Evidence map›Paper›PMID 37596324›Full record

ArticleNPJ digital medicine2023

Skin Tone Analysis for Representation in Educational Materials (STAR-ED) using machine learning.

Girmaw Abebe Tadesse, Celia Cintas, Kush R Varshney, Peter Staar, Chinyere Agunwa, Skyler Speakman, Justin Jia, Elizabeth E Bailey, Ademide Adelekun, Jules B Lipoff and 5 more

Open access · goldAbstract read
In one paragraph

Article in NPJ digital medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.8field-weighted citation impact, top 8% 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

7 citing papers in PubMed, 23 citations in OpenAlex.

  1. Limitations of ITA for Skin Type Estimation Under Uncontrolled Imaging Conditions.Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI) · 2026
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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

15 authors at 8 institutions in 3 countries.

Girmaw Abebe Tadesse *IBM Research - Africa, Nairobi, Kenya. girmawabebe@gmail.com.
Celia Cintas *IBM Research - Africa, Nairobi, Kenya.
Kush R VarshneyIBM Research - T. J. Watson, New York, NY, USA.
Peter StaarIBM Research - Europe, Zurich, Switzerland.
Chinyere AgunwaIBM Research - T. J. Watson, New York, NY, USA.
Skyler SpeakmanIBM Research - Africa, Nairobi, Kenya.
Justin JiaStanford University, Stanford, CA, USA.
Elizabeth E BaileyStanford University, Stanford, CA, USA.
Ademide AdelekunUniversity of Pennsylvania, Philadelphia, PA, USA.
Jules B LipoffDepartment of Dermatology, Temple Medical School, Philadelphia, PA, USA.
Ginikanwa OnyekabaUniversity of Pennsylvania, Philadelphia, PA, USA.
Jenna C LesterUniversity of California San Francisco, San Franciscoa, CA, USA.
Veronica RotembergMemorial Sloan-Kettering Cancer Center, New York, NY, USA.ORCID http://orcid.org/0000-0003-0639-2677
James ZouStanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0001-8880-4764
Roxana DaneshjouStanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0001-7988-9356
Stanford University · USIBM (United States) · USUniversity of Pennsylvania · USIBM Research - Africa · ZAIBM Research - Zurich · CHMemorial Sloan Kettering Cancer Center · USTemple University · USUniversity of California, San Francisco · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Postgraduate Training Program in Epithelial BiologyT32AR007422 · NIAMS · STANFORD UNIVERSITY · PI PAUL KHAVARI · 1986 to 2026
$5.0M
M-ISIC: A Multimodal Open-Source International Skin Imaging Collaboration Informatics Platform for Automated Skin Cancer DetectionU24CA264369 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Kivanc Kose, Veronica Miriam Rotemberg · 2022 to 2026
$3.9M
NCI NIH HHS P30 CA008748NCI NIH HHS U24 CA264369NIAMS NIH HHS T32 AR007422
6 · The paper itself

Abstract

Images depicting dark skin tones are significantly underrepresented in the educational materials used to teach primary care physicians and dermatologists to recognize skin diseases. This could contribute to disparities in skin disease diagnosis across different racial groups. Previously, domain experts have manually assessed textbooks to estimate the diversity in skin images. Manual assessment does not scale to many educational materials and introduces human errors. To automate this process, we present the Skin Tone Analysis for Representation in EDucational materials (STAR-ED) framework, which assesses skin tone representation in medical education materials using machine learning. Given a document (e.g., a textbook in .pdf), STAR-ED applies content parsing to extract text, images, and table entities in a structured format. Next, it identifies images containing skin, segments the skin-containing portions of those images, and estimates the skin tone using machine learning. STAR-ED was developed using the Fitzpatrick17k dataset. We then externally tested STAR-ED on four commonly used medical textbooks. Results show strong performance in detecting skin images (0.96 ± 0.02 AUROC and 0.90 ± 0.06 F

Identifiers

PMID37596324
PMCPMC10439178
OpenAlexW4385986095

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.