Intelligent strategy for severity scoring of skin diseases based on clinical decision-making thinking with lesion-aware transformer

IF 10.7 2区 计算机科学 Q1 COMPUTER SCIENCE, ARTIFICIAL INTELLIGENCE
Kai Huang, Kai Sun, Jiayi Li, Zhe Wu, Xian Wu, Yuping Duan, Xiang Chen, Shuang Zhao
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引用次数: 0

Abstract

Skin diseases are numerous in types and high in incidence, posing a serious threat to human health. Accurately assessing the severity of skin diseases helps dermatologists in making personalized treatment decisions. However, focusing solely on the skin lesion itself and ignoring the true state of the surrounding skin can lead to distorted results. Assessing the severity of the condition should be a holistic process. Specifically, dermatologists need to compare the abnormal skin with surrounding skin to conduct the diagnosis. To imitate such diagnosis practice of dermatologists, we propose LSATrans, a Transformer based framework customized for severity scoring of skin diseases. Different from the Standard Self-Attention module, we propose the Lesion-aware Self-Attention (LSA) module. LSA can capture the visual features of both lesion and normal surrounding skin areas and include their relationship in modeling. In addition to LSA, the proposed LSATrans also introduces a contrastive learning strategy for further optimization. We first evaluated the performance of LSATrans in scar, atopic dermatitis, and psoriasis scoring tasks, and it achieved mean absolute errors of 0.5895, 0.5614, and 0.5416 respectively in these three tasks. Furthermore, we conducted additional validation of LSATrans’s performance in two distinct skin disease diagnosis tasks, where it demonstrated remarkable outcomes with AUCs of 0.9774 and 0.9801, respectively, in the classification of common skin diseases and subtypes of skin diseases. These results are better than existing methods, indicating that LSATrans is expected to become a universal, accurate and objective intelligent tool for scoring the severity of skin diseases.

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来源期刊
Artificial Intelligence Review
Artificial Intelligence Review 工程技术-计算机:人工智能
CiteScore
22.00
自引率
3.30%
发文量
194
审稿时长
5.3 months
期刊介绍: Artificial Intelligence Review, a fully open access journal, publishes cutting-edge research in artificial intelligence and cognitive science. It features critical evaluations of applications, techniques, and algorithms, providing a platform for both researchers and application developers. The journal includes refereed survey and tutorial articles, along with reviews and commentary on significant developments in the field.
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