AI techniques of Dermoscopy image analysis for the early detection of skin lesions based on combined CNN features
Open accessAbstract
Melanoma is one of the deadliest types of skin cancer that leads to death if not diagnosed early. Many skin lesions are similar in the early stages, which causes an inaccurate diagnosis. Accurate diagnosis of the types of skin lesions helps dermatologists save patients' lives. In this paper, we propose hybrid systems based on the advantages of fused CNN models. CNN models receive dermoscopy images of the ISIC 2019 dataset after segmenting the area of lesions and isolating them from healthy skin through the Geometric Active Contour (GAC) algorithm. Artificial neural network (ANN) and Random Forest (Rf) receive fused CNN features and classify them with high accuracy. The first methodology involved analyzing the area of skin lesions and diagnosing their type early using the hybrid models CNN-ANN and CNN-RF. CNN models (AlexNet, GoogLeNet and VGG16) receive lesions area only and produce high depth feature maps. Thus, the deep feature maps were reduced by the PCA and then classified by ANN and RF networks. The second methodology involved analyzing the area of skin lesions and diagnosing their type early using the hybrid CNN-ANN and CNN-RF models based on the features of the fused CNN models. It is worth noting that the features of the CNN models were serially integrated after reducing their high dimensions by Principal Component Analysis (PCA). Hybrid models based on fused CNN features achieved promising results for diagnosing dermatoscopic images of the ISIC 2019 data set and distinguishing skin cancer from other skin lesions. The AlexNet-GoogLeNet-VGG16-ANN hybrid model achieved an AUC of 94.41%, sensitivity of 88.90%, accuracy of 96.10%, precision of 88.69%, and specificity of 99.44%.
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Using AI-based models can help doctors find diseases faster and more correctly, improve patient care, and make healthcare systems less busy.
“using AI-based models can help doctors find diseases faster and more correctly, which can improve the care for patients and make healthcare systems less busy (18, 19).”
From Revolutionizing dermatopathology using AI in skin diagnostics: scoping review (2026) · cites this paper as [19]
The Introduction (page unavailable) says computer-assisted diagnosis can help doctors detect disease early and effectively while saving time and effort. The Conclusions (page unavailable) report accuracy for a skin-lesion model and say it aims to help physicians diagnose skin diseases. The paper does not establish that using these models improves patient care or reduces the burden on healthcare systems. (LLM, conf=0.84)
Experimental — accuracy not yet measuredCNNs have been employed for histopathological slides and dermoscopic images for identifying skin lesions such as melanoma, basal cell carcinoma, psoriasis, and other inflammatory skin diseases.
“CNNs have been employed for histopathological slides and dermoscopic images for identifying several skin lesions such as melanoma, basal cell carcinoma, psoriasis, and other inflammatory skin diseases.”
From Revolutionizing dermatopathology using AI in skin diagnostics: scoping review (2026) · cites this paper as [19]
Materials and Methods §§3.1 and 3.5 describe using CNN features from dermoscopic images to classify lesions, including melanoma and basal cell carcinoma. The passages do not support the claim about histopathological slides, psoriasis, or other inflammatory skin diseases; those conditions are not among the eight classes listed in §3.1. Page numbers were not available in our copy. (LLM, conf=0.87)
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Cites
Codella, N. C. F., Gutman, D., Celebi, M. E., Helba, B., Marchetti, M. A., Dusza, S. W., Kalloo, A., Liopyris, K., Mishra, N., Kittler, H., et al. (2018) · 2018 IEEE 15th International Symposium on Biomedical Imaging (ISBI 2018) · doi:10.1109/isbi.2018.8363547 · Cited by 2,620 · see citing works
Kassem, M. A. A., Hosny, K. M., & Fouad, M. M. (2020) · IEEE Access · doi:10.1109/access.2020.3003890 · Cited by 424 · see citing works
Gutman, D. A., Codella, N., Celebi, E., Helba, B., Marchetti, M. A., Mishra, N. K., & Halpern, A. C. (2016) · arXiv (Cornell University) · doi:10.48550/arxiv.1605.01397 · Cited by 365 · see citing works
Iqbal, I., Younus, M., Walayat, K., Kakar, M. U., & Ma, J. (2020) · Computerized Medical Imaging and Graphics · doi:10.1016/j.compmedimag.2020.101843 · Cited by 343 · see citing works
Ahmed, I. A., Senan, E. M., Rassem, T. H., Ali, M. A. H., Shatnawi, H. S. A., Alwazer, S. M., & Alshahrani, M. (2022) · Electronics · doi:10.3390/electronics11040530 · Cited by 241 · see citing works
Self-citationSunlight, UV-Radiation, Vitamin D and Skin Cancer: How Much Sunlight Do We Need?
Holick, M. F. (2009) · Advances in experimental medicine and biology · doi:10.1007/978-0-387-77574-6_1 · Cited by 218 · see citing works
Skin cancer detection and classification using machine learning
Monika, M. K., Vignesh, N. A., Kumari, C. U., Kumar, M., & Lydia, E. L. (2020) · Materials Today Proceedings · doi:10.1016/j.matpr.2020.07.366 · Cited by 184 · see citing works
Early Diagnosis of Brain Tumour MRI Images Using Hybrid Techniques between Deep and Machine Learning
Senan, E. M., Jadhav, M. E., Rassem, T. H., Aljaloud, A. S., Mohammed, B. A., & Al-Mekhlafi, Z. G. (2022) · Computational and Mathematical Methods in Medicine · doi:10.1155/2022/8330833 · Cited by 184 · see citing works
Self-citationMohammed, B., Senan, E. M., Rassem, T. H., Makbol, N. M., Alanazi, A., Al-Mekhlafi, Z., Almurayziq, T. S., & Ghaleb, F. A. (2021) · Electronics · doi:10.3390/electronics10222860 · Cited by 150 · see citing works
Self-citationIntelligent skin cancer detection applying autoencoder, MobileNetV2 and spiking neural networks
Toğaçar, M., Cömert, Z., & Ergen, B. (2021) · Chaos Solitons & Fractals · doi:10.1016/j.chaos.2021.110714 · Cited by 148 · see citing works
Hoang, L., Lee, S., Lee, E.-J., & Kwon, K. (2022) · Applied Sciences · doi:10.3390/app12052677 · Cited by 148 · see citing works
Naeem, A., Anees, T., Fiza, M., Naqvi, R. A., & Lee, S. W. (2022) · Sensors · doi:10.3390/s22155652 · Cited by 128 · see citing works
Sunlight, UV Radiation, Vitamin D, and Skin Cancer: How Much Sunlight Do We Need?
Holick, M. F. (2020) · Advances in experimental medicine and biology · doi:10.1007/978-3-030-46227-7_2 · Cited by 119 · see citing works
Automatic Classification of Melanoma Skin Cancer with Deep Convolutional Neural Networks
Aljohani, K., & Turki, T. (2022) · AI · doi:10.3390/ai3020029 · Cited by 99 · see citing works
Abunadi, I., & Senan, E. M. (2022) · Sensors · doi:10.3390/s22041629 · Cited by 95 · see citing works
Self-citationAbd-El-Azim, H. M., Tekko, I., Ali, A. A., Ramadan, A., Nafee, N., Khalafallah, N., Rahman, T., Mcdaid, W., Aly, R. G., Vora, L. K., et al. (2022) · Journal of Controlled Release · doi:10.1016/j.jconrel.2022.06.027 · Cited by 91 · see citing works
Alizadeh, S. M., & Mahloojifar, A. (2020) · International Journal of Imaging Systems and Technology · doi:10.1002/ima.22490 · Cited by 88 · see citing works
Uncertainty Estimation in Deep Neural Networks for Dermoscopic Image Classification
Combalia, M., Hueto, F., Puig, S., Malvehy, J., & Vilaplana, V. (2020) · IEEE/CVF Conference on Computer Vision and Pattern Recognition Workshops (CVPRW) · doi:10.1109/cvprw50498.2020.00380 · Cited by 82 · see citing works
Fati, S. M., Senan, E. M., & ElHakim, N. (2022) · Applied Sciences · doi:10.3390/app12147092 · Cited by 72 · see citing works
Self-citationDeep Learning and Artificial Neural Networks for Spacecraft Dynamics, Navigation and Control
Silvestrini, S., & Lavagna, M. R. (2022) · Drones · doi:10.3390/drones6100270 · Cited by 70 · see citing works
Putra, T. A., Rufaida, S. I., & Leu, J. (2020) · IEEE Access · doi:10.1109/access.2020.2976045 · Cited by 60 · see citing works
Dermoscopy Image Classification Based on StyleGANs and Decision Fusion
Gong, A., Yao, X., & Lin, W. Y. (2020) · IEEE Access · doi:10.1109/access.2020.2986916 · Cited by 53 · see citing works
Saini, N., Giacobone, C. K., Klimczak, L. J., Papas, B. N., Burkholder, A., Li, J., Fargo, D. C., Bai, R., Gerrish, K., Innes, C. L., et al. (2021) · PLoS Genetics · doi:10.1371/journal.pgen.1009302 · Cited by 53 · see citing works
A new preprocessing approach to improve the performance of CNN-based skin lesion classification
Zanddizari, H., Nguyen, N. V., Zeinali, B., et al. (2021) · Medical & Biological Engineering & Computing · doi:10.1007/s11517-021-02355-5 · Cited by 52 · see citing works
Non‐invasive diagnostic techniques in pigmentary skin disorders and skin cancer
Pathania, Y. S., Apalla, Z., Salerni, G., et al. (2021) · Journal of Cosmetic Dermatology · doi:10.1111/jocd.14547 · Cited by 50 · see citing works
Skin Lesion Classification Using Additional Patient Information
Qilin, S., Huang, C. B., Chen, M., Xu, H., & Yang, Y. (2021) · BioMed Research International · doi:10.1155/2021/6673852 · Cited by 48 · see citing works
Optimized Convolutional Neural Network Models for Skin Lesion Classification
Villa-Pulgarín, J. P., Ruales-Torres, A. A., Arias-Garzón, D., Bravo-Ortíz, M. A., Arteaga-Arteaga, H. B., Mora-Rubio, A., Alzate-Grisales, J. A., Mercado-Ruiz, E., Hassaballah, M., Orozco-Arias, S., et al. (2021) · Computers, materials & continua/Computers, materials & continua (Print) · doi:10.32604/cmc.2022.019529 · Cited by 46 · see citing works
Baig, A. R., Abbas, Q., Almakki, R. S., Ibrahim, M. E. A., AlSuwaidan, L., & Ahmed, A. E. S. (2023) · Diagnostics · doi:10.3390/diagnostics13030385 · Cited by 44 · see citing works
Mohammed, B. A., Senan, E. M., Al-Mekhlafi, Z. G., et al. (2022) · Electronics · doi:10.3390/electronics11152460 · Cited by 41 · see citing works
Self-citationBarhoumi, W., & Khelifa, A. (2021) · Computers in Biology and Medicine · doi:10.1016/j.compbiomed.2021.104825 · Cited by 36 · see citing works
A Prior-mask-guided Few-shot Learning for Skin Lesion Segmentation
Xiao, J., Xu, H., Zhao, W., Chen, C., & Gao, H. (2021) · Computing · doi:10.1007/s00607-021-00907-z · Cited by 26 · see citing works
Pham, T. C., Hoang, V.-D., Tran, C. T., Luu, M. S. K., Anh, D., Doucet, A., & Luong, C. M. (2020) · International Conference on Multimedia Analysis and Pattern Recognition (MAPR) · doi:10.1109/mapr49794.2020.9237778 · Cited by 24 · see citing works
A deep analysis on high‐resolution dermoscopic image classification
Pollastri, F., Lara, M. P., Maroñas, J., Bolelli, F., Paredes, R., Ramos, D., & Grana, C. (2021) · IET Computer Vision · doi:10.1049/cvi2.12048 · Cited by 19 · see citing works
A Hybrid Preprocessor DE-ABC for Efficient Skin-Lesion Segmentation with Improved Contrast
Malik, S., Akram, T., Ashraf, I., Rafiullah, M., Ullah, M., & Tanveer, J. (2022) · Diagnostics · doi:10.3390/diagnostics12112625 · Cited by 18 · see citing works
Free Tarsal Graft and Free Skin Graft for Lower Eyelid Reconstruction
Bortz, J. G., & Al-Shweiki, S. (2020) · Ophthalmic Plastic and Reconstructive Surgery · doi:10.1097/iop.0000000000001680 · Cited by 16 · see citing works
BL罿QUEZ-CASTRO, A., & STOCKERT, J. C. (2021) · Biocell · doi:10.32604/biocell.2021.015900 · Cited by 16 · see citing works
An Asymmetric Contrastive Loss for Handling Imbalanced Datasets
Vito, V., & Stefanus, L. Y. (2022) · Entropy · doi:10.3390/e24091303 · Cited by 16 · see citing works
Efficient Feature Based Melanoma Skin Image Classification Using Machine Learning Approaches
Maniraj, S. P., & Thamizhamuthu, R. (2022) · Traitement du signal · doi:10.18280/ts.390524 · Cited by 9 · see citing works
Efficient Classification Model for Melanoma Based on Convolutional Neural Networks
Elansary, I., Ismail, A., & Awad, W. A. (2021) · Studies in computational intelligence · doi:10.1007/978-3-030-91103-4_2 · Cited by 8 · see citing works
Image Segmentation with a Priori Conditions: Applications to Medical and Geophysical Imaging
Khayretdinova, G., Gout, C., Chaumont-Frelet, T., et al. (2022) · Mathematical and Computational Applications · doi:10.3390/mca27020026 · Cited by 6 · see citing works
A Survey on Computer-Aided Intelligent Methods to Identify and Classify Skin Cancer
Poornima, J. J., Anitha, J., Priya, A. G., & Hemanth, D. J. (2022) · Informatics · doi:10.3390/informatics9040099 · Cited by 6 · see citing works
Skin Managements and Diseases: A Systematic Article Review
ATREES, P. D. R. T. M. S. S. (2022) · The Medical Journal of Cairo University/The Medical Journal of Cairo University · doi:10.21608/mjcu.2022.272629 · Cited by 3 · see citing works
Zhang, H., Liu, J., & Liu, J. (2022) · ISPRS International Journal of Geo-Information · doi:10.3390/ijgi11070402 · Cited by 2 · see citing works
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Hussain, M., Khan, M. A., Damaševičius, R., Alasiry, A., Marzougui, M., Alhaisoni, M., & Masood, A. (2023) · Diagnostics · doi:10.3390/diagnostics13182869 · Cited by 58 · see citing works
Naeem, A., & Anees, T. (2024) · PLoS ONE · doi:10.1371/journal.pone.0297667 · Cited by 48 · see citing works
Revolutionizing dermatopathology using AI in skin diagnostics: scoping review
Rammal, R., Mohy U Din, A., & Alam, T. (2026) · Frontiers in Medicine · doi:10.3389/fmed.2026.1614681 · Cited by 1 · see citing works
“In this way, using AI-based models can help doctors find diseases faster and more correctly, which can improve the care for patients and make healthcare systems less busy (18, 19).”
- Authors
- Olayah, F., Senan, E. M., Ahmed, I. A., & Awaji, B.
- Affiliations
- Najran University (SA)
- Al-Razi University (YE)
- Corresponding author
- Olayah, Fekry
- Senan, Ebrahim Mohammed
- Venue
- Diagnostics
- Publisher
- MDPI AG
- Published
- 2023-04-01
- Volume
- 13
- Issue
- 7
- Pages
- 1314
- ISSN
- 2075-4418 (ISSN-L)
- PMC
- PMC10093624
- OpenAlex
- W4362585752
- Cited by
- 97
- References
- 43
- Citations by year
- 2026: 17 · 2025: 29 · 2024: 29 · 2023: 22
- FWCI
- 11.83
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Diagnostics (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Deanship of Scientific Research at Najran University, Kingdom of Saudi Arabia (NU/DRP/SERC/12/33)
- Topics
- Health Sciences › Medicine › Oncology › Cutaneous Melanoma Detection and Management
- Physical Sciences › Computer Science › Artificial Intelligence › AI in cancer detection
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Advanced Neural Network Applications
- Keywords
- skin lesion classification, early melanoma detection, skin cancer diagnosis, CNN feature fusion, hybrid CNN-random forest model, dimensionality reduction, AlexNet, GoogLeNet, VGG16
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