We present an automated approach to detect and longitudinally track skin lesions on 3D total-body skin surfaces scans. The acquired 3D mesh of the subject is unwrapped to a 2D texture image, where a trained region convolutional neural network (R-CNN) localizes the lesions within the 2D domain. These detected skin lesions are mapped back to the 3D surface of the subject and, for subjects imaged multiple times, the anatomical correspondences among pairs of meshes and the geodesic distances among lesions are leveraged in our longitudinal lesion tracking algorithm. We evaluated the proposed approach using three sources of data. Firstly, we augmented the 3D meshes of human subjects from the public FAUST dataset with a variety of poses, textures, and images of lesions. Secondly, using a handheld structured light 3D scanner, we imaged a mannequin with multiple synthetic skin lesions at selected location and with varying shapes, sizes, and colours. Finally, we used 3DBodyTex, a publicly available dataset composed of 3D scans imaging the colored (textured) skin of 200 human subjects. We manually annotated locations that appeared to the human eye to contain a pigmented skin lesion as well as tracked a subset of lesions occurring on the same subject imaged in different poses. Our results, on test subjects annotated by three human annotators, suggest that the trained R-CNN detects lesions at a similar performance level as the human annotators. Our lesion tracking algorithm achieves an average accuracy of 80% when identifying corresponding pairs of lesions across subjects imaged in different poses. As there currently is no other large-scale publicly available dataset of 3D total-body skin lesions, we publicly release the 10 mannequin meshes and over 25,000 3DBodyTex manual annotations, which we hope will further research on total-body skin lesion analysis.
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