Evidence map›Paper›PMID 38156628›Full record

ArticleJournal of cutaneous medicine and surgery

Using Artificial Intelligence as a Melanoma Screening Tool in Self-Referred Patients.

Madeleine E Crawford, Kiyana Kamali, Rachel A Dorey, Olivia C MacIntyre, Kristyna Cleminson, Michael L MacGillivary, Peter J Green, Richard G Langley, Kerri S Purdy, Ryan C DeCoste and 4 more

Abstract read
In one paragraph

Article in Journal of cutaneous medicine and surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

14 authors.

Madeleine E CrawfordDivision of Clinical Dermatology and Cutaneous Science, Department of Medicine, Dalhousie University, Halifax, NS, Canada.
Kiyana KamaliDivision of Clinical Dermatology and Cutaneous Science, Department of Medicine, Dalhousie University, Halifax, NS, Canada.
Rachel A DoreyDivision of Clinical Dermatology and Cutaneous Science, Department of Medicine, Dalhousie University, Halifax, NS, Canada.ORCID 0000-0001-8400-6714
Olivia C MacIntyreDivision of Clinical Dermatology and Cutaneous Science, Department of Medicine, Dalhousie University, Halifax, NS, Canada.
Kristyna CleminsonDivision of Clinical Dermatology and Cutaneous Science, Department of Medicine, Dalhousie University, Halifax, NS, Canada.
Michael L MacGillivaryDivision of Clinical Dermatology and Cutaneous Science, Department of Medicine, Dalhousie University, Halifax, NS, Canada.ORCID 0000-0001-8339-257X
Peter J GreenDivision of Clinical Dermatology and Cutaneous Science, Department of Medicine, Dalhousie University, Halifax, NS, Canada.
Richard G LangleyDivision of Clinical Dermatology and Cutaneous Science, Department of Medicine, Dalhousie University, Halifax, NS, Canada.
Kerri S PurdyDivision of Clinical Dermatology and Cutaneous Science, Department of Medicine, Dalhousie University, Halifax, NS, Canada.
Ryan C DeCosteDepartment of Pathology and Laboratory Medicine, Dalhousie University, Halifax, NS, Canada.
Jennette R GruchyDepartment of Pathology and Laboratory Medicine, Dalhousie University, Halifax, NS, Canada.
Sylvia PasternakDepartment of Pathology and Laboratory Medicine, Dalhousie University, Halifax, NS, Canada.
Amanda OakleyDepartment of Medicine, Waikato Clinical Campus, University of Auckland, Hamilton, New Zealand.
Peter R HullDivision of Clinical Dermatology and Cutaneous Science, Department of Medicine, Dalhousie University, Halifax, NS, Canada.ORCID 0000-0002-3896-9373

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionEarly detection of melanoma requires timely access to medical care. In this study, we examined the feasibility of using artificial intelligence (AI) to flag possible melanomas in self-referred patients concerned that a skin lesion might be cancerous.

methodsPatients were recruited for the study through advertisements in 2 hospitals in Halifax, Nova Scotia, Canada. Lesions of concern were initially examined by a trained medical student and if the study criteria were met, the lesions were then scanned using the FotoFinder System

resultsSeventeen confirmed malignancies were found, including 10 melanomas. Six melanomas were not flagged by the AI. These lesions showed ambiguous atypical melanocytic proliferations, and all were diagnostically challenging to the dermatologists and to the dermatopathologists. Eight malignancies were seen in patients with a family history of melanoma. The AI's ability to diagnose malignancy is not inferior to the dermatologists examining dermoscopic images.

conclusionAI, used in this study, may serve as a practical skin cancer screening aid. While it does have technical and diagnostic limitations, its inclusion in a melanoma screening program, directed at those with a concern about a particular lesion would be valuable in providing timely access to the diagnosis of skin cancer.

Indexed as

MelanomaSkin NeoplasmsArtificial IntelligenceDermoscopyEarly Detection of CancerHumansartificial intelligenceconvoluted neural networksdeep learningdermoscopymachine learningmelanomamelanoma detectionmelanoma screening

Identifiers

PMID38156628
PMCPMC10908200

What OpenQuestion holds

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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.