Ros‐NET: A deep convolutional neural network for automatic identification of rosacea lesions
Abstract
Background Rosacea is one of the most common cutaneous disorder characterized primarily by facial flushing, erythema, papules, pustules, telangiectases, and nasal swelling. Diagnosis of rosacea is principally done by a physical examination and a consistent patient history. However, qualitative human assessment is often subjective and suffers from a relatively high intra- and inter-observer variability in evaluating patient outcomes. Materials and methods To overcome these problems, we propose a quantitative and reproducible computer-aided diagnosis system, Ros-NET, which integrates information from different image scales and resolutions in order to identify rosacea lesions. This involves adaption of Inception-ResNet-v2 and ResNet-101 to extract rosacea features from facial images. Additionally, we propose to refine the detection results by means of facial-landmarks-based zones (ie, anthropometric landmarks) as regions of interest (ROI), which focus on typical areas of rosacea occurrence on a face. Results Using a leave-one-patient-out cross-validation scheme, the weighted average Dice coefficients, in percentages, across all patients (N = 41) with 256 × 256 image patches are 89.8 ± 2.6% and 87.8 ± 2.4% with Inception-ResNet-v2 and ResNet-101, respectively. Conclusion The findings from this study support that pre-trained networks trained via transfer learning can be beneficial in identifying rosacea lesions. Our future work will involve expanding the work to a larger database…
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Image-based deep learning models such as RosNet and FACES have been developed to classify rosacea.
“A few studies developed image-based deep learning models to classify rosacea, such as RosNet (adapted from Inception-ResNet-v2) and FACES (an ensemble deep learning model) (Binol et al, 2020; Park et al, 2023).”
From Artificial intelligence–enabled precision medicine for inflammatory skin diseases (2026) · cites this paper as Binol et al, 2020
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- Authors
- Binol, H., Plotner, A., Sopkovich, J., Kaffenberger, B., Niazi, M. K. K., & Gurcan, M. N.
- Affiliations
- Wake Forest University Health Sciences (US)
- The Ohio State University (US)
- Center for Biomedical Informatics Wake Forest School of Medicine Winston‐Salem NC USA
- Corresponding author
- Binol, Hamidullah
- Venue
- Skin Research and Technology
- Publisher
- Wiley
- Published
- 2019-12-17
- Volume
- 26
- Issue
- 3
- Pages
- 413-421
- ISSN
- 0909-752X (ISSN-L)
- 1600-0846
- OpenAlex
- W2994949090
- Cited by
- 56
- References
- 37
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 11 · 2023: 8 · 2022: 12 · 2021: 7 · 2020: 5
- FWCI
- 6.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Skin Research and Technology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Rosacea Society
- Topics
- Health Sciences › Medicine › Dermatology › Acne and Rosacea Treatments and Effects
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Face recognition and analysis
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Medical Image Segmentation Techniques
- Keywords
- rosacea, computer-aided diagnosis, deep convolutional neural networks, InceptionResNetV2, ResNet-101, transfer learning, face images, facial landmarks, region of interest
- MeSH terms
- Machine Learning, Deep Learning, Algorithms, Diagnosis, Computer-Assisted, Face, Female, Humans, Image Processing, Computer-Assisted, Male, Rosacea, Skin Diseases, Observer Variation, Neural Networks, Computer, Anatomic Landmarks
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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