Evidence map›Paper›PMID 32424212›Full record

ArticleNature medicine2020

A deep learning system for differential diagnosis of skin diseases.

Yuan Liu, Ayush Jain, Clara Eng, David H Way, Kang Lee, Peggy Bui, Kimberly Kanada, Guilherme de Oliveira Marinho, Jessica Gallegos, Sara Gabriele and 12 more

2 registry-linked trialsOpen access · greenAbstract read
PubMed Publisher
In one paragraph

Article in Nature medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 273 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
273citing papers in PubMed, 8 pooled it
30.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04562168 nacompletednot on this mapstarted 2021, after this paper: background citation

Using Artificial Intelligence as a Diagnostic Decision Support Tool to Help the Diagnosis of Skin Disease in Primary Healthcare in Catalonia

TypeinterventionalSponsorFundacio d'Investigacio en Atencio Primaria Jordi Gol i GurinaRan2021 to 2021Enrolled100ConditionsSkin DiseasesArmsAutoderm® dermatology search engine (ML model) testing
NCT04636164 naterminatednot on this map

Effect of Using Deep Neural Networks on the Accuracy of Skin Disease Diagnosis in Non-Dermatologist Physician

TypeinterventionalSponsorPyoeng Gyun ChoeRan2020 to 2021Enrolled55ConditionsSkin DiseasesArmsModel Dermatology (deep neural networks, Build 2020)
3 · Its place in the literature

Who cites it

273 citing papers in PubMed, 8 syntheses or guidelines pooled it, 707 citations in OpenAlex.

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  17. Artificial intelligence in dermatology: A literature review of current evidence and clinical implementation.JID innovations : skin science from molecules to population health · 2026
    Review
  18. Attitudes of dermatological patients towards digital health interventions: a cross-sectional survey and cluster analysis.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
    Article
  19. Current research landscape and future prospects of in silico modeling approaches for atopic dermatitis.JID innovations : skin science from molecules to population health · 2026
    Review
  20. Article

213 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 3 institutions in 2 countries.

Yuan LiuGoogle Health, Palo Alto, CA, USA.ORCID http://orcid.org/0000-0003-4079-8275
Ayush JainGoogle Health, Palo Alto, CA, USA.
Clara EngGoogle Health, Palo Alto, CA, USA.
David H WayGoogle Health, Palo Alto, CA, USA.
Kang LeeGoogle Health, Palo Alto, CA, USA.
Peggy BuiGoogle Health, Palo Alto, CA, USA.
Kimberly KanadaAdvanced Clinical, Deerfield, IL, USA.
Guilherme de Oliveira MarinhoAdecco Staffing, Santa Clara, CA, USA.
Jessica GallegosGoogle Health, Palo Alto, CA, USA.
Sara GabrieleGoogle Health, Palo Alto, CA, USA.
Vishakha GuptaGoogle Health, Palo Alto, CA, USA.
Nalini SinghGoogle Health, Palo Alto, CA, USA.
Vivek NatarajanGoogle Health, Palo Alto, CA, USA.
Rainer Hofmann-WellenhofMedical University of Graz, Graz, Austria.
Greg S CorradoGoogle Health, Palo Alto, CA, USA.
Lily H PengGoogle Health, Palo Alto, CA, USA.
Dale R WebsterGoogle Health, Palo Alto, CA, USA.
Dennis AiGoogle Health, Palo Alto, CA, USA.
Susan J HuangAdvanced Clinical, Deerfield, IL, USA.
Yun LiuGoogle Health, Palo Alto, CA, USA. liuyun@google.com.
R Carter Dunn *Google Health, Palo Alto, CA, USA.
David Coz *Google Health, Palo Alto, CA, USA.
Google (United States) · USDeerfield (United States) · USMedical University of Graz · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Skin conditions affect 1.9 billion people. Because of a shortage of dermatologists, most cases are seen instead by general practitioners with lower diagnostic accuracy. We present a deep learning system (DLS) to provide a differential diagnosis of skin conditions using 16,114 de-identified cases (photographs and clinical data) from a teledermatology practice serving 17 sites. The DLS distinguishes between 26 common skin conditions, representing 80% of cases seen in primary care, while also providing a secondary prediction covering 419 skin conditions. On 963 validation cases, where a rotating panel of three board-certified dermatologists defined the reference standard, the DLS was non-inferior to six other dermatologists and superior to six primary care physicians (PCPs) and six nurse practitioners (NPs) (top-1 accuracy: 0.66 DLS, 0.63 dermatologists, 0.44 PCPs and 0.40 NPs). These results highlight the potential of the DLS to assist general practitioners in diagnosing skin conditions.

Indexed as

Deep LearningDiagnosis, DifferentialAcne VulgarisAdultAlaska NativesAsianBasal Cell CarcinomaBlack or African AmericanCarcinoma, Squamous CellDermatitis, SeborrheicDermatologistsEczemaFemaleFolliculitisHispanic or LatinoHumans

Identifiers

PMID32424212
OpenAlexW3025011581

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.