Sie befinden Sich nicht im Netzwerk der Universität Paderborn. Der Zugriff auf elektronische Ressourcen ist gegebenenfalls nur via VPN oder Shibboleth (DFN-AAI) möglich. mehr Informationen...
Computer-aided decision support for melanoma detection applied on melanocytic and non-melanocytic skin lesions: a comparison of two systems based on automatic analysis of dermoscopic images
Ist Teil von
BioMed research international, 2015
Ort / Verlag
Hindawi Publishing Corporation
Erscheinungsjahr
2015
Quelle
Alma/SFX Local Collection
Beschreibungen/Notizen
Commercially available clinical decision support systems (CDSSs) for skin cancer have been designed for the detection of melanoma
only. Correct use of the systems requires expert knowledge, hampering their utility for nonexperts. Furthermore, there are no
systems to detect other common skin cancer types, that is, nonmelanoma skin cancer (NMSC). As early diagnosis of skin cancer is
essential, there is a need for a CDSS that is applicable to all types of skin lesions and is suitable for nonexperts. Nevus Doctor (ND) is
a CDSS being developed by the authors. We here investigate ND’s ability to detect both melanoma and NMSC and the opportunities
for improvement. An independent test set of dermoscopic images of 870 skin lesions, including 44 melanomas and 101 NMSCs,
were analysed by ND. Its sensitivity to melanoma and NMSC was compared to that of Mole Expert (ME), a commercially available
CDSS, using the same set of lesions. ND and ME had similar sensitivity to melanoma. For ND at 95% melanoma sensitivity, the
NMSC sensitivity was 100%, and the specificity was 12%. The melanomas misclassified by ND at 95% sensitivity were correctly
classified by ME, and vice versa. ND is able to detect NMSC without sacrificing melanoma sensitivity.