Background: The most common types of non-melanoma skin cancer are basal cell carcinoma (BCC), and squamous cell carcinoma (SCC). AKIEC -Actinic keratoses (Solar keratoses) and intraepithelial carcinoma (Bowen’s disease)- are common non-invasive precursors of SCC, which may progress to invasive SCC, if left untreated. Due to the importance of early detection in cancer treatment, this study aimed to propose a computer-based model for identification non-melanoma malignancies.
Methods: In this analytic study, 327 AKIEC, 513 BCC, and 840 benign keratosis images from human against machine with 10000 training dermoscopy images (HAM10000) were extracted. From each of these three types, 90% of the images were designated as the training set and the remaining images were considered as the test set. A deep learning convolutional neural network (CNN) was developed for skin cancer detection by using AlexNet (Krizhevsky, et al., 2012) as a pretrained network. First, the model was trained on the training images to discriminate between benign and malignant lesions. In comparison with conventional methods, the main advantage of the proposed approach is that it does not need cumbersome and time-consuming procedures of lesion segmentation and feature extraction. This is because CNNs have the capability of learning useful features from the raw images. Once the system was trained, it was validated with test data to assess the performance. Study was carried out at Shahid Beheshti University of Medical Sciences, Tehran, Iran, in January and February, 2020.
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Results: The proposed deep learning network achieved an AUC (area under the ROC curve) of 0.97. Using a confidence score threshold of 0.5, a classification accuracy of 90% was attained in the classification of images into malignant and benign lesions. Moreover, a sensitivity of 94% and specificity of 86% were obtained. It should be noted that the user can change the threshold to adjust the model performance based on preference. For example, reducing the threshold increase sensitivity while decreasing specificity.
Conclusion: The results highlight the efficacy of deep learning models in detecting non-melanoma skin cancer. This approach can be employed in computer-aided detection systems to assist dermatologists in identification of malignant lesions.
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