AI Progress in Skin Lesion Analysis

TL;DR

This paper reviews AI advancements in skin lesion detection, highlighting challenges like bias and low data scenarios, and presents algorithms that perform well even with limited training images.

Contribution

It introduces low shot learning algorithms for skin lesion analysis that maintain high accuracy with minimal training data, addressing key clinical challenges.

Findings

Low shot algorithms achieve 85.26% accuracy with 10 training examples.

Baseline deep learning models drop to near chance accuracy with few samples.

The study emphasizes AI bias mitigation for fair clinical deployment.

Abstract

We examine progress in the use of AI for detecting skin lesions, with particular emphasis on the erythema migrans rash of acute Lyme disease, and other lesions, such as those from conditions like herpes zoster (shingles), tinea corporis, erythema multiforme, cellulitis, insect bites, or tick bites. We discuss important challenges for these applications, in particular the problems of AI bias regarding the lack of skin images in dark skinned individuals, being able to accurately detect, delineate, and segment lesions or regions of interest compared to normal skin in images, and low shot learning (addressing classification with a paucity of training images). Solving these problems ranges from being highly desirable requirements -- e.g. for delineation, which may be useful to disambiguate between similar types of lesions, and perform improved diagnostics -- or required, as is the case for AI de-biasing, to allow for the deployment of fair AI techniques in the clinic for skin lesion analysis. For the problem of low shot learning in particular, we report skin analysis algorithms that gracefully degrade and still perform well at low shots, when compared to baseline algorithms: when using a little as 10 training exemplars per class, the baseline DL algorithm performance significantly degrades, with accuracy of 56.41%, close to chance, whereas the best performing low shot algorithm yields an accuracy of 85.26%.