Evidence map›Paper›PMID 36611363›Full record

ArticleDiagnostics (Basel, Switzerland)2022

A Deep CNN Transformer Hybrid Model for Skin Lesion Classification of Dermoscopic Images Using Focal Loss.

Yali Nie, Paolo Sommella, Marco Carratù, Mattias O'Nils, Jan Lundgren

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 2% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. Diagnosis melanoma with artificial intelligence systems: A meta-analysis study and systematic review.Journal of the European Academy of Dermatology and Venereology : JEADV · 2025
    Pooled it
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  13. Deep Learning Image Processing Models in Dermatopathology.Diagnostics (Basel, Switzerland) · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Yali NieDepartment of Electronics Design, Mid Sweden University, 85170 Sundsvall, Sweden.ORCID 0000-0003-1840-791X
Paolo SommellaDepartment of Industrial Engineering, University of Salerno, 84084 Fisciano, SA, Italy.ORCID 0000-0001-9607-866X
Marco CarratùDepartment of Industrial Engineering, University of Salerno, 84084 Fisciano, SA, Italy.ORCID 0000-0001-8146-6088
Mattias O'NilsDepartment of Electronics Design, Mid Sweden University, 85170 Sundsvall, Sweden.ORCID 0000-0001-8607-4083
Jan LundgrenDepartment of Electronics Design, Mid Sweden University, 85170 Sundsvall, Sweden.ORCID 0000-0003-1819-6200
Mid Sweden University · SEUniversity of Salerno · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Skin cancers are the most cancers diagnosed worldwide, with an estimated > 1.5 million new cases in 2020. Use of computer-aided diagnosis (CAD) systems for early detection and classification of skin lesions helps reduce skin cancer mortality rates. Inspired by the success of the transformer network in natural language processing (NLP) and the deep convolutional neural network (DCNN) in computer vision, we propose an end-to-end CNN transformer hybrid model with a focal loss (FL) function to classify skin lesion images. First, the CNN extracts low-level, local feature maps from the dermoscopic images. In the second stage, the vision transformer (ViT) globally models these features, then extracts abstract and high-level semantic information, and finally sends this to the multi-layer perceptron (MLP) head for classification. Based on an evaluation of three different loss functions, the FL-based algorithm is aimed to improve the extreme class imbalance that exists in the International Skin Imaging Collaboration (ISIC) 2018 dataset. The experimental analysis demonstrates that impressive results of skin lesion classification are achieved by employing the hybrid model and FL strategy, which shows significantly high performance and outperforms the existing work.

Indexed as

deep learningfocal losshybrid modelskin lesion

Identifiers

PMID36611363
PMCPMC9818899
OpenAlexW4312205786

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.