After that, a linear regression analysis was carried out to obtain t and $p$ values. The major scope of the study is to analyze the major role played by the DL models through the big data network in the medical industry. The researchers also found that when additional characteristics are present, image resolution does not have the potential to reduce image accuracy, specificity, or sensitivity. The scope of the study is more focused on using a DL-based big data network for supporting healthcare workers in detecting skin cancer at an early stage and the role of technology in supporting medical practitioners in rendering better treatment. Findings showed that the number of training images increases the accuracy, sensitivity, and specificity of CNN architecture when various and effective augmentation techniques are used. Image resolution did not show any significant relationship with accuracy. The number of epochs positively affected the accuracy, sensitivity, and specificity; however, more than 98% accuracy has been observed with epochs between 50 and 70.

Deep Learning Methods for Accurate Skin Cancer Recognition and Mobile Application

Although many efforts have been made through past years, skin cancer recognition from medical images is still an active area of research aiming at more accurate results. Many efforts have been made in recent years based on deep learning neural networks. Only a few, however, are based on a single deep learning model and targeted to create a mobile application. Contributing to both efforts, first we present a summary of the required medical knowledge on skin cancer, followed by an extensive summary of the most recent related works. Afterwards, we present 11 CNN (convolutional neural network) candidate single architectures. We train and test those 11 CNN architectures, using the HAM10000 dataset, concerning seven skin lesion classes. To face the imbalance problem and the high similarity between images of some skin lesions, we apply data augmentation (during training), transfer learning and fine-tuning. From the 11 CNN architecture configurations, DenseNet169 produced the best results. It achieved an accuracy of 92.25%, a recall (sensitivity) of 93.59% and an F1-score of 93.27%, which outperforms existing state-of-the-art efforts. We used a light version of DenseNet169 in constructing a mobile android application, which was mapped as a two-class model (benign or malignant). A picture is taken via the mobile device camera, and after manual cropping, it is classified into benign or malignant type. The application can also inform the user about the allowed sun exposition time based on the current UV radiation degree, the phototype of the user’s skin and the degree of the used sunscreen. In conclusion, we achieved state-of-the-art results in skin cancer recognition based on a single, relatively light deep learning model, which we also used in a mobile application.

Backdoor Attack on Machine Learning Models of Electronic Health Records: Exploiting Missing Value Patterns (Preprint)

Background

A backdoor attack controls the output of a machine learning model in 2 stages. First, the attacker poisons the training data set, introducing a back door into the victim’s trained model. Second, during test time, the attacker adds an imperceptible pattern called a trigger to the input values, which forces the victim’s model to output the attacker’s intended values instead of true predictions or decisions. While backdoor attacks pose a serious threat to the reliability of machine learning–based medical diagnostics, existing backdoor attacks that directly change the input values are detectable relatively easily.

Objective

The goal of this study was to propose and study a robust backdoor attack on mortality-prediction machine learning models that use electronic health records. We showed that our backdoor attack grants attackers full control over classification outcomes for safety-critical tasks such as mortality prediction, highlighting the importance of undertaking safe artificial intelligence research in the medical field.

Methods

We present a trigger generation method based on missing patterns in electronic health record data. Compared to existing approaches, which introduce noise into the medical record, the proposed backdoor attack makes it simple to construct backdoor triggers without prior knowledge. To effectively avoid detection by manual inspectors, we employ variational autoencoders to learn the missing patterns in normal electronic health record data and produce trigger data that appears similar to this data.

Results

We experimented with the proposed backdoor attack on 4 machine learning models (linear regression, multilayer perceptron, long short-term memory, and gated recurrent units) that predict in-hospital mortality using a public electronic health record data set. The results showed that the proposed technique achieved a significant drop in the victim’s discrimination performance (reducing the area under the precision-recall curve by at most 0.45), with a low poisoning rate (2%) in the training data set. In addition, the impact of the attack on general classification performance was negligible (it reduced the area under the precision-recall curve by an average of 0.01025), which makes it difficult to detect the presence of poison.

Conclusions

To the best of our knowledge, this is the first study to propose a backdoor attack that uses missing information from tabular data as a trigger. Through extensive experiments, we demonstrated that our backdoor attack can inflict severe damage on medical machine learning classifiers in practice.

LinkNet-B7: Noise Removal and Lesion Segmentation in Images of Skin Cancer

Skin cancer is common nowadays. Early diagnosis of skin cancer is essential to increase patients’ survival rate. In addition to traditional methods, computer-aided diagnosis is used in diagnosis of skin cancer. One of the benefits of this method is that it eliminates human error in cancer diagnosis. Skin images may contain noise such as like hair, ink spots, rulers, etc., in addition to the lesion. For this reason, noise removal is required. The noise reduction in lesion images can be referred to as noise removal. This phase is very important for the correct segmentation of the lesions. One of the most critical problems in using such automated methods is the inaccuracy in cancer diagnosis because noise removal and segmentation cannot be performed effectively. We have created a noise dataset (hair, rulers, ink spots, etc.) that includes 2500 images and masks. There is no such noise dataset in the literature. We used this dataset for noise removal in skin cancer images. Two datasets from the International Skin Imaging Collaboration (ISIC) and the PH2 were used in this study. In this study, a new approach called LinkNet-B7 for noise removal and segmentation of skin cancer images is presented. LinkNet-B7 is a LinkNet-based approach that uses EfficientNetB7 as the encoder. We used images with 16 slices. This way, we lose fewer pixel values. LinkNet-B7 has a 6% higher success rate than LinkNet with the same dataset and parameters. Training accuracy for noise removal and lesion segmentation was calculated to be 95.72% and 97.80%, respectively.

Modified PNN classifier for diagnosing skin cancer severity condition using SMO optimization technique

<abstract> <p>Skin cancer is a pandemic disease now worldwide, and it is responsible for numerous deaths. Early phase detection is pre-eminent for controlling the spread of tumours throughout the body. However, existing algorithms for skin cancer severity detections still have some drawbacks, such as the analysis of skin lesions is not insignificant, slightly worse than that of dermatologists, and costly and time-consuming. Various machine learning algorithms have been used to detect the severity of the disease diagnosis. But it is more complex when detecting the disease. To overcome these issues, a modified Probabilistic Neural Network (MPNN) classifier has been proposed to determine the severity of skin cancer. The proposed method contains two phases such as training and testing the data. The collected features from the data of infected people are used as input to the modified PNN classifier in the current model. The neural network is also trained using Spider Monkey Optimization (SMO) approach. For analyzing the severity level, the classifier predicts four classes. The degree of skin cancer is determined depending on classifications. According to findings, the system achieved a 0.10% False Positive Rate (FPR), 0.03% error and 0.98% accuracy, while previous methods like KNN, NB, RF and SVM have accuracies of 0.90%, 0.70%, 0.803% and 0.86% correspondingly, which is lesser than the proposed approach.</p> </abstract>

Dermatology disease prediction based on firefly optimization of ANFIS classifier

<abstract> <p>The rate of increase in skin cancer incidences has become worrying in recent decades. This is because of constraints like eventual draining of ozone levels, air's defensive channel capacity and progressive arrival of Sun-oriented UV radiation to the Earth's surface. The failure to diagnose skin cancer early is one of the leading causes of death from the disease. Manual detection processes consume more time well as not accurate, so the researchers focus on developing an automated disease classification method. In this paper, an automated skin cancer classification is achieved using an adaptive neuro-fuzzy inference system (ANFIS). A hybrid feature selection technique was developed to choose relevant feature subspace from the dermatology dataset. ANFIS analyses the dataset to give an effective outcome. ANFIS acts as both fuzzy and neural network operations. The input is converted into a fuzzy value using the Gaussian membership function. The optimal set of variables for the Membership Function (MF) is generated with the help of the firefly optimization algorithm (FA). FA is a new and strong meta-heuristic algorithm for solving nonlinear problems. The proposed method is designed and validated in the Python tool. The proposed method gives 99% accuracy and a 0.1% false-positive rate. In addition, the proposed method outcome is compared to other existing methods like improved fuzzy model (IFM), fuzzy model (FM), random forest (RF), and Naive Byes (NB).</p> </abstract>

Deep Learning-Based Transfer Learning for Classification of Skin Cancer

One of the major health concerns for human society is skin cancer. When the pigments producing skin color turn carcinogenic, this disease gets contracted. A skin cancer diagnosis is a challenging process for dermatologists as many skin cancer pigments may appear similar in appearance. Hence, early detection of lesions (which form the base of skin cancer) is definitely critical and useful to completely cure the patients suffering from skin cancer. Significant progress has been made in developing automated tools for the diagnosis of skin cancer to assist dermatologists. The worldwide acceptance of artificial intelligence-supported tools has permitted usage of the enormous collection of images of lesions and benevolent sores approved by histopathology. This paper performs a comparative analysis of six different transfer learning nets for multi-class skin cancer classification by taking the HAM10000 dataset. We used replication of images of classes with low frequencies to counter the imbalance in the dataset. The transfer learning nets that were used in the analysis were VGG19, InceptionV3, InceptionResNetV2, ResNet50, Xception, and MobileNet. Results demonstrate that replication is suitable for this task, achieving high classification accuracies and F-measures with lower false negatives. It is inferred that Xception Net outperforms the rest of the transfer learning nets used for the study, with an accuracy of 90.48. It also has the highest recall, precision, and F-Measure values.

TopoResNet: A Hybrid Deep Learning Architecture and Its Application to Skin Lesion Classification

The application of artificial intelligence (AI) to various medical subfields has been a popular topic of research in recent years. In particular, deep learning has been widely used and has proven effective in many cases. Topological data analysis (TDA)—a rising field at the intersection of mathematics, statistics, and computer science—offers new insights into data. In this work, we develop a novel deep learning architecture that we call TopoResNet that integrates topological information into the residual neural network architecture. To demonstrate TopoResNet, we apply it to a skin lesion classification problem. We find that TopoResNet improves the accuracy and the stability of the training process.

Assessment the Effect of Ficus carica Leaf Extract on B16F10 Melanoma Cancer Cells: The Roles of p53, Caspase-3 & Caspase-9 on Induction of Intrinsic Apoptosis Cascade

Background: Melanoma is the most serious kind of skin cancer which has significantly increased in recent decades, and the importance of its primary treatment is increased widely. Ficus carica leaves have various therapeutic impact such as anti-inflammatory, anti-proliferative and apoptotic activity. Objectives: Hence, regarding the F. carica effect on the treatment of various diseases, the present research was conducted to identify the effect of methanolic extract of F. carica leaf on apoptosis induction in B16F10 melanoma cancer cells. Methods: Cell survival was estimated by MTT assay after treatment of B16F10 cells in various concentrations of F. carica leaf extract (150, 250, 350, 450, 550, 650, 750 and 850 μg /mL) for 24 and 48 h. Cell apoptosis was analysed by AO/PI and DAPI staining, Annexin V/Propidium Iodide flow cytometry. Moreover, Real-time PCR was utilized to evaluate the expression of apoptotic genes including p53, Bax, caspase-3 and caspase-9 genes. Results: MTT assay results indicated that methanolic extract of F. carica leaf prevented the proliferation of B16F10 cells in a dose and time dependent manner. AO/PI staining results showed an elevation in apoptotic cells in treated groups and DAPI indicated that F. carica extract resulted in chromatin condensation and fragmentation. Annexin V revealed the increasing percentage of apoptotic cells after treatment. In addition, the up-regulation of apoptotic genes confirmed the apoptosis inducing potential of F. carica leaves in B16F10 cells by Real-time PCR. Conclusions: Thus, methanolic extract of F. carica leaves could be suggested as an effective anti-cancer agent for further studies on melanoma cancer.

Quantum algorithm for quicker clinical prognostic analysis: an application and experimental study using CT scan images of COVID-19 patients

BACKGROUND

In medical diagnosis and clinical practice, diagnosing a disease early is crucial for accurate treatment, lessening the stress on the healthcare system. In medical imaging research, image processing techniques tend to be vital in analyzing and resolving diseases with a high degree of accuracy. This paper establishes a new image classification and segmentation method through simulation techniques, conducted over images of COVID-19 patients in India, introducing the use of Quantum Machine Learning (QML) in medical practice.

METHODS

This study establishes a prototype model for classifying COVID-19, comparing it with non-COVID pneumonia signals in Computed tomography (CT) images. The simulation work evaluates the usage of quantum machine learning algorithms, while assessing the efficacy for deep learning models for image classification problems, and thereby establishes performance quality that is required for improved prediction rate when dealing with complex clinical image data exhibiting high biases.

RESULTS

The study considers a novel algorithmic implementation leveraging quantum neural network (QNN). The proposed model outperformed the conventional deep learning models for specific classification task. The performance was evident because of the efficiency of quantum simulation and faster convergence property solving for an optimization problem for network training particularly for large-scale biased image classification task. The model run-time observed on quantum optimized hardware was 52 min, while on K80 GPU hardware it was 1 h 30 min for similar sample size. The simulation shows that QNN outperforms DNN, CNN, 2D CNN by more than 2.92% in gain in accuracy measure with an average recall of around 97.7%.

CONCLUSION

The results suggest that quantum neural networks outperform in COVID-19 traits' classification task, comparing to deep learning w.r.t model efficacy and training time. However, a further study needs to be conducted to evaluate implementation scenarios by integrating the model within medical devices.

Predicting sun protection measures against skin diseases using machine learning approaches

BACKGROUND

The substantial growth rate of skin cancer has necessitated adequate protection from solar radiation. Consequently, analyzing sun protection practices is an imperative research area in dermatology and pharmacology.

AIMS

This paper aims to analyze public sun-protection manners in the Arabian Peninsula regions.

METHODS

A simple random survey was conducted to assess public sun protection manners. Artificial neural network (ANN) and support vector machine (SVM) were selected from several machine learning algorithms to create the models for predicting public sun protection measures based on the prediction accuracy. Model performances were evaluated based on several performance indicators depending on the confusion matrices and receiver operating characteristic curves.

RESULTS

51% of the respondents have a low level, and 49% have a high level of sun protection practices. The results showed that the SVM performed considerably amended than the ANN for predicting the response. The relative importance of the predictors for the best predictive SVM model was also analyzed. The predictors are ranked as: the number of times having sunburnt >gender > use seat belt while driving/riding a vehicle >considers the UV index for personal sun exposure >income based on the expenses >sports/exercise activities >consciousness of the chance for having sunburnt on extended exposure to the sun >age > having any skin problem >nationality > skin type.

CONCLUSION

These identified significant predictors might be considered for developing an effective policy to increase public consciousness using proper protection from solar radiation's detrimental effect to rule out skin diseases.

HOSMI-LBP-BASED FEATURE EXTRACTION FOR MELANOMA DETECTION USING HYBRID DEEP LEARNING MODELS

“Melanoma is a serious form of skin cancer that begins in cells known as melanocytes and more dangerous due to its spreading ability to other organs more rapidly if it is not treated at an early stage”. This paper aims to propose a Melanoma detection methodology that includes four major phases: “(i) pre-processing (ii) segmentation (iii) the proposed feature extraction and (iv) classification”. Initially, pre-processing is performed, where the input image is subjected to processing like resizing and edge smoothening. Subsequently, segmentation is carried out by the Otsu thresholding process. In the feature extraction phase, the proposed Higher-Order Standardized Moment Induced-Local Binary Patterns (HOSMI-LBP)-based features are extracted. These features are then subjected to a classification process for classifying the disease. For this, it is planned to use a hybrid classification framework, where the Convolutional Neural Network (CNN) and the Neural Network (NN) are deployed. Two-phase of classification gets processed: the extracted features are subjected to NN; the input image is directly classified using an optimized CNN framework. Finally, the classified outputs from NN and optimized CNN are averaged and the final output is considered as detected output. Particularly, the weight and initial rate of CNN is optimized using the proposed algorithm known as the Sea Lion Integrated Grey Wolf Algorithm (SLI-GWO) method that hybrid the concepts of both Sea Lion Optimization (SLnO) and Grey Wolf Optimization (GWO) algorithm. At last, the proposed work performance is computed with traditional systems in terms of various measures.

Computer vision for microscopic skin cancer diagnosis using handcrafted and non-handcrafted features

Skin covers the entire body and is the largest organ. Skin cancer is one of the most dreadful cancers that is primarily triggered by sensitivity to ultraviolet rays from the sun. However, the riskiest is melanoma, although it starts in a few different ways. The patient is extremely unaware of recognizing skin malignant growth at the initial stage. Literature is evident that various handcrafted and automatic deep learning features are employed to diagnose skin cancer using the traditional machine and deep learning techniques. The current research presents a comparison of skin cancer diagnosis techniques using handcrafted and non-handcrafted features. Additionally, clinical features such as Menzies method, seven-point detection, asymmetry, border color and diameter, visual textures (GRC), local binary patterns, Gabor filters, random fields of Markov, fractal dimension, and an oriental histography are also explored in the process of skin cancer detection. Several parameters, such as jacquard index, accuracy, dice efficiency, preciseness, sensitivity, and specificity, are compared on benchmark data sets to assess reported techniques. Finally, publicly available skin cancer data sets are described and the remaining issues are highlighted.

A Multivariate Poisson Deep Learning Model for Genomic Prediction of Count Data

The paradigm called genomic selection (GS) is a revolutionary way of developing new plants and animals. This is a predictive methodology, since it uses learning methods to perform its task. Unfortunately, there is no universal model that can be used for all types of predictions; for this reason, specific methodologies are required for each type of output (response variables). Since there is a lack of efficient methodologies for multivariate count data outcomes, in this paper, a multivariate Poisson deep neural network (MPDN) model is proposed for the genomic prediction of various count outcomes simultaneously. The MPDN model uses the minus log-likelihood of a Poisson distribution as a loss function, in hidden layers for capturing nonlinear patterns using the rectified linear unit (RELU) activation function and, in the output layer, the exponential activation function was used for producing outputs on the same scale of counts. The proposed MPDN model was compared to conventional generalized Poisson regression models and univariate Poisson deep learning models in two experimental data sets of count data. We found that the proposed MPDL outperformed univariate Poisson deep neural network models, but did not outperform, in terms of prediction, the univariate generalized Poisson regression models. All deep learning models were implemented in Tensorflow as back-end and Keras as front-end, which allows implementing these models on moderate and large data sets, which is a significant advantage over previous GS models for multivariate count data.

Convolutional capsnet: A novel artificial neural network approach to detect COVID-19 disease from X-ray images using capsule networks

Coronavirus is an epidemic that spreads very quickly. For this reason, it has very devastating effects in many areas worldwide. It is vital to detect COVID-19 diseases as quickly as possible to restrain the spread of the disease. The similarity of COVID-19 disease with other lung infections makes the diagnosis difficult. In addition, the high spreading rate of COVID-19 increased the need for a fast system for the diagnosis of cases. For this purpose, interest in various computer-aided (such as CNN, DNN, etc.) deep learning models has been increased. In these models, mostly radiology images are applied to determine the positive cases. Recent studies show that, radiological images contain important information in the detection of coronavirus. In this study, a novel artificial neural network, Convolutional CapsNet for the detection of COVID-19 disease is proposed by using chest X-ray images with capsule networks. The proposed approach is designed to provide fast and accurate diagnostics for COVID-19 diseases with binary classification (COVID-19, and No-Findings), and multi-class classification (COVID-19, and No-Findings, and Pneumonia). The proposed method achieved an accuracy of 97.24%, and 84.22% for binary class, and multi-class, respectively. It is thought that the proposed method may help physicians to diagnose COVID-19 disease and increase the diagnostic performance. In addition, we believe that the proposed method may be an alternative method to diagnose COVID-19 by providing fast screening.

Proposing a novel unsupervised stack ensemble of deep and conventional image segmentation (SEDCIS) method for localizing vitiligo lesions in skin images

BACKGROUND

Vitiligo is an acquired pigmentary skin disorder characterized by depigmented macules and patches which brings many challenges for the patients suffering from. For vitiligo severity assessment, several scoring methods have been proposed based on morphometry and colorimetry. But, all methods suffer from much inter- and intra-observer variations for estimating the depigmented area. For all mentioned assessment methods of vitiligo disorder, accurate segmentation of the skin images for lesion detection and localization is required. The image segmentation for localizing vitiligo skin lesions has many challenges because of illumination variation, different shapes and sizes of vitiligo lesions, vague lesion boundaries and skin hairs and vignette effects. The manual image segmentation is a tedious and time-consuming task. Therefore, using automatic image segmentation methods for lesion detection is necessarily required.

MATERIALS AND METHODS

In this study, a novel unsupervised stack ensemble of deep and conventional image segmentation (SEDCIS) methods is proposed for localizing vitiligo lesions in skin images. Unsupervised segmentation methods do not require prior manual segmentation of vitiligo lesions which is a tedious and time-consuming task with intra- and inter-observer variations.

RESULTS

Our collected dataset includes 877 images taken from 21 patients with the resolution of 5760*3840 pixels suffering from vitiligo disorder. Experimental results show that SEDCIS outperforms the compared methods with accuracy of 97%, sensitivity of 98%, specificity of 96%, area overlapping of 94%, and Dice index of 97%.

CONCLUSION

The proposed method can segment vitiligo lesions with highly reasonable performance and can be used for assessing the vitiligo lesion surface.

A multilevel features selection framework for skin lesion classification

Melanoma is considered to be one of the deadliest skin cancer types, whose occurring frequency elevated in the last few years; its earlier diagnosis, however, significantly increases the chances of patients’ survival. In the quest for the same, a few computer based methods, capable of diagnosing the skin lesion at initial stages, have been recently proposed. Despite some success, however, margin exists, due to which the machine learning community still considers this an outstanding research challenge. In this work, we come up with a novel framework for skin lesion classification, which integrates deep features information to generate most discriminant feature vector, with an advantage of preserving the original feature space. We utilize recent deep models for feature extraction, and by taking advantage of transfer learning. Initially, the dermoscopic images are segmented, and the lesion region is extracted, which is later subjected to retrain the selected deep models to generate fused feature vectors. In the second phase, a framework for most discriminant feature selection and dimensionality reduction is proposed, entropy-controlled neighborhood component analysis (ECNCA). This hierarchical framework optimizes fused features by selecting the principle components and extricating the redundant and irrelevant data. The effectiveness of our design is validated on four benchmark dermoscopic datasets; PH2, ISIC MSK, ISIC UDA, and ISBI-2017. To authenticate the proposed method, a fair comparison with the existing techniques is also provided. The simulation results clearly show that the proposed design is accurate enough to categorize the skin lesion with 98.8%, 99.2% and 97.1% and 95.9% accuracy with the selected classifiers on all four datasets, and by utilizing less than 3% features.