Evidence map›Paper›PMID 38223594›Full record

ArticleAfrican health sciences2023

Using artificial intelligence on dermatology conditions in Uganda: a case for diversity in training data sets for machine learning.

Louis Kamulegeya, John Bwanika, Mark Okello, Davis Rusoke, Faith Nassiwa, William Lubega, Davis Musinguzi, Alexander Börve

Open access · diamondAbstract read
In one paragraph

Article in African health sciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed
14.3field-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.

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

41 citing papers in PubMed, 68 citations in OpenAlex.

  1. Demographic Reporting and the Absence of Hispanic/Latino Representation in Dermatology Artificial Intelligence: A Scoping Review.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
    Article
  2. Artificial intelligence in dermatology: A literature review of current evidence and clinical implementation.JID innovations : skin science from molecules to population health · 2026
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  7. A Comprehensive Approach to Responsible AI Development and Deployment.Mayo Clinic proceedings. Digital health · 2025
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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

8 authors at 2 institutions in 2 countries.

Louis KamulegeyaThe Medical Concierge Group, Research and Projects.
John BwanikaThe Medical Concierge Group, Research and Projects.
Mark OkelloThe Medical Concierge Group, Information and Technology.
Davis RusokeThe Medical Concierge Group, Research and Projects.
Faith NassiwaThe Medical Concierge Group, Information and Technology.
William LubegaThe Medical Concierge Group, Research and Projects.
Davis MusinguziThe Medical Concierge Group, Research and Projects.
Alexander BörveSahlgrenska University Hospital, Departments of Orthopaedics.
DuPage Medical Group · USSahlgrenska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In pursuit of applying universal non-biased Artificial Intelligence (AI) in healthcare, it is essential that data from different geographies are represented. Objective: To assess the diagnostic performance of an AI-powered dermatological algorithm called Skin Image Search on Fitzpatrick 6 skin type (dark skin) dermatological conditions. Methods: 123 dermatological images selected from a total of 173 images were retrospectively extracted from the electronic database of a Ugandan telehealth company, The Medical Concierge Group (TMCG) after getting their consent. Details of age, gender, and dermatological clinical diagnosis were analysed using R on R studio software to assess the diagnostic accuracy of the AI app along with disease diagnosis and body part. Predictability levels of the AI app were graded on a scale of 0 to 5, where 0- no prediction was made and 1-5 demonstrated a reduction incorrect diagnosis prediction rate of the AI. Results: 76 (62%) of the dermatological images were from females and 47 (38%) from males. Overall diagnostic accuracy of the AI app on black dermatological conditions was low at 17% (21 out of 123 predictable images) compared to 69.9% performance on Caucasian skin type as reported from the training results. There were varying predictability levels correctness i.e., 1-8.9%, 2-2.4%, 3-2.4%, 4-1.6%, 5-1.6% with performance along individual diagnosis highest with dermatitis (80%). Conclusion: There is need for diversity of image datasets used to train dermatology algorithms for AI applications to increase accuracy across skin types and geographies.

Indexed as

Artificial IntelligenceDermatologyFemaleHumansMachine LearningMaleRetrospective StudiesUgandaAlgorithmsArtificial intelligenceDermatologyFitzpatrick 6 skin typeTelehealth

Identifiers

PMID38223594
PMCPMC10782289
OpenAlexW4387584778

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.