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Improving Lesion Detection by exploring bias on Skin Lesion dataset

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 Added by Anusua Trivedi
 Publication date 2020
and research's language is English




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All datasets contain some biases, often unintentional, due to how they were acquired and annotated. These biases distort machine-learning models performance, creating spurious correlations that the models can unfairly exploit, or, contrarily destroying clear correlations that the models could learn. With the popularity of deep learning models, automated skin lesion analysis is starting to play an essential role in the early detection of Melanoma. The ISIC Archive is one of the most used skin lesion sources to benchmark deep learning-based tools. Bissoto et al. experimented with different bounding-box based masks and showed that deep learning models could classify skin lesion images without clinically meaningful information in the input data. Their findings seem confounding since the ablated regions (random rectangular boxes) are not significant. The shape of the lesion is a crucial factor in the clinical characterization of a skin lesion. In that context, we performed a set of experiments that generate shape-preserving masks instead of rectangular bounding-box based masks. A deep learning model trained on these shape-preserving masked images does not outperform models trained on images without clinically meaningful information. That strongly suggests spurious correlations guiding the models. We propose use of general adversarial network (GAN) to mitigate the underlying bias.



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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%.
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For several skin conditions such as vitiligo, accurate segmentation of lesions from skin images is the primary measure of disease progression and severity. Existing methods for vitiligo lesion segmentation require manual intervention. Unfortunately, manual segmentation is time and labor-intensive, as well as irreproducible between physicians. We introduce a convolutional neural network (CNN) that quickly and robustly performs vitiligo skin lesion segmentation. Our CNN has a U-Net architecture with a modified contracting path. We use the CNN to generate an initial segmentation of the lesion, then refine it by running the watershed algorithm on high-confidence pixels. We train the network on 247 images with a variety of lesion sizes, complexity, and anatomical sites. The network with our modifications noticeably outperforms the state-of-the-art U-Net, with a Jaccard Index (JI) score of 73.6% (compared to 36.7%). Moreover, our method requires only a few seconds for segmentation, in contrast with the previously proposed semi-autonomous watershed approach, which requires 2-29 minutes per image.
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